Preview

Public Health

Advanced search

Breastfeeding in russia: problems and prospects

https://doi.org/10.21045/2782-1676-2023-3-1-18-32

Abstract

Exclusive breastfeeding for the first six months of life provides many short and long term health benefits. A woman’s awareness of the concept of breastfeeding as a unique biological phenomenon that has not only nutritional, but also psychological significance, which has a powerful positive effect on the neuropsychic development of the child, is an important condition for the development of breastfeeding dominance. Premature weaning or refusal to breastfeed increases the risk of developing many socially significant diseases for both mother and child.

The ability to optimize the micronutrient status of a pregnant and then lactating woman by taking specialized vitamin-mineral complexes (VMCs) that correspond to the physiological needs of women in this physiological state dictates the need, on the one hand, to develop new clinical recommendations for women’s nutrition during this period, on the other hand – creation of educational (educational) programs of healthy nutrition using mass media. It is also necessary to expedite the adoption of a law on mandatory salt iodization. Admission, IUD for lactating women, is a reliable way not only to eliminate multiple micronutrient deficiencies in the diet and improve the supply of the body of a nursing woman, but also to optimize the vitamin composition of breast milk and the provision of a child exclusively breastfed.

Some problems that arise during breastfeeding have been identified, including the lack of awareness of women about the benefits of breastfeeding for the health of the child and mother, the insufficient use of IUDs to improve the micronutrient status of both women and infants, and the lack of educational programs explaining the benefits of breastfeeding. Only the joint work of medical and public organizations to eliminate these problems will make it possible to maximize the benefits of breastfeeding.

About the Authors

O. B. Ladodo
FSBI «National medical research center for obstetrics, gynecology and perinatology named after academician V.I. Kulakov» Ministry of Health of the Russian Federation
Russian Federation

Olga B. Ladodo – Candidate of Medical Sciences, Head of the National Coordinating Center for Breastfeeding Support

Moscow



S. I. Zhdanova
FSBI «National medical research center for obstetrics, gynecology and perinatology named after academician V.I. Kulakov» Ministry of Health of the Russian Federation
Russian Federation

Svetlana I. Zhdanova Candidate of Medical Sciences, Head of the Department of Nutritional Technologies

Moscow



V. V. Zubkov
FSBI «National medical research center for obstetrics, gynecology and perinatology named after academician V.I. Kulakov» Ministry of Health of the Russian Federation; Federal State Autonomous Educational Institution of Higher Education First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation

Viktor V. Zubkov Doctor of Medical Sciences, Professor, Director of the Institute of Neonatology and Pediatrics, Head of the Department of Neonatology, Department of Vocational Education; Professor of the Department of Neonatology, Clinical Institute of Children’s Health named after N.F. Filatov

Moscow



V. M. Kodentsova
Federal Research Center for Nutrition, Biotechnology and Food Safety
Russian Federation

Vera M. Kodentsova – Doctor of Biology, Professor, Chief Researcher, Laboratory of Vitamins and Minerals

Moscow



D. N. Degtyarev
Federal State Autonomous Educational Institution of Higher Education First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation

Dmitry N. Degtyarev – Doctor of Medical Sciences, Professor, Deputy Director; Head of the Department of Neonatology, Clinical Institute of Children’s Health named after N.F. Filatov

Moscow



I. I. Ryumina
FSBI «National medical research center for obstetrics, gynecology and perinatology named after academician V.I. Kulakov» Ministry of Health of the Russian Federation
Russian Federation

Irina I. Ryumina – Doctor of Medical Sciences, Professor, Head of the Department of Pathology of Newborns and Premature Infants, Professor of the Department of Neonatology

Moscow



O. O. Salagay
Ministry of Health of the Russian Federation
Russian Federation

Oleg O. Salagaу – Candidate of Medical Sciences, Deputy Minister of Health of the Russian Federation

Moscow



E. L. Sheshko
Ministry of Health of the Russian Federation
Russian Federation

Elena L. Sheshko – Candidate of Medical Sciences, Associate Professor, Director of the Department – Department of Medical Care for Children, Obstetrics and Public Health Services

