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Abstract

Background

Breastfeeding mothers have been avoiding foods in their diet based on ancient beliefs that it can prevent/reduce unsettled infant crying–fussing behavior.

Research aims

This study aimed to explore (1) the prevalence of maternal dietary changes during the postpartum period; (2) the demographic and infant feeding differences between women who made dietary changes and those who did not; (3) the reasons for dietary change; and (4) what specific foods were avoided.

Methods

A prospective, cross-sectional 2-group comparison using an online survey mixed-methods design was advertised via social media and Australian websites. Anonymous volunteers who were presently breastfeeding or had breastfed for any length of time in the past were eligible.

Results

Of 1,262 participants, 966 (77%) avoided foods/beverages in their diet. The most commonly avoided beverages were alcohol (79%) and coffee (44%), and the most commonly avoided foods were chili (22%), milk-chocolate (22%), cabbage (20%), onion (20%), and garlic (16%). Reasons for dietary avoidance related to baby being unsettled (31%), baby having wind/gas (29%), colic (11%), and crying (10%). Of 245 participants who removed dairy, 80 (33%) did not substitute with calcium-rich alternatives. Food and beverage avoidance commenced as early as 1 week postpartum and continued until mean (SD) infant age of 9 (5) months.

Conclusions

It is commonplace for breastfeeding mothers to avoid foods and beverages for reasons associated with infantile colic. Of major concern is the duration of food avoidance during a time of increased nutritional requirements. This information may assist in improving the nutritional support given to breastfeeding mothers.

Keywords

breastfeeding breastfeeding experience diet infantile colic maternal nutrition nutrition

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References

Alfaro-Cruz

Kaul

Zhang

Shulman

R. J.

Chumpitazi

B. P

. (2019). Assessment of quality and readability of internet dietary information on irritable bowel syndrome. Clinical Gastroenterology and Hepatology, 17(3), 566–567.doi:10.1016/j.cgh.2018.05.018

29800724

Alouane

Ghrissi

Benkhaled

. (2013). Dietary habits of postpartum mothers during breastfeeding. Annals of Nutrition and Metabolism, 63, 412.

Australian Institute of Health and Welfare . (2011). Australian National Infant Feeding Survey: Indicator results. https://www.aihw.gov.au/reports/mothers-babies/2010-australian-national-infant-feeding-survey/contents/table-of-contents

Desai

Mbuya

M. N. N

Chigumira

Chasekwa

Humphrey

J. H

Moulton

L. H

Pelto

Gerema

Stoltzfus

R. J

SHINE Study Team . (2014). Traditional oral remedies and perceived breast milk insufficiency are major barriers to exclusive breastfeeding in rural Zimbabwe. The Journal of Nutrition, 144(7), 1113–1119.doi:10.3945/jn.113.188714

24828026

Fernández

Langa

Martín

Maldonado

Jiménez

Martín

Rodríguez

J. M

. (2013). The human milk microbiota: Origin and potential roles in health and disease. Pharmacological Research, 69(1), 1–10.doi:10.1016/j.phrs.2012.09.001

22974824

Gelinas

Pierce

Winkler

Cohen

I. G.

Lynch

H. F.

Bierer

B. E

. (2017). Using social media as a research recruitment tool: Ethical issues and recommendations. The American Journal of Bioethics, 17(3), 3–14.doi:10.1080/15265161.2016.1276644

28207365

Gordon

Biagioli

Sorrenti

Lingua

Moja

Banks

S. S. C

Ceratto

Savino

Cochrane Developmental, Psychosocial and Learning Problems Group . (2018). Dietary modifications for infantile colic. Cochrane Database of Systematic Reviews, 39(318).doi:10.1002/14651858.CD011029.pub2

Halmos

E. P.

Power

V. A.

Shepherd

S. J.

Gibson

P. R.

Muir

J. G

. (2014). A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology, 146(1), e65, 67–75.doi:10.1053/j.gastro.2013.09.046

24076059

Hewawasam

S. P.

Iacovou

Muir

J. G.

Gibson

P. R

. (2018). Dietary practices and FODMAPs in South Asia: Applicability of the low FODMAP diet to patients with irritable bowel syndrome. Journal of Gastroenterology and Hepatology, 33(2), 365–374.doi:10.1111/jgh.13885

28700090

10.

