Unit:
Κατεύθυνση Γενική και Εξειδικευμένη Παιδιατρική: Κλινική Πράξη και ΈρευναLibrary of the School of Health Sciences
Supervisors info:
Μπριάνα Δέσποινα, Καθηγήτρια, Ιατρική Σχολή,ΕΚΠΑ
Μίχος Αθανάσιος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Χαρμανδάρη Ευαγγελία, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Μητρικός θηλασμός και δίδυμη κύηση. Περιγεννητικοί παράγοντες σχετιζόμενοι με έναρξη και πρόωρη διακοπή
Translated title:
Breastfeeding and twin pregnancy.Perinatal factors related to initiation and early termination
Summary:
BACKGROUND:Maternal breastfeeding is a process that has been guided by maternal instincts over centuries since a human is born.Breast milk is known as super food, especially for a newborn that needs a variety of nutrients in order to grow successfully.In modern societies early weaning is a rising phenomenon that concerns health specialists.
AIM:The purpose of this systematic review and meta-analysis was to investigate the perinatal factors associated with initiation and early cessation of breastfeeding in mother's of twins.
METHODOLOGY:A systematic review of the international literature in the PubMed electronic database was performed,with the following keywords: breastfeeding,twins, cessation, initiation and factors.Systematic review obeys PRISMA guidelines.The selection criteria -exclusion of articles were the following:(1) breastfeeding or non-breastfeeding mother's of twins,(2)the outcome of the participating studies should be cessation of breastfeeding (3)the studies should be primary published from 01/01/2010 to 31/12/2021 and written in English or Greek.Also, the pooled proportion of cessation of breastfeeding of twins at 6 months was calculated by meta-analysis (STATA v.13)
RESULTS: From the search of the international literature,26 studies emerged,of which 7 were included in the review.The pooled proportion of cessation of breastfeeding at 6 months for twin infants was 0.70(95%CI:0.60-0.81). Discontinuation of breastfeeding in twin infants was associated with younger maternal age,lower level of education, smoking,lower birth,lack of support during breastfeeding,and the perception that " I cannot produce enough milk".
CONCLUSIONS:The percentage of mothers of twin babies who breastfeed after 6 months is small.It is particularly important to develop interventions to promote breastfeeding in mothers of twin infants.
Main subject category:
Health Sciences
Keywords:
Breastfeeding,Twin pregnancy, Initiation, Cessation, Perinatal factors
