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Weissenborn A, Abou-Dakn M, Bergmann R, Both D, Gresens R, Hahn B, Hecker A, Koletzko B, Krawinkel M, Kroll D, Rouw E, Scheele M, Schwegler U, Sievers E, Sporleder E, Springer S, Vetter K, Wöckel A, Kersting M. [Breastfeeding Rates and Duration in Germany - A Systematic Review]. Gesundheitswesen 2015; 78:695-707. [PMID: 26335658 DOI: 10.1055/s-0035-1555946] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Aim: 20 years after establishment of the National Breastfeeding Committee, the present work, based on published data on breastfeeding, is aimed at providing insight into the development of breastfeeding behaviour in Germany. Methods: To identify relevant publications, a comprehensive literature search was conducted in PubMed and Web of Science using the search terms "breast feeding" or "breastfeeding" in combination with "Germany". The publication period was limited to the period 1995-2014. Results: A total of 35 studies with data on breastfeeding for the birth cohorts of 1990-2012 were identified. Most of the data had been collected in regional or local surveys, often retrospectively. About 60% of the studies had been conducted with the primary aim of collecting data on breastfeeding or infant nutrition. Over the past 2 decades, breastfeeding rates were always relatively high at the beginning (72-97%). However, they declined significantly within the first 2 months, and by the age of 6 months, only about 50% of infants were still breastfed. Conclusion: Breastfeeding support and early assistance should be offered to a greater extent in order to achieve sustainable improvement of breastfeeding frequency and duration in Germany. Regarding the quality of data collected on breastfeeding, it seems crucial to implement standardised approaches to monitor breastfeeding in Germany.
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Affiliation(s)
- A Weissenborn
- Bundesinstitut für Risikobewertung, Lebensmittelsicherheit, Berlin
| | - M Abou-Dakn
- Klinik für Gynäkologie und Geburtshilfe, St. Joseph-Krankenhaus, Berlin
| | - R Bergmann
- Zentrum für Frauen, Kinder- und Jugendmedizin mit Perinatalzentrum, Charité Universitätsmedizin Berlin, Berlin
| | - D Both
- La Leche Liga e. V., Deutschland, Füssen-Weißensee
| | - R Gresens
- Deutscher Hebammenverband e. V., Deutschland, Hamburg
| | - B Hahn
- Berufsverband Kinderkrankenpflege Deutschland e. V., Deutschland, Neuss
| | - A Hecker
- Bundesinstitut für Risikobewertung, Lebensmittelsicherheit, Berlin
| | - B Koletzko
- Dr. von Haunersches Kinderspital, Ludwig-Maximilians-Universität München, München
| | - M Krawinkel
- Institut für Ernährungswissenschaft, Justus-Liebig-Universität, Giessen
| | - D Kroll
- Berufsverband der Kinder- und Jugendärzte e.V., Deutschland, Berlin
| | - E Rouw
- Arbeitsgemeinschaft freier Stillgruppen e.V., Deutschland, Bühl
| | - M Scheele
- Bundesverband der Frauenärzte e.V., Deutschland, Hamburg
| | | | - E Sievers
- Akademie für öffentliches Gesundheitswesen, Sozialpädiatrie und KJGD, Düsseldorf
| | - E Sporleder
- Verband Europäischer Laktationsberaterinnen e. V., Deutschland, Hannover
| | - S Springer
- Deutsche Gesellschaft für Sozialpädiatrie und Jugendmedizin e.V., Deutschland, Leipzig
| | - K Vetter
- AG Hebammenwissenschaft, Medizinische Hochschule Hannover, Hannover
| | - A Wöckel
- Universitätsklinikum Ulm, Universitäts-Brustzentrum Ulm, Frauenklinik, Ulm
| | - M Kersting
- Forschungsinstitut für Kinderernährung, Dortmund
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Jacobs A, Abou-Dakn M, Becker K, Both D, Gatermann S, Gresens R, Groß M, Jochum F, Kühnert M, Rouw E, Scheele M, Strauss A, Strempel AK, Vetter K, Wöckel A. S3-Guidelines for the Treatment of Inflammatory Breast Disease during the Lactation Period: AWMF Guidelines, Registry No. 015/071 (short version) AWMF Leitlinien-Register Nr. 015/071 (Kurzfassung). Geburtshilfe Frauenheilkd 2013; 73:1202-1208. [PMID: 24771901 DOI: 10.1055/s-0033-1360115] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Breastfeeding is widely acknowledged to be the best and most complete form of nutrition for healthy infants born at term and is associated with numerous benefits in terms of infants' health, growth, immunity and development. However, breastfeeding problems often result in early weaning. Standardized treatment recommendations for breastfeeding-related diseases are necessary to optimize the care offered to breastfeeding women. Evidence and consensus based guidelines for the treatment of puerperal mastitis, sore nipples, engorgement and blocked ducts were developed on the initiative of the National Breastfeeding Committee. These guidelines were developed in accordance with the criteria set up by the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF), the Association of Scientific Medical Societies in Germany. The recommendations were drawn up by an interdisciplinary group of experts and were based on a systematic search and evaluation of the literature but also took clinical experience into account. Additionally good clinical practice (GCP) in terms of expert opinion was formulated in cases where scientific investigations could not be performed or were not aimed for. This article presents a summary of the recommendations of the S3-guidelines.
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Affiliation(s)
- A Jacobs
- Charité - Universitätsmedizin Berlin, Klinik für Dermatologie, Berlin ; Bundesinstitut für Risikobewertung, Abteilung für Lebensmittelsicherheit, Berlin
| | - M Abou-Dakn
- St. Joseph-Krankenhaus Berlin Tempelhof, Klinik für Geburtshilfe und Gynäkologie, Berlin
| | - K Becker
- Universitätsklinikum Münster, Institut für Medizinische Mikrobiologie, Münster
| | | | - S Gatermann
- Ruhr-Universität Bochum, Institut für Hygiene und Mikrobiologie, Bochum
| | | | - M Groß
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover
| | - F Jochum
- Evangelisches Waldkrankenhaus Spandau, Abteilung für Kinder- und Jugendmedizin, Berlin
| | - M Kühnert
- Universität Gießen-Marburg, Klinik für Geburtshilfe und Perinatalmedizin, Marburg
| | | | | | - A Strauss
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Gynäkologie und Geburtshilfe, Kiel
| | | | | | - A Wöckel
- Universitätsklinikum Ulm, Klinik für Frauenheilkunde und Geburtshilfe, Ulm
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