Maintenance of exclusive breastfeeding after three months postpartum: an experience in a health department of a Valencian Community
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Author(s)
Vila-Candel, R
Soriano-Vidal, F
Murillo-Llorente, M
Perez Bermejo, M
Castro Sanchez, EM
Type
Journal Article
Abstract
Aims:
To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation.
Design
Observational, retrospective study. Location: Health department of La Ribera, Valencia, Spain.
Participants
Newborns between December 2012 to January 2017.
Methods:
Pregnant women were interviewed at postpartum and at 3 months regarding variables associated with breastfeeding initiation and continuation, matched with socio-demographic and obstetric-neonatal information. Main measurements: Prevalence of breastfeeding at discharge and exclusive breastfeeding at 3 months. Reasons for interrupt exclusive breastfeeding. Chi-square determination between qualitative variables.
Findings:
One thousand three hundred and thirty-eighth women were recruited. EBF at discharge was 68.2% (913) and at 3 months 46.7% (625). EBF duration was 68.7±32.7 days (95% CI: 66.9-71.2). We found statistically significant differences between the type of breastfeeding and the variables, year of study, country of origin and parity (P<0.001, P=0.005 and P=0.05 respectively). Hypogalactia (21.8%) and lower than recommended increase in newborn weight gain (14.9%) were most frequent factors for discontinuation.
Conclusion:
The prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding.
To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation.
Design
Observational, retrospective study. Location: Health department of La Ribera, Valencia, Spain.
Participants
Newborns between December 2012 to January 2017.
Methods:
Pregnant women were interviewed at postpartum and at 3 months regarding variables associated with breastfeeding initiation and continuation, matched with socio-demographic and obstetric-neonatal information. Main measurements: Prevalence of breastfeeding at discharge and exclusive breastfeeding at 3 months. Reasons for interrupt exclusive breastfeeding. Chi-square determination between qualitative variables.
Findings:
One thousand three hundred and thirty-eighth women were recruited. EBF at discharge was 68.2% (913) and at 3 months 46.7% (625). EBF duration was 68.7±32.7 days (95% CI: 66.9-71.2). We found statistically significant differences between the type of breastfeeding and the variables, year of study, country of origin and parity (P<0.001, P=0.005 and P=0.05 respectively). Hypogalactia (21.8%) and lower than recommended increase in newborn weight gain (14.9%) were most frequent factors for discontinuation.
Conclusion:
The prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding.
Date Issued
2019-02
Date Acceptance
2017-09-05
Citation
Atención Primaria, 2019, 51 (2), pp.91-98
ISSN
0212-6567
Publisher
Elsevier España
Start Page
91
End Page
98
Journal / Book Title
Atención Primaria
Volume
51
Issue
2
Copyright Statement
© 2017 Elsevier Espana, S.L.U. This is an open access article under the CC-BY-NC-ND License (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Subjects
Breastfeeding
Destete precoz
Early weaning
Factores de riesgo
Lactancia materna
Risk factors
1103 Clinical Sciences
General & Internal Medicine
Publication Status
Published
Date Publish Online
2018-02-14