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Tiraboschi GA, Fitzpatrick C, Bernard JY, Monteiro JCDS, Kosak LA, Garon-Carrier G. Partners with a Highly Favorable Attitude Toward Breastfeeding Contribute to Promoting Initiation and Length of Breastfeeding for More than 5 Months in a Population-Based Canadian Study. Breastfeed Med 2024; 19:248-255. [PMID: 38452177 DOI: 10.1089/bfm.2023.0275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
Introduction: Promoting maternal breastfeeding for at least 6 months is important to improve children physical health during infancy and neurodevelopmental outcomes in childhood. For this guideline to be followed, it is paramount to identify what factors best support the initiation and length of breastfeeding. This study estimates the contribution of various child- and parent-level factors, as well as the sociodemographic context in predicting maternal breastfeeding initiation and duration. Methods: This study draws on data from the Quebec Longitudinal Study of Child Development. Mothers who never breastfed when the infant was 5 months old (n = 630, 28.3%) were compared to mothers who breastfed for less than 5 months (n = 844, 38.0%) and mothers breastfeeding for more than 5 months (n = 749, 33.7%), using multivariable multinomial regression models. Results: Mothers with a partner showing a positive attitude toward breastfeeding were up to 13 times more likely to breastfeed their infant for more than 5 months. The positive attitude of partners toward breastfeeding was the strongest predictor of breastfeeding duration, followed by the maternal educational attainment and timing she returns to work. Most prenatal and perinatal child-level factors and the sociodemographic context predicted breastfeeding duration, but to a lesser extent. Discussion: This finding underscores the role of the partner's attitude in promoting initiation and length of breastfeeding. As such, educational campaigns and health practitioners could target both the mother and their partner in promoting breastfeeding.
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Affiliation(s)
- Gabriel Arantes Tiraboschi
- Département de Psychoéducation, Université de Sherbrooke, Sherbrooke, Canada
- Département D'enseignement au Préscolaire et Primaire, Université de Sherbrooke, Sherbrooke, Canada
| | - Caroline Fitzpatrick
- Département D'enseignement au Préscolaire et Primaire, Université de Sherbrooke, Sherbrooke, Canada
| | - Jonathan Y Bernard
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and Statistics (CRESS), Paris, France
| | | | - Laurie-Anne Kosak
- Département de Psychoéducation, Université de Montréal, Montréal, Canada
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Spyrakou E, Magriplis E, Benetou V, Zampelas A. Factors Associated with Breastfeeding Initiation and Duration in Greece: Data from the Hellenic National Nutrition and Health Survey. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9111773. [PMID: 36421222 PMCID: PMC9688813 DOI: 10.3390/children9111773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 11/08/2022] [Accepted: 11/15/2022] [Indexed: 11/19/2022]
Abstract
Despite its well-documented benefits, breastfeeding rates and duration worldwide do not meet the recommended goals set by the World Health Organization. Data on infant feeding, socio-demographic, lifestyle and perinatal factors were used from 490 mothers (and 958 children), participants at the Hellenic National Nutrition and Health Survey between 2013−2015. Clustered multiple logistic regression and multilevel mixed-model regression analyses were performed to identify factors associated with breastfeeding initiation and duration, respectively. Maternal lower education [Odds Ratio (OR): 2.29, 95% Confidence intervals (95% CI): 1.30−4.04; p = 0.004], smoking during pregnancy (OR: 3.08, 95% CI: 1.64−5.77; p < 0.001), caesarean section (OR = 3.26, 95% CI: 1.83−5.83; p < 0.001), prematurity (OR = 2.74, 95% CI: 1.40−5.37; p = 0.003) and higher birth order (OR = 1.30, 95% CI: 1.04−1.62; p = 0.020) were associated with increased odds of not initiating breastfeeding. Living in rural areas [beta coefficient b = −27.93, p = 0.043], smoking during pregnancy (b = −64.47, p < 0.001), caesarean section (b = −28.76, p = 0.046) and prematurity (b = −46.67, p = 0.048) were significantly associated with shorter breastfeeding duration. Children born chronologically closer to the survey were more likely to breastfeed and for longer periods. Educational promotion and enhancement of breastfeeding awareness that account for maternal exposures are required. Prevention of prematurity and avoidance of unnecessary caesarean section is crucial, while additional breastfeeding support is needed when preterm birth occurs, or caesarean section cannot be avoided.
