***Pediatric Educational intervention may reduce prolonged bottle use
文章提到在嬰兒9個月大及15個月大
小兒科進行衛教可以減少奶瓶餵食
所以我很樂觀的期待小兒科醫師能幫忙降低奶瓶性齲齒
尤其文章提到過長奶瓶餵食將造成鐵質不足(影響發育)
可能比"造成蛀牙"對臺灣家屬更有說服力
(很多家屬仍認為乳齒會換牙沒關係!!)
July 13, 2010 — A simple educational intervention administered during a health maintenance visit reduces prolonged bottle use by 60% but does not reduce iron depletion at age 2 years, according to the results of a study reported online July 12 in Pediatrics.
"Observational studies suggest associations between prolonged bottle-feeding, excessive milk intake, and iron deficiency," write Jonathon L. Maguire, MD, MSc, from the University of Toronto in Ontario, Canada, and colleagues. "The [American Academy of Pediatrics] recommends complete bottle-weaning by 15 months, but many parents bottle-feed much longer. No evidence-based interventions exist to promote timely bottle-weaning."
Pediatrics. Published online July 12, 2010.
Clinical Context
The American Academy of Pediatrics recommends that children be weaned off bottle feeding by age 15 months. There is an association between bottle feeding beyond ages 15 to 18 months and excessive milk intake and iron deficiency from observational studies. However, pediatricians do not routinely counsel parents to wean their children off bottles after age 15 months.
This is a prospective randomized study to compare rates of iron depletion and feeding behaviors with vs without an educational intervention for parents at a 9-month routine health maintenance visit.
Clinical Implications
- An educational intervention for parents at the 9-month and 15-month well-child visits is not associated with a reduction in the rate of iron depletion at age 2 years.
- An educational intervention for parents at the 9-month and 15-month well-child visits is associated with reduced bottle-feeding, increased use of the cup, and no difference in milk and juice consumption at age 2 years.
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