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Determinants of the exclusive breastfeeding abandonment: psychosocial factors

OBJECTIVE: To assess the determinants of exclusive breastfeeding abandonment. METHODS: Longitudinal study based on a birth cohort in Viçosa, MG, Southeastern Brazil. In 2011/2012, 168 new mothers accessing the public health network were followed. Three interviews, at 30, 60, and 120 days postpartum,...

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Autores principales: Machado, Mariana Campos Martins, Assis, Karine Franklin, Oliveira, Fabiana de Cássia Carvalho, Ribeiro, Andréia Queiroz, Araújo, Raquel Maria Amaral, Cury, Alexandre Faisal, Priore, Silvia Eloiza, Franceschini, Sylvia do Carmo Castro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285824/
https://www.ncbi.nlm.nih.gov/pubmed/26039402
http://dx.doi.org/10.1590/S0034-8910.2014048005340
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author Machado, Mariana Campos Martins
Assis, Karine Franklin
Oliveira, Fabiana de Cássia Carvalho
Ribeiro, Andréia Queiroz
Araújo, Raquel Maria Amaral
Cury, Alexandre Faisal
Priore, Silvia Eloiza
Franceschini, Sylvia do Carmo Castro
author_facet Machado, Mariana Campos Martins
Assis, Karine Franklin
Oliveira, Fabiana de Cássia Carvalho
Ribeiro, Andréia Queiroz
Araújo, Raquel Maria Amaral
Cury, Alexandre Faisal
Priore, Silvia Eloiza
Franceschini, Sylvia do Carmo Castro
author_sort Machado, Mariana Campos Martins
collection PubMed
description OBJECTIVE: To assess the determinants of exclusive breastfeeding abandonment. METHODS: Longitudinal study based on a birth cohort in Viçosa, MG, Southeastern Brazil. In 2011/2012, 168 new mothers accessing the public health network were followed. Three interviews, at 30, 60, and 120 days postpartum, with the new mothers were conducted. Exclusive breastfeeding abandonment was analyzed in the first, second, and fourth months after childbirth. The Edinburgh Postnatal Depression Scale was applied to identify depressive symptoms in the first and second meetings, with a score of ≥ 12 considered as the cutoff point. Socioeconomic, demographic, and obstetric variables were investigated, along with emotional conditions and the new mothers’ social network during pregnancy and the postpartum period. RESULTS: The prevalence of exclusive breastfeeding abandonment at 30, 60, and 120 days postpartum was 53.6% (n = 90), 47.6% (n = 80), and 69.6% (n = 117), respectively, and its incidence in the fourth month compared with the first was 48.7%. Depressive symptoms and traumatic delivery were associated with exclusive breastfeeding abandonment in the second month after childbirth. In the fourth month, the following variables were significant: lower maternal education levels, lack of homeownership, returning to work, not receiving guidance on breastfeeding in the postpartum period, mother’s negative reaction to the news of pregnancy, and not receiving assistance from their partners for infant care. CONCLUSIONS: Psychosocial and sociodemographic factors were strong predictors of early exclusive breastfeeding abandonment. Therefore, it is necessary to identify and provide early treatment to nursing mothers with depressive symptoms, decreasing the associated morbidity and promoting greater duration of exclusive breastfeeding. Support from health professionals, as well as that received at home and at work, can assist in this process.
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spelling pubmed-42858242015-01-08 Determinants of the exclusive breastfeeding abandonment: psychosocial factors Machado, Mariana Campos Martins Assis, Karine Franklin Oliveira, Fabiana de Cássia Carvalho Ribeiro, Andréia Queiroz Araújo, Raquel Maria Amaral Cury, Alexandre Faