TY - JOUR
T1 - Determinants of exclusive breastfeeding cessation
T2 - identifying an “at risk population” for special support
AU - Lindau, Juliana F.
AU - Mastroeni, Simona
AU - Gaddini, Andrea
AU - Di Lallo, Domenico
AU - Nastro, Paolo Fiori
AU - Patanè, Martina
AU - Girardi, Paolo
AU - Fortes, Cristina
PY - 2015
Y1 - 2015
N2 - A study was conducted with 542 women, who gave birth in the hospital G.B. Grassi in Rome, to investigate risk factors for exclusive breastfeeding. Clinical data was collected from clinical records at delivery. Information on psycho-socio-demographic characteristics was obtained by standardized questionnaires at delivery. Data on breastfeeding practice and the use of pacifier were collected at delivery and for 24 weeks’ postpartum. The outcome of the study was exclusive breastfeeding for at least 4 months (yes/no). In the multivariate analysis, planned caesarean (OR 2.40, 95 % CI 1.06–5.43) and women with two or more psychological distress conditions (past episodes of depression, insomnia, perceive birth as a traumatic event) versus none were at a greater odds of stopping exclusive breastfeeding before 4 months (OR 3.42, 95 % CI 1.15–10.2). The use of pacifiers within the first 2 weeks postpartum (OR 2.38, 95 % CI 1.35–4.20) but not after 2 weeks (OR 0.86, 95 % CI 0.43–1.72) versus no use was also associated with an increased odds. A protective effect was found for antenatal classes (OR 0.57, 95 % CI 0.35–0.95). Conclusion: This study suggests that the type of delivery, antenatal classes, psychological distress conditions and the use of pacifiers in the first 2 weeks of a baby’s life are independent factors associated with exclusive breastfeeding.
AB - A study was conducted with 542 women, who gave birth in the hospital G.B. Grassi in Rome, to investigate risk factors for exclusive breastfeeding. Clinical data was collected from clinical records at delivery. Information on psycho-socio-demographic characteristics was obtained by standardized questionnaires at delivery. Data on breastfeeding practice and the use of pacifier were collected at delivery and for 24 weeks’ postpartum. The outcome of the study was exclusive breastfeeding for at least 4 months (yes/no). In the multivariate analysis, planned caesarean (OR 2.40, 95 % CI 1.06–5.43) and women with two or more psychological distress conditions (past episodes of depression, insomnia, perceive birth as a traumatic event) versus none were at a greater odds of stopping exclusive breastfeeding before 4 months (OR 3.42, 95 % CI 1.15–10.2). The use of pacifiers within the first 2 weeks postpartum (OR 2.38, 95 % CI 1.35–4.20) but not after 2 weeks (OR 0.86, 95 % CI 0.43–1.72) versus no use was also associated with an increased odds. A protective effect was found for antenatal classes (OR 0.57, 95 % CI 0.35–0.95). Conclusion: This study suggests that the type of delivery, antenatal classes, psychological distress conditions and the use of pacifiers in the first 2 weeks of a baby’s life are independent factors associated with exclusive breastfeeding.
KW - Exclusive breastfeeding cessation
KW - Risk factors
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U2 - 10.1007/s00431-014-2428-x
DO - 10.1007/s00431-014-2428-x
M3 - Article
C2 - 25308961
AN - SCOPUS:84925534594
VL - 174
SP - 533
EP - 540
JO - European Journal of Pediatrics
JF - European Journal of Pediatrics
SN - 0340-6199
IS - 4
ER -