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Affiliation(s)
- Efthimia Spyrakou
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, 115 27 Athens, Greece
| | - Emmanuella Magriplis
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece
| | - Vassiliki Benetou
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, 115 27 Athens, Greece
- Correspondence:
| | - Antonis Zampelas
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece
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Jiang M, Ren G, Dai H, Tian L, Huang J, He W, Tan S. Comparation of knowledge, attitude and social support of exclusive breastfeeding between primiparae and multiparae after delivery within 6 months in Changsha, China: a cross-sectional study. Transl Pediatr 2022; 11:1323-1335. [PMID: 36072543 PMCID: PMC9442209 DOI: 10.21037/tp-22-327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 08/02/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND The knowledge, attitude, and social support of exclusive breastfeeding among mothers are the important predictors of the starting time of lactation and the duration time of breastfeeding. Evaluating the knowledge, attitude, social support of exclusive breastfeeding of mothers is critical to recognize those at risk for suboptimal breastfeeding practices. There were a small amount of studies related to knowledge, attitude and social support of mothers, a blank for comparative study of the knowledge, attitude, social support of breastfeeding between primiparae and multiparae existed. Our aim was to compare the feeding situation between firstborns and second-born infants, and to compare the knowledge, attitude, and social support between primiparae and multiparae. METHODS This was a cross-sectional study, a total of 354 mothers of infants aged 0-6 months who underwent physical examination between February 2019 and July 2019 were randomly recruited to the study and finished an on-site questionnaire. Chi-square test or Fisher's exact test were used to make a comparison among groups. RESULTS The average rate of exclusive breastfeeding among infants aged 0-6 months was 61.30%. There is no statistical difference between the firstborns and the second-born infants regarding whether cod liver oil was supplemented, whether it was breastfeeding after birth, the signal of breastfeeding for infants, and the duration of each lactation (P>0.05); The rate of exclusive breastfeeding of second-born infants was lower than that of firstborns (P=0.001); The starting time of breastfeeding of second-born infants was earlier than that of firstborns (P=0.041). Compared to primiparae, multiparae had a higher degree of understanding of feeding knowledge (P<0.001), a higher proficiency level of self-evaluation of feeding techniques (P<0.001); and a better self-evaluation of feeding habit (P<0.001); more multiparae had prenatal feeding counselling (P<0.001); primiparae and multiparae had no statistical difference in attitude and social support of breastfeeding (all P>0.05). CONCLUSIONS Breastfeeding knowledge, skills, and habits of mothers all need to be improved. It's urgent to make up for the deficiency of news media such as television and radio in the dissemination of breastfeeding knowledge. Primiparas with a high level of education are the key object of our publicity and education.
