Changes in the prevalence of breast feeding in preterm infants discharged from neonatal units : a register study over 10 years

Objective: There are indications that the prevalence of exclusively breastfed preterm infants is decreasing in Sweden. The objective was to investigate trends in exclusive breast feeding at discharge from Swedish neonatal units and associated factors in preterm infants. Design, setting and participants: This is a register study with data from the Swedish Neonatal Quality Register. Data from 29 445 preterm infants (gestational age (GA) <37 weeks) who were born during the period 2004–2013 were retrieved. Data included maternal, perinatal and neonatal characteristics. Data were analysed for the whole population as well as for 3 GA groups. Results: From 2004 to 2013, the prevalence of exclusive breast feeding decreased, in extremely preterm (GA 22–27 weeks) from 55% to 16%, in very preterm (GA 28–31 weeks) from 41% to 34% and in moderately preterm infants (GA 32–36 weeks) from 64% to 49%. The decline was statistically significant (p<0.001) in all 3 GA groups. This decline remained significant when adjustments were made for factors negatively associated with exclusive breast feeding and which became more prevalent during the study period, that is, small for GA (all groups) and maternal mental illness (very preterm and moderately preterm infants). Conclusions: In the past 10 years, Sweden has experienced a lower rate of exclusive breast feeding in preterm infants, especially in extremely preterm infants. The factors analysed in this study explain only a small proportion of this decline. The decline in exclusive breast feeding at discharge from neonatal units raises concern and present challenges to the units to support and promote breast feeding.

Gli studi italiani sulla regina Cristina di Svezia negli ultimi cinquant'anni

Queen Christina of Sweden (1626-1689)) is probably the most important individual to directly link the cultures of Sweden and Italy, and thus fascinate scholars over the last four centuries. In the last fifty years, research on and interest in this monarch has been particularly intense. This has led to current international scientific debate concerning all the different cultural expressions in which Queen Cristina was particularly involved. However, until now there has been lacking a comprehensive work to illustrate the development of scientific research in Italian on Queen Christina. This article, therefore, without claiming to be exhaustive, aims to fill this gap by identifying the main direction of current research. The article, after briefly introducing previous works (both Italian and Swedish), demonstrates how the first major renaissance of international studies on Queen Cristina took place in Sweden in the early 1960s. Even more important was the subsequent turning point in 1989, when the tercentenary of the death of Queen Christina was celebrated and the Azzolino Collection at the Biblioteca Comunale in Jesi was opened. The article focuses on the studies in Italian during this latter period. To make the exposition more organic and, importantly, more accessible to those readers interested in only one particular aspect of the scientific studies about Queen Christina, the studies in Italian since 1689 are divided into different subject areas.