Utjecaj pušenja u trudnoći na trajanje dojenja
DOI:
https://doi.org/10.13112/pc.1124Ključne riječi:
Dojenje; Javno Zdravstvo; Pušenje; Prestanak Pušenja; TrudnoćaSažetak
Cilj: Ispitati povezanost pušenja tijekom trudnoće s trajanjem isključivog i ukupnog dojenja.
Metode: Provedeno je presječno istraživanje 2025. godine na uzorku od 150 majki djece do dvije godine u Primorsko-goranskoj županiji. Podaci su prikupljeni putem anonimnog online upitnika, a analiza je uključivala deskriptivne i neparametrijske testove (Kruskal–Wallis, Dunn post hoc).
Rezultati: Majke koje su potpuno prestale pušiti tijekom trudnoće dojile su dulje (medijan 13 mjeseci) i dulje isključivo dojile (medijan 4 mjeseca) u usporedbi s majkama koje su samo smanjile broj cigareta (medijan 2 i 1 mjesec; p<0,05). Smanjenje broja cigareta bez potpunog prestanka nije imalo značajan pozitivan učinak na trajanje dojenja.
Zaključak: Potpuni prestanak pušenja tijekom trudnoće povezan je s duljim dojenjem, dok redukcija pušenja ne donosi korist. Rezultati upućuju na potrebu integriranih intervencija za prestanak pušenja i poticanje dojenja u prenatalnoj i postnatalnoj skrbi.
Reference
1. Victora CG, Bahl R, Barros AJ, França GV, 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
2. World Health Organization. Global strategy for infant and young child feeding. Geneva: WHO; 2003.
3. Horta BL, Victora CG. Short-term effects of breastfeeding: a systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. Geneva: WHO; 2013.
4. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev 2012;2012:CD003517. doi: 10.1002/14651858.CD003517.pub2
5. Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, et al. Why invest, and what it will take to improve breastfeeding practices? Lancet 2016;387:491–504. doi:10.1016/S0140-6736(15)01044-4
6. UNICEF. Infant and young child feeding (IYCF) data. New York: UNICEF; 2025.
7. World Health Organization. Infant and young child feeding. Fact sheet, 20 Dec 2023. Geneva: WHO; 2023.
8. Hrvatski zavod za javno zdravstvo. Hrvatski zdravstveno-statistički ljetopis za 2019. godinu. Zagreb: HZJZ; 2020.
9. Čatipović M, Draušnik Ž, Kolarek Karakaš M, Puharić Z. Učestalost dojenja u ordinacijama primarne pedijatrijske zaštite u Republici Hrvatskoj tijekom trogodišnjeg razdoblja (2020.–2022.). Paediatr Croat. 2023;67:58–64.
10. Scott JA, Binns CW, Oddy WH, Graham KI. Predictors of breastfeeding duration: evidence from a cohort study. Pediatrics. 2006;117:e646–55.
11. Dennis CL. Breastfeeding initiation and duration: a 1990–2000 literature review. J Obstet Gynecol Neonatal Nurs 2002;31:12–32. doi: 10.1111/j.1552-6909.2002.tb00019.x
12. Odom EC, Li R, Scanlon KS, Perrine CG, Grummer-Strawn L. Reasons for earlier than desired cessation of breastfeeding. Pediatrics 2013;131:e726–32.
13. Thulier D, Mercer J. Variables associated with breastfeeding duration. J Obstet Gynecol Neonatal Nurs 2009;38:259–68.
14. Li R, Fein SB, Chen J, Grummer-Strawn LM. Why mothers stop breastfeeding: mothers’ self-reported reasons for stopping during the first year. Pediatrics. 2008;122 Suppl 2:S69–76. doi: 10.1542/peds.2008-1315i.
15. Kronborg H, Væth M. How are effective breastfeeding technique and pacifier use related to breastfeeding problems and breastfeeding duration? Birth 2009;36:34–42.
16. Tarrant M, Fong DY, Wu KM, Lee IL, Wong EM, Sham A, et al. Breastfeeding and weaning practices among Hong Kong mothers: a prospective study. BMC Pregnancy Childbirth 2010;10:27.
