Attitudes and practices of family paediatricians in Italy regarding infant feeding

Acta Paediatr. 2012 Oct;101(10):1063-8. doi: 10.1111/j.1651-2227.2012.02769.x. Epub 2012 Jul 17.

Abstract

Aim: The aim of this study was to examine attitudes and practices of family paediatricians in Italy towards infant feeding.

Methods: A questionnaire was sent to 850 paediatricians across Italy, asking about attitudes and practices towards infant feeding with focus on the World Health Organization's criteria.

Results: The response rate was 91.2%. Breastfeeding is recommended for 6-11 months (70.6%) or longer (29.4%). A 95% of paediatricians recommend introducing complementary foods throughout 4-5.9 months. Among paediatricians who give indications about the minimum acceptable diet (61.7%), recommendations agree with WHO in 71.3% and 83.3% of cases for infants aged 6-8 or 9-11 months, respectively. A 95.6% of paediatricians recommend consumption of meat for infants aged 6 months or more, and 98.4% use of formula milk for infants having breastfeeding stopped in the first year of life. Paediatricians reported own experience (73.4%) and reading (54.2%) as main sources of information. A 70% of paediatricians know the WHO/Infant and Young Child Feeding Practices criteria regarding breastfeeding but <5% the complementary feeding indicators.

Conclusion: Family paediatricians in Italy have positive disposition towards infant feeding but their knowledge and practices are suboptimal with respect to the WHO criteria, especially regarding complementary feeding.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Breast Feeding*
  • Female
  • Guideline Adherence / statistics & numerical data
  • Guidelines as Topic
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infant
  • Infant Food / standards*
  • Infant Food / statistics & numerical data
  • Italy
  • Male
  • Middle Aged
  • Pediatrics / standards*
  • Pediatrics / statistics & numerical data
  • Practice Patterns, Physicians' / standards
  • Practice Patterns, Physicians' / statistics & numerical data
  • Surveys and Questionnaires
  • Time Factors
  • World Health Organization