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Affiliation(s)
- Mei Jiang
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Guofeng Ren
- Department of Nutrition and Food Hygiene, Xiangya Public Health School of Central South University, Changsha, China
| | - Hongmei Dai
- Department of Pediatrics, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Lang Tian
- Department of Pediatrics, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Jinhui Huang
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Wei He
- Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Shan Tan
- Department of Pediatrics, The Third Xiangya Hospital of Central South University, Changsha, China
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Mokhtari Sorkhani T, Namazian E, Komsari S, Arab S. Investigating the Relationship between Childbirth Type and Breastfeeding Pattern Based on the LATCH Scoring System in Breastfeeding Mothers. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRÍCIA 2021; 43:728-735. [PMID: 34784628 PMCID: PMC10183849 DOI: 10.1055/s-0041-1735985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVE The role of breast milk in the physical and mental health of infants and in the prevention of infant death is widely known. The benefits of breastfeeding for mothers and infants have been proven, but several factors can affect breastfeeding. Childbirth is one of the most influential factors. The present study aimed to investigate the effect of the type of delivery (natural childbirth and cesarean section) on breastfeeding based on the latch, audible swallowing, type of nipple, comfort, hold (LATCH) scoring system. METHODS The present cross-sectional observational study was performed using the census method among women who referred to Afzalipour Hospital for delivery in May 2020; the breastfeeding pattern was completed by observation and the in-case information, by LATCH checklist. Data were analyzed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 19.0, analysis of variance (ANOVA), and the Chi-squared statistical test. RESULTS Out of a total of 254 deliveries (127 natural childbirths and 127 cesarean deliveries), there was no statistically significant difference between the 2 study groups in terms of age, maternal employment status, and infant weight, but there was a statistically significant relationship between the type of delivery, the maternal level of schooling, and the appearance, pulse, grimace, activity, and respiration (Apgar) score in the first minute. The mean score of breastfeeding patterns among the natural childbirth group (9.33) was higher than that of the cesarean section group (7.21). CONCLUSION The type of delivery affects the mother's performance during breastfeeding, and mothers submitted to cesarean sections need more support and help in breastfeeding.
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Affiliation(s)
- Tayebeh Mokhtari Sorkhani
- Department of Midwifery, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran
| | - Elahe Namazian
- Zarand Social Security Hospital, Social Security Organization, Zarand, Kerman, Iran
| | - Samaneh Komsari
- Research Department, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Shima Arab
- School of Nursing and Midwifery, member of the Student Research Committee of Bam University of Medical Sciences, Bam, Iran, University of Medical Sciences, Bam, Iran
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Walker J, Huria A, Buckman C, Tumin D. The Influence of a Sister's Breastfeeding Experience on a Mother's Breastfeeding Behavior: Is There an Intragenerational Effect? Breastfeed Med 2021; 16:863-868. [PMID: 34143654 DOI: 10.1089/bfm.2021.0108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Objective: Intergenerational transmission of breastfeeding attitudes and behaviors from mother to daughter are well known, but there is limited research on intragenerational transmission of breastfeeding attitudes or behaviors within families. This study aimed to understand how initiation and duration of breastfeeding are influenced by past breastfeeding experiences of sisters among women in a longitudinal population-based cohort. Methods: Data were obtained on women enrolled in the 1979 National Longitudinal Survey of Youth (NLSY) who had at least one child enrolled in a substudy of cohort members' children. For each mother in the study, we determined whether any of her sisters also enrolled in the main NLSY study had previously breastfed one of their children. Results: Mothers whose sister(s) had prior breastfeeding experience were more likely to breastfeed their first-born child on unadjusted analysis (70% versus 45%, chi-square p < 0.001) and had a longer median of breastfeeding duration (median 14.5 versus 12 weeks, rank-sum p = 0.039). However, on a multivariable analysis accounting for potential confounding by maternal characteristics, infant characteristics, and differences among households, sisters' breastfeeding experience was no longer independently associated with the likelihood of breastfeeding initiation (odds ratio: 1.16; confidence interval [95% CI]: 0.73-1.85; p = 0.520) or the hazard of breastfeeding discontinuation (hazard ratio: 0.96; 95% CI: 0.82-1.12; p = 0.598). Conclusion: After adjusting for socioeconomic characteristics, intragenerational transmission of breastfeeding behavior was negligible among mothers raised in the same household. Other forms of intragenerational transmission (e.g., influence of extended family members) may be more salient influences on women's decision to breastfeed.
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Affiliation(s)
- Jasmine Walker
- Department of Sociology, East Carolina University, Greenville, North Carolina, USA
| | - Atima Huria
- Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, North Carolina, USA
| | - Cierra Buckman
- Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, North Carolina, USA
| | - Dmitry Tumin
- Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, North Carolina, USA
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