Breastfeeding: the difficulties of the organization and modern ways of solving the problems of 10 principles of successful breastfeeding implementation

Abstract

The article reports questioning of lactating women and medical personnel in the obstetric hospital of the Yakutsk City Clinical Hospital and polyclinic №1 in Yakutsk, which received the status of «Hospital of the Child-Friendly Treatment». Based on the results of the questionnaire, the analysis of women’s motivation to breastfeeding (BF), duration, reasons for stopping breastfeeding, the level of preparedness of medical personnel on breastfeeding, impact of each object (lactating woman, doctor, nurse) on the duration of breastfeeding was conducted. It was established that the main reasons for stopping breastfeeding and switching to mixed feeding are subjective signs of milk insufficiency, which could be eliminated with competent consultation.

Difficulties in organizing the introduction of 10 principles for successful breastfeeding have been identified: inadequate training and motivation of pregnant women at the level of female counseling; poor-quality training of young professionals, especially nursing staff; inadequate consultation on breastfeeding at preterm labor; absence of a support group for breastfeeding among mothers with a positive experience of breastfeeding.