|Titre :||Exclusive Breastfeeding and Complementary Feedings Are Not Mutually Exclusive : Editorial (2018)|
|Auteurs :||Arthur I. Eidelman, Auteur|
|Type de document :||Article : texte imprimé|
|Dans :||Breastfeeding Medicine (Vol. 13, n°2, Mars 2018)|
|Article en page(s) :||p. 93|
"This past year has seen a dramatic increase in the intensity of the discussions regarding how we should relate to the standard recommendation for what should be the duration of exclusive breastfeeding (EBF). The World Health Organization (WHO) continues to recommend 6 months to be followed with the introduction of complementary food (CF), whereas the American Academy of Pediatrics (AAP) recommends about 6 months.1
Few if any debate the appropriateness of these recommendations for mothers in the developing world given the reality in those countries of a significant infectious disease risk, the unavailability, all too often, of adequately nutritious CFs and the economic realities of the population. In contrast, in the developed world, such as the United States where the rate of EBF is much lower, that is, at 3 months it is 44% whereas it is only 22% at 6 months,2 this recommendation is best adhered to with lip service. Of note, the 2020 United States Healthy Peoples Goal for 6 months of exclusivity is 25%, surely not anticipating adherence to either the WHO or the AAP recommendation. Similar statistics from Europe confirm this phenomenon of a varied but still small percentage of mothers providing EBF at 6 months (United Kingdom 1%, Czech Republic 17%, Sweden 9%, and The Netherlands 39%.3"
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