Breastfeeding Week

More than seven out of ten babies are breastfed, but by the age of 4–5 months this figure drops to 39 per cent

The Italian Society of Neonatology emphasises the importance of supporting mothers and families, and of good care practices in neonatal and obstetrics units

Adobestock

4' min read

Translated by AI
Versione italiana

4' min read

Translated by AI
Versione italiana

Breast milk is the ideal source of nutrition for a baby from the very first hours of life, and breastfeeding is the best way to feed a baby. It is a practice that should be promoted and supported because of the benefits it brings to the newborn’s immune system, to the development of the mother-baby bond, and to the woman herself, reducing her risk of developing breast or ovarian cancer and osteoporosis in later life.

In Italia in 2025, healthy, full-term newborns who were exclusively breastfed accounted for 71 per cent of all births (Source: SIN’s Corporate Breastfeeding Policy Project – PAA). Two to three months after discharge, this figure drops to 48 per cent, and to 39 per cent at four to five months (Source: Istituto Superiore di Sanità). Furthermore, there remains a significant difference between Central and Northern Italy, which show higher rates than the South and the Islands. These figures demonstrate that more can be done to support mothers in their choice to breastfeed and to continue doing so over time. The data were released by the Italian Society of Neonatology (SIN), to mark World Breastfeeding Week (WBW), which is celebrated annually from 1 to 7 October, with the aim of highlighting the importance of healthcare services and the commitment of neonatologists to creating the most favourable conditions for the initiation and continuation of breastfeeding.

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A matter of health

The World Health Organisation, in fact, recommends starting breastfeeding within an hour of birth, continuing exclusively for the first six months, and then continuing to breastfeed, alongside the introduction of complementary foods, until the age of two and beyond.

“Breastfeeding,” emphasises Professor Massimo Agosti, president of the SIN, “is recommended by the leading international health organisations, by the Ministry of Health and by scientific societies in the perinatal and paediatric fields, and represents an investment in the health of the mother-infant dyad, with positive effects not only clinically, but also socially, environmentally and economically.”

SIN reiterates that it is essential to put the recommendations on infant feeding into practice, even if the social and healthcare settings in which we operate are burdened by organisational and cultural challenges. “Awareness of the benefits of breastfeeding, on its own, is not enough for a mother to be able to breastfeed. She needs to be able to rely on practical and ongoing support: from her family, but also – and crucially – from healthcare professionals and services,” explains Agosti.

The benefits for the newborn

Breast milk is a unique food: “It offers both immediate and long-term benefits to the newborn,” explains Professor Agosti. “It provides crucial protection against infections and, in the medium and long term, plays a powerful preventive role against major health conditions such as being overweight, obesity and ischaemic heart disease. This protection, which is active from the very first days of life, lays the foundations for safeguarding the health of the future adult, and for this reason we must continue to invest in initiatives that promote and protect breastfeeding from birth.”

The adoption of best practice to support mothers and families

Providing information to women from the time of pregnancy and implementing postnatal practices that facilitate the initiation of breastfeeding and its continuation over time are two essential aspects of care. In particular, hospital care for the mother-newborn pair must be founded on and built upon solid pillars and specific practices, as set out in the Italian Society of Paediatrics’ (SIN) Corporate Breastfeeding Policy Project (PAA), launched in 2023 with the aim of promoting, protecting and supporting breastfeeding in Neonatal and Obstetrics Units.

A total of 115 maternity units (81 in the North, 12 in the Centre and 22 in the South/Islands) have joined the initiative, and 65 ‘Breastfeeding-Friendly Maternity Units’ have been accredited, having met the required objectives. These included the establishment of an appropriate organisational policy, the setting up of an organisational working group dedicated to breastfeeding, the provision of rooming-in (for at least 20 out of 24 hours) and the practice of skin-to-skin contact in the delivery room.

Experts set the record straight on myths and fake news

With this in mind, SIN, together with the Italian Paediatric Society (SIP) and the Italian Association of Human Milk Banks (AIBLUD), has drawn up the 2026 Position Statement on Breastfeeding.

The primary aim of the document is to promote breastfeeding, through individual professional counselling on the effective management of the problems and concerns commonly encountered by mothers whilst breastfeeding. Furthermore, the experts aim to clarify that contraindications to breastfeeding are actually very rare, whilst barriers and difficulties to breastfeeding are common; these are still all too often mistakenly confused with genuine contraindications, as well as with false myths.

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“On this very issue, a recent study shows that the prevalence of misconceptions and fake news about breastfeeding is declining amongst younger generations. Generation Z, in fact, appears to be better informed than Generation X,” explains Dr Riccardo Davanzo of the BLUD Breastfeeding Commission of the Italian Paediatric Society (COMASIN). “This difference,” he continues, “could be due to the ease of finding information online, but also to an ability to judge its reliability.”

Breast milk for premature babies too

“Given that breast milk is the food of first choice even for preterm infants, protocols to support the initiation, maintaining and safeguarding breastfeeding and the use of breast milk or, alternatively, donated human milk,” adds Dr Davanzo. “In NICUs in particular, the active involvement of parents as genuine partners in care is essential for the mother-infant bond and for the infant’s overall development, in line with the principles of Family-Centred Integrated Care and Zero Separation, making use of intimate moments of interaction between parents and their infant, such as Kangaroo Care.”

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