Moscow



References

1. Moubareck C. A. Human milk microbiota and oligosaccha­rides: a glimpse into benefits, diversity and correlations. Nutrients. 2021; 13(4): 1123. DOI: 10.3390/nu13041123

2. Polyanina E. Z. Difficulties in breastfeeding: ways to solve the problem. Meditsinskiy sovet = Medical Council. 2021; (11):7–13. https://doi.org/10.21518/2079-701X-2021-11-7-13 (in Russian)

3. Schwarz E. B., Nothnagle M. The Maternal Health Benefits of Breastfeeding. Am. Fam. Phys. 2015;91:603–604.

4. Bobrow K. L., Quigley M. A., Green J., Reeves G. K., Beral V. Million Women Study Collaborators Persistent Effects of Women’s Parity and Breastfeeding Patterns on Their Body Mass Index: Results from the Million Women Study. Int. J. Obes. 2013;37:712–717. DOI: 10.1038/ijo.2012.76

5. Zakharova I. N., Machneva E. B., Oblogina I. S. Breast milk is a living tissue! How to preserve breastfeeding? // Meditsinskiy sovet = Medical Council 2017;(19):24–29. https://doi.org/10.21518/2079–701X-2017-19-24-29. (in Russian).

6. Ryumina I. I., Zubkov V. V. Effective lactation and expression of breast milk. Meditsinskiy sovet = Medical Council. 2019;(2):26–31. https://doi.org/10.21518/2079-701X-2019-2-26-31 (in Russian).

7. https://rosstat.gov.ru/folder/13721

8. National Adolescent and Young Child Nutrition Assessment Tool: Practices, Policies and Programs. Project. WHO, LINCAQES Project and Wellstart International. – Geneva, 2002.

9. World Health Organization. Global Strategy for Infant and Young Child Feeding. Geneva, Switzerland: World Health Organization; 2003.

10. Baranov A. A., Tutelyan V. A., Chumakova O. V. et al. The program of intended feeding of children of the first year of life in the Russian Federation: Methodological recommendations. Union of Pediatricians of the Russian Federation, 2019. – 160 p. (in Russian)

11. Reproductive health of the population of Russia, Summary of the report 2011 (in Russian).

12. http://www.demoscope.ru/weekly/2015/0651/reprod02.php

13. Lomovskikh V. E., Berdikova T. K., Vrublevskaya E.Yu. Evaluation and proposal on the statistics of the spread of breastfeeding in the Russian Federation // Volgograd Journal of Medical Scientific Research, No. 4, 2009: 3–5. (in Russian)

14. Health care in Russia. 2017: Stat.sb./Rosstat. – M., Z-46 2017. – 170 p. (in Russian).

15. Rollins North Carolina; Bhandari N., Hadjibhoy N., Horton S., Lutter C.K., Martines J.K., Piwoz E.G., Richter L.M., Victora K. G. Why invest and what will it take to improve breastfeeding practices? // Lancet 2016, 387, 491–504.

16. Walters D.D., Phan L.T.H., Mathisen R. The cost of not breastfeeding: global results from a new tool. Health Policy Plan. 2019 Jul 1;34(6):407–417.

17. https://www.cdc.gov/breastfeeding/data/nis_data/results.html

18. Meek J.Y., Noble L. Technical report: Breastfeeding and use of breast milk. // Pediatrics. July 1, 2022; 150(1): e2022057989. DOI: 10.1542/ped.2022–057989. PMID: 35921641.

19. Chantry C. J., Dewey K. G., Peerson J. M., Wagner E. A., Nommsen-Rivers L. A. In-hospital formula use increases early breastfeeding cessation among first-time mothers intending to exclusively breastfeed. Journal of Pediatrics. 2014;164(6):1339.e5–1345.e5.

20. Nelson J.M., Perrine C.G., Freedman D.S. et al. Infant feeding-related maternity care practices and maternal report of breastfeeding outcomes // Birth. 2018;45(4):424–431.