17. Hannula L, Kaunonen M, Tarkka MT. A systematic review of professional support interventions for breastfeeding. J Clin Nur. 2008;17:1132–43.
18. Mossman M, Heaman M, Dennis CL, Morris M. The influence of adolescent mothers’ breastfeeding confidence and attitudes on breastfeeding initiation and duration. J Hum Lact 2008;24:268–77.
19. Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth 2010;23:135–45.
20. World Health Organization. WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy. Geneva: WHO; 2013.
21. Leonardi-Bee J, Britton J, Venn A. Secondhand smoke and adverse fetal outcomes in nonsmoking pregnant women: a meta-analysis. Pediatrics 2011;127:734–41.
22. Pineles BL, Park E, Samet JM. Systematic review and meta-analysis of miscarriage and maternal exposure to tobacco smoke during pregnancy. Am J Epidemiol 2014;179:807–23.
23. Luck W, Nau H, Hansen R, Steldinger R. Extent of nicotine and cotinine transfer to the human fetus, placenta and amniotic fluid of smoking mothers. Dev Pharmacol Ther 1985;8:384–95.
24. Dahlström A, Lundell B, Curvall M, Thapper L. Nicotine and cotinine concentrations in the nursing mother and her infant. Acta Paediatr Scand 1990;79:142–7.
25. Horta BL, Victora CG. Long-term effects of breastfeeding: a systematic review. Geneva: WHO; 2013.
26. Setia MS. Methodology series module 3: Cross-sectional studies. Indian J Dermatol 2016;61:261–4.
27. van Gelder MMHJ, Bretveld RW, Roeleveld N. Web-based questionnaires: the future in epidemiology? Am J Epidemiol 2010;172:1292–8.
28. Thornton L, Batterham PJ, Fassnacht DB, Kay-Lambkin F, Calear AL, Hunt S. Recruiting for health, medical or psychosocial research using Facebook: systematic review. Internet Interv 2016;4:72–81.
29. Kirkwood BR, Sterne JAC. Essential medical statistics. 2nd ed. Malden (MA): Blackwell Science; 2003.
30. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013;310:2191–4.
31. Pavičić-Bošnjak A, Grgurić J. Osobine majki članica grupa za potporu dojenja i njihov utjecaj na trajanje dojenja. Paediatr Croat 2007;51:89–95.
32. Donath SM, Amir LH. The relationship between maternal smoking and breastfeeding duration after adjustment for maternal infant feeding intention. Acta Paediatr 2004;93:1514–8.
33. Giglia RC, Binns CW, Alfonso HS, Zhao Y. Maternal cigarette smoking and breastfeeding duration. Acta Paediatr 2006;95:1370–4.
34. Higgins TM, Higgins ST, Heil SH, Badger GJ, Skelly JM, Bernstein IM, et al. Effects of cigarette smoking cessation on breastfeeding duration. Nicotine Tob Res 2010;12:483–8.
35. Washio Y. The profile of smoking change during pregnancy impacts the likelihood and duration of breastfeeding in a dose-dependent and inverse manner. Breastfeed Med 2023. doi:10.1089/bfm.2022.0130
36. Özalp EC. Is maternal cigarette or water pipe use associated with termination of breastfeeding? Int Breastfeed J 2021;16:72. doi:10.1186/s13006-021-00387-z
37. Okawa S, Nanishi K, Iso H, Tabuchi T. Association between cigarette and heated tobacco use and breastfeeding cessation within 6 months postpartum in Japan: an internet-based cross-sectional study. Sci Rep. 2024;14:29214. doi:10.1038/s41598-024-29214-z
38. Budisavljević I. Utjecaj sociodemografskih i psihobioloških čimbenika na duljinu dojenja u Primorsko-goranskoj županiji: rad s istraživanjem [diplomski rad]. Rijeka: Sveučilište u Rijeci, Fakultet zdravstvenih studija; 2025.
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Autorska prava (c) 2025 Ivana Budisavljević, Željko Jovanović
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