Hmone

M. P.

Dibley

M. J.

Alam

. (2016). A formative study to inform mHealth based randomized controlled trial intervention to promote exclusive breastfeeding practices in Myanmar: Incorporating qualitative study findings. BMC Medical Informatics and Decision Making, 16(1), Article 16.doi:10.1186/s12911-016-0301-8

27260252

11.

Iacovou

Craig

S. S.

Yelland

G. W.

Barrett

J. S.

Gibson

P. R.

Muir

J. G

. (2018a). Randomised clinical trial: Reducing the intake of dietary FODMAPs of breastfeeding mothers is associated with a greater improvement of the symptoms of infantile colic than for a typical diet. Alimentary Pharmacology & Therapeutics, 48(10), 1061–1073.doi:10.1111/apt.15007

30306603

12.

Iacovou

Mulcahy

E. C.

Truby

Barrett

J. S.

Gibson

P. R.

Muir

J. G

. (2018b). Reducing the maternal dietary intake of indigestible and slowly absorbed short-chain carbohydrates is associated with improved infantile colic: A proof-of-concept study. Journal of Human Nutrition and Dietetics, 31(2), 256–265.doi:10.1111/jhn.12488

28631347

13.

Iacovou

Tan

Muir

J. G.

Gibson

P. R

. (2015). The low FODMAP diet and its application in East and Southeast Asia. Journal of Neurogastroenterology and Motility, 21(4), 459–470.doi:10.5056/jnm15111

26350937

14.

Kavle

J. A.

Landry

. (2018). Addressing barriers to maternal nutrition in low- and middle-income countries: A review of the evidence and programme implications. Maternal & Child Nutrition, 14(1), e12508.doi:10.1111/mcn.12508

28836343

15.

Kidd

Hnatiuk

Barber

Woolgar

M.-J.

Mackay

M. P

. (2019). “Something is wrong with your milk”: Qualitative study of maternal dietary restriction and beliefs about infant colic. Canadian family physician Medecin de famille canadien, 65(3), 204–211.30867180

16.

Liamputtong

. (2012). Qualitative Research Methods (4th ed.). Oxford.

17.

Maldonado

Chomat

A. M.

Solomons

. (2013). Food avoidance: Potential impact on dietary variety during pregnancy and early lactation in the Mam-Mayan western highlands of Guatemala. Annals of Nutrition and Metabolism, 63, 690.

18.

National Health and Medical Research Council . (2012). Infant feeding guidelines. Australian Government. https://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/n56_infant_feeding_guidelines.pdf

19.

Subbiah

Jeganathan

. (2012). Socio-cultural beliefs influencing breastfeeding practices among primi postnatal mothers residing in urban slum area of Delhi. Health and Population: Perspectives and Issues, 35(2), 61–73.

20.

The World Health Organization . (2016). The World Health Organization’s infant feeding recommendation. http://www.who.int/nutrition/topics/infantfeeding_recommendation/en/

21.

Wessel

M. A.

Cobb

J. C.

Jackson

E. B.

Harris Jr

G. S.

Detwiler

A. C

. (1954). Paroxysmal fussing in infancy, sometimes called colic. Pediatrics, 14(5), 421–435.13214956

22.

Zarkadas

Cranney

Case

Molloy

Switzer

Graham

I. D.

Butzner

J. D.

Rashid

Warren

R. E.

Burrows

. (2006). The impact of a gluten-free diet on adults with coeliac disease: Results of a national survey. Journal of Human Nutrition and Dietetics, 19(1), 41–49.doi:10.1111/j.1365-277X.2006.00659.x

16448474

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Dietary Changes Among Breastfeeding Mothers

Abstract

Background

Research aims

Methods

Results

Conclusions

Keywords

Get full access to this article

References

Supplementary Material