Breastfeeding then and now - changes in the prevalence of breastfeeding infants based on data collected in two pediatric primary care clinics over the past 27 years

Authors

  • Jerko Vučak Specijalistička pedijatrijska ordinacija Jerko Vučak, 22000 Šibenik https://orcid.org/0000-0002-8815-2302
  • Lori Umek Specijalistička pedijatrijska ordinacija Lori Umek, 22000 Šibenik

DOI:

https://doi.org/10.13112/pc.1109

Keywords:

Infant; Breastfeeding; Health promotion; Primary health care

Abstract

Objective: The aim of this study was to investigate how the percentage of mothers who breastfeed their infants has changed over the past 27 years in the area of ​​the city of Šibenik, especially considering the breastfeeding promotion campaigns that were carried out on a national level around 30 years ago.

Methods: In two Šibenik pediatric primary health care clinics, we surveyed mothers of all children born in 1996, then mothers of children born in 2014/2015, and mothers of children born in 2023 about the diet of their infants.

Results: The results show a significant decrease in the number of children fed exclusively with breast milk during their infant period in the years studied: in 1996, 95 % of children were breastfed in the first month of life, in 2014/2015, 76 %, and in 2023, 47 % of children.

Conclusions: This study showed a marked decrease in the percentage of infants fed exclusively with breast milk during the first months of life in the area of ​​the city of Šibenik over a 27-year period. We demonstrated the need to repeat comprehensive breastfeeding promotion actions, particularly targeting pregnant women, which have been effective in the past.

References

1. CDC.Breastfeeding [Internet]; [citirano 17.5.2025.]. Dostupno na: https://www.cdc.gov/breastfeeding/php/about/index.html

2. Hojsak I. Prehrana zdravog djeteta: dohrana. Paediatr Croat. 2025;69(Suppl 1):4-6.

3. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: World Health Organization; 2009. SESSION 2, The physiological basis of breastfeeding. Available from: https://www.ncbi.nlm.nih.gov/books/NBK148970/

4. Stanojević M, Pavičić Bošnjak A, Grgurić J. Breastfeeding in emergencies with assessment of recent humanitarian crises and the Covid-19 pandemic. Paediatr Croat. 2020;64:83-92

5. Ćepulić BG. Human Milk Bank in Croatia: initial experiences. Paediatr Croat 2020;64:103–10.

6. 14 infant feeding in history: An outline. The Global Health Network Collections 2020. doi:10.21428/3d48c34a.94932335.

7. Vaz JS, Maia MFS, Neves PAR, Santos TM, Vidaletti LP, Victora C. Monitoring breastfeeding indicators in high-income countries: Levels, trends and challenges. Matern Child Nutr. 2021;17:e13137. doi:10.1111/mcn.13137

8. Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016;387:475–90. doi:10.1016/s0140-6736(15)01024-7.

9. Theurich MA, Davanzo R, Busck-Rasmussen M, Díaz-Gómez NM, Brennan C, Kylberg E, et al. Breastfeeding rates and programs in Europe: A survey of 11 national breastfeeding committees and representatives. J Pediatr Gastroenterol Nutr 2019;68:400–7. doi:10.1097/MPG.0000000000002234.

10. Wright AL. The rise of breastfeeding in the United States. Pediatr Clin North Am. 2001;48:1-12. doi: 10.1016/s0031-3955(05)70282-0

11. Grgurić J. Program za zaštitu i promicanje dojenja u Hrvatskoj (rezultati i izazovi). Paediatria Croatica 2010;54:132–3.

12. Republika Hrvatska Ministarstvo zdravstva: nacionalni program za zaštitu i promicanje dojenja za razdoblje od 2024. do 2027. godine [Internet]; [citirano 12.6.2025.]. Dostupno na: https://zdravlje.gov.hr/UserDocsImages/2024 %20Objave/NP%20za%20za%C5 %A1titu%20i%20promicanje%20dojenja%202024.%20-2027..pdf

13. Rollins NC. Why invest, and what it will take to improve breastfeeding practices? The Lancet n.d.;387:491–504.

14. Tinôco LDS, Lyra C de O, Mendes TC de O, Freitas YNL de, Silva AS da, Souza AMS, et al. Feeding practices in the first year of life: Challenges to food and nutrition policies. Rev Paul Pediatr 2020;38:e2018401. doi:10.1590/1984-0462/2020/38/2018401.

15. Souza MH, Sodré VR, Silva FN. Prevalence and factors associated with breastfeeding for children attending a public communitarian child daycare center. Cienc Enferm. 2015;21:55–67. doi: 10.4067/S0717-95532015000100006

16. Häggkvist AP, Brantsæter AL, Grjibovski AM, Helsing E, Meltzer HM, Haugen M. Prevalence of breast-feeding in the Norwegian Mother and Child Cohort Study and health service-related correlates of cessation of full breast-feeding. Public Health Nutr. 2010;13:2076-86.

17. Hrvatski zavod za javno zdravstvo. Dojenje [Internet]; [citirano 9.4.2025.]. Dostupno na: https://www.hzjz.hr/tag/dojenje/

18. WHO.Nutrition and Food Safety.Ten steps to successful breastfeeding [Internet]; [citirano 2.15.2025.]. Dostupno na: https://www.who.int/teams/nutrition-and-food-safety/food-and-nutrition-actions-in-health-systems/ten-steps-to-successful-breastfeeding

19. Fewtrell M, Bandsma RHJ, Baur L, Duggan CP, Dumrongwongsiri O, Hojsak I, et al. Role of pediatricians in promoting and supporting breastfeeding: A position paper of the international pediatric association strategic advisory group on infant, child, and adolescent Nutrition. Ann Nutr Metab 2023;79:469–75. doi:10.1159/000534004.

20. Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, et al. Interventions for promoting the initiation of breastfeeding. Cochrane Libr 2016;2016. doi:10.1002/14651858.cd001688.pub3.

21.National health service. Benefits of breastfeeding [Internet]; [citirano 9.4.2025.]. Dostupno na: https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/breastfeeding/benefits/

22. Čatipović M, Draušnik Ž, Kolarek Karakaš M, Puharić Z. Učestalost dojenja u ordinacijama primarne pedijatrijske zaštite u RH 2020.–2022. Paediatria Croatica 2023;67:58-64

23. Čatipović M, Hodžić S. Faktori koji utječu na isključivo dojenje 6 mjeseci i nastavak dojenja. Paediatria Croatica 2019;63:105-111.

Published

2025-12-16

Issue

Section

Original Scientific Paper

How to Cite

Vučak, J., & Umek, L. (2025). Breastfeeding then and now - changes in the prevalence of breastfeeding infants based on data collected in two pediatric primary care clinics over the past 27 years. Paediatria Croatica, 69(4), 215-220. https://doi.org/10.13112/pc.1109

Similar Articles

1-10 of 130

You may also start an advanced similarity search for this article.