21. World Health Organization. International Code of Marketing of Breast-milk Substitutes. 1981. Available at: https://apps.who.int/iris/handle/10665/40382.

22. Donnelly A., Snowden H. M., Renfrew M. J., Woolridge M. W. CANCELED: Commercial hospital discharge packages for breastfeeding women. // Cochrane Database Syst Rev. 2007 Jul 18;(2): CD002075. DOI: 10.1002/14651858.CD002075.pub2. PMID: 17636696.

23. Becker G.E., Zambrano P., Ching C., Cashin J., Burns A., Policarpo E., Datu-Sanguyo J., Mathisen R. Global evidence of persistent violations of the International Code of Marketing of Breast-milk Substitutes: A systematic scoping review. Matern Child Nutr. 2022 May;18 Suppl 3(Suppl 3): e13335.

24. Butskaya T. V., Ladodo O. B., Kodentsova V. M., Fisenko A. P., Risnik D. V., Makarova S. G., Olina A. A., Chumbadze T. R., Moshkina N. A. Assessment of current recommendations on vitamin and mineral complex intake in pregnancy and lactation // Kremlevskaya meditsina. Klinicheskiy vestnik [Kremlin medicine. Clinical Bulletin]/ 2022. № 2. С. 52–64. DOI: 10.26269/e339-nw30 (in Russian)

25. Kodentsova V. M., Butskaya T. V., Ladodo O. B., Risnik D. V., Makarova S. G., Olina A. A., Moshkina N. A. Administration of multivitamin and mineral complexes during pregnancy is necessary: comparison of current guidelines // Vopr. prakt. pediatr. (Clinical Practice in Pediatrics). 2022; 17(2): 136–147. (In Russian). DOI: 10.20953/1817-7646-2022-2-136-147 (in Russian)

26. Kodentsova V.M., Risnik D.V., Pavlovich S.V., Ladodo O.B. Optimization of the micronutrients sufficiency of feeding women and children on exclusively breastfeeding by enriching of the woman diet // Gynecology. 2021; 23 (3): 222–230. DOI: 10.26442/20795696.2021.3.200875 (in Russian)

27. FIGO Committee Report. Good clinical practice advice: Micronutrients in the periconceptional period and pregnancy. Int J Gynecol Obstet 2019; 144: 317–321 https://doi.org/10.1002/ijgo.12739

28. Black R. E., Dewey K. G. Benefits of supplementation with multiple micronutrients in pregnancy. Ann. N. Y. Acad. Sci. 2019; 1444(1): 3–5. DOI: 10.1111/nyas.14088

29. Gernand A. D. The upper level: examining the risk of excess micronutrient intake in pregnancy from antenatal supplements // Ann. N. Y. Acad. Sci. 1444 2019. 22–34. DOI: 10.1111/nyas.14103

30. Gromova O. A., Pesegova E. V., Torshin I. Yu., Tetruashvili N. K. Experience in the use of the vitamin-mineral complex “Pregnomama” in women with a physiological course of pregnancy // Obstetrics and gynecology. 2021; 6:122–130https://dx.doi.org/10.18565/aig.2021.6.122–130 (in Russian).

31. Bourassa M. W., Osendarp S. J., Adu‐Afarwuah S., Ahmed S., Ajello C., Bergeron G., … & Vosti S. A. Review of the evidence regarding the use of antenatal multiple micronutrient supplementation in low‐and middle‐income countries // Ann N Y Acad Sci. 2019; 1444(1): 6–21. DOI: 10.1111/nyas.14121

32. Melnichenko G. A., Gerasimov G. A., Troshina E. A. What prevents passing the law about prevention of iodine deficiency disorders in the country with iodine deficiency? // Clinical and experimental thyroidology, 2019;15(4):162–168. DOI: 10.14341/ket12424 (in Russian).

33. Schmied V., Beake S., Sheehan A., McCourt C., Dykes F. Women’s perceptions and experiences of breastfeeding support: a metasynthesis. // Birth. 2011;38(1):49–60.

