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Darbo tikslas.Nustatyti žindymo trukmę įtakojančius veiksnius bei maitinimo būdo įtaką kūdikio išsivystymui ir sveikatai. Darbo uždaviniai:1) Nustatyti žindymo trukmę; 2) Išsiaiškinti veiksnius, kurie įtakoja žindymo trukmę; 3) Nustatyti maitinimo būdo įtaką kūdikių išsivystymui;4) Nustatyti maitinimo būdo įtaką kūdikių sveikatai. Temos aktualumas. Siekiant išsaugoti bei skatinti Lietuvoje kūdikių žindymą, padidinti natūralaus maitinimo paplitimą bei prailginti jo trukmę, būtina formuoti teisingą visuomenės požiūrį į kūdikių žindymą, organizuoti sveikatos priežiūros darbuotojų bei tėvų mokymą apie kūdikių žindymą, tobulinti medikų ruošimo programas, suteikiant daugiau žinių apie natūralų kūdikių maitinimą, sveikatos priežiūros įstaigose sudaryti optimalias sąlygas kūdikių žindymui skatinti. Tam kad būtų įgyvendinti šie uždaviniai, pirmiausiai reikia išsiaiškinti, kokie veiksniai įtakoja žindymo trukmę. Tyrimo objektas. Kauno Šilainių šeimos sveikatos centro kūdikius auginančios motinos. Tyrimo metodika. Atliktas kohortinis tyrimas. Kohorta- visos Šilainių šeimos sveikatos centro pacientės 20080901-20090331 susilaukusios naujagimių. Pirma anketa apklausta tik grįžus namo iš gimdymo skyriaus, antra anketa apklausta kai kūdikiui vieneri metai..Išdalinta 200 anketų, gauti duomenys iš 195 pacienčių.Atsako dažnis 97,5 proc. Gautiems duomenims apdoroti naudotos SPSS 15,0, Microsoft Excel, Microsoft Office Word programos. Rezultatai. Žindymo trukmė iki 3 mėnesių sudarė 16,4 proc... [toliau žr. visą tekstą] / The aim of the paper: to identify the factors affecting the duration of breastfeeding and the influence of feeding method on baby’s health and development. Objectives of the paper: 1) to set the duration of breastfeeding; 2) to find out the factors influencing the duration of breastfeeding; 3) to investigate the influence of feeding method on babies’ development and health. Relevance of the topic: In order to preserve and promote breastfeeding in Lithuania, to increase the spread of natural feeding and prolong its duration, it is very important to develop a proper public attitude on babies’ breastfeeding, to organise the training of parents and health care workers on babies’ breastfeeding, to improve medical training programs, providing more knowledge about natural baby feeding and to create optimal conditions promoting babies’ breastfeeding in health care establishments. In order to achieve these objectives, first of all it is necessary to find out the factors influencing the duration of breastfeeding. The object of the paper: Kaunas Šilainiai Family Health Center patients - mothers bringing up babies. Methodology of the paper: Conducted maternal questionnaire survey in two stages. In the first stage of our survey mothers were interviewed after returning home from maternity home. The second stage of the survey was performed one year later after babies’ birth. The total number of interviewees includes all Kaunas Šilainiai Family Health Center patients who gave birth in 20... [to full text]

This study prospectively examined the timing and predictors of returning to smoking after pregnancy in a group of women who quit smoking cigarettes during pregnancy. We interviewed women during the postpartum hospital stay and at their infants 2-week and 2-month health supervision visits. Urine cotinine levels were measured at each interview. Fifty-three women were interviewed during the postpartum stay, 37 women at the 2-week and 36 women at the 2 month visits. At the 2-week visit, 40.5% had returned to smoking, and at the 2-month visit, 47.2% had returned to smoking. Factors associated with a return to smoking at 2 weeks included a lower level of education (high school graduate/GED vs. some college education; 13/37 vs. 2/37, p=0.02), the presence of someone else in the household who smoked (14/37 vs. 1/37, p=0.001), formula-feeding their infant at the time of interview (14/37 vs. 1/37, p=0.003), having smoking discussed with a doctor or nurse during pregnancy (12/37 vs. 3/27, p=0.009), and being African-American vs. Caucasian or Hispanic (10/37 vs. 5/37, p=0.008). Predictors of a return to smoking at 2 months included the presence of someone else in the household who smoked (17/36 vs. 0/36, p<0.001) and smoking at least 1 cigarette during pregnancy after initially quitting (12/36 vs. 5/36, p=0.02). Women who quit smoking cigarettes during pregnancy are likely to resume in the days immediately after delivery. The presence of household smokers and formula feeding are the strongest predictors of resuming smoking within 2 weeks.

Background: Previous studies have demonstrated that breastfed newborns spend more time awake than bottle‐fed newborns, breastfeeding mothers have more fragmented sleep than bottle‐feeding mothers, and mother‐newborn sleeping arrangements may affect the sleep/wake pattern of mother‐newborn pairs. Objective: To address the unsolved question of whether there is an interaction between type of feeding and sleeping arrangements that affects postpartum sleep during the 4th postpartum week. Design: Correlational, two‐way design using feeding method and location of newborn at night as independent variables, and sleep patterns as the dependent variables.Setting: Patient's home during 4th week after giving birth. Patients/Participants: First‐time mothers and their newborns (n = 33). Main Outcome Measures: Amount of total sleep, amount of night sleep, number of night awakenings, and number of sleep periods in 24 hours using a modified version of the self‐report sleep instrument by Barnard and Eyres. Results: Breastfed newborns had less total sleep per day than bottle‐fed newborns, and breastfeeding mothers had more sleep periods in 24 hours than bottle‐feeding mothers. Breastfeeding mothers slept more than bottle‐feeding mothers when co‐sleeping, but bottle‐feeding mothers’ sleep was unaffected by location of newborn. Average total sleep for 4‐week‐old newborns was about 14 hours daily. Conclusions: More sleep was obtained when breastfeeding mothers slept with the newborn. Methods or devices that allow breastfeeding mothers and newborns to sleep next to each other in complete safety need to be developed.

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