34. McFadden A., Gavine A., Renfrew M.J., Wade A., Buchanan P., Taylor J.L., Veitch E., Rennie A.M., Crowther S.A., Neiman S., MacGillivray S. Support for healthy breast­feeding mothers with healthy term babies. // Cochrane Database Syst Rev. 2017;2: CD001141.

35. Yang S.F., Salamonson Y., Burns E. et al. Breastfeeding knowledge and attitudes of health professional students: a systematic review. // Int Breastfeed J 13, 8 (2018). https://doi.org/10.1186/s13006-018-0153-1

36. Yakovlev Ya.Ya., Manerov F. K., Furtsev V. I., Shcherbak V. A., Shcherbak N. M., Lobanov Yu.F., Ledyaykina L. V., Garina S. V., Surovikina E. A., Elkina T. N., Alimova I. L., Pleskachevskaya T. A., Popova E. V., Pogorelova L. V., Revnova M. O., Gaiduk I. M., Burlutskaya A. V., Statova A. V., Dzhumagaziev A. A., Kashirskaya E. I., Tsarkova S. A., Trunova Yu.A., Koltsova N. S., Pechkurov D. V., Lazareva E. P., Lukushkina E. F., Neyfeld I. V., Rogozhina I. E., Makarova V. I., Petrov I. M., Sakharov S. P., Shevchenko E. V., Malakhova Zh.L., Pashov A. I., Munkhalova Ya.A., Egorova V. B., Kaladze N. N., Belykh N. A. Knowledge of future doctors (senior students, interns, residents) on breast­feeding: a cross-sectional study. // Questions of modern pediatrics. 2021;20(4):292–309. DOI: 10.15690/vsp.v20i4.2285 (in Russian).

37. Yakovlev Ya.Ya., Manerov F. K., Kotovich M. M., Shchepetkov S. P., Sokolovskaya M. A. Assessment of the actual state of nutrition of pregnant and lactating women // Mother and Child in Kuzbass. – 2020. – No. 4(83). – P. 12–18. DOI: 10.24411/2686-7338-2020-10043

38. WHO recommendations for antenatal care for a positive pregnancy experience. WHO, 2017. 196 p. English (WHO guidelines on antenatal care for a positive pregnancy experience. WHO, 2017. – 196 p. (in Russian).

39. Letter of the Ministry of Health of Russia dated March 24, 2017 № 28-1/10/2-1994 “On the direction of the guidelines “Recommended norms of therapeutic nutrition (average daily sets of basic foods) for pregnant and lactating women in maternity hospitals (departments) and children of various age groups in children’s hospitals (departments) of the Russian Federation. Ministry of Health of the Russian Federation, 2017. (in Russian).

40. Baturin A. K., Kon’ I.Ya., Gmoshinskaya M. V., Abramova T. V., Larionova Z. G., Safronova A. I. The results of a retrospective study of the nutritional characteristics of women during pregnancy and lactation // Farmateka. 2016.;12(325): 56–60. (in Russian).

41. Pogozheva A. V., Smirnova E. A. To the health of the nation through multi-level educational programs for the population in the field of optimal nutrition. Voprosy pitaniia [Problems of Nutrition]. 2020; 89 (4): 262–72. DOI: 10.24411/0042-8833-2020-10060 (in Russian).

42. Gmoshinskaya M. V. Factors Influencing on Lactation (Voprosy sovremennoi pediatrii – Current Pediatrics. 2013; 12 (2): 139–141). (in Russian).


Review

For citations:


Ladodo O.B., Zhdanova S.I., Zubkov V.V., Kodentsova V.M., Degtyarev D.N., Ryumina I.I., Salagay O.O., Sheshko E.L. Breastfeeding in russia: problems and prospects. Public Health. 2023;3(1):18-32. (In Russ.) https://doi.org/10.21045/2782-1676-2023-3-1-18-32

Views: 791


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2782-1676 (Print)
ISSN 2949-1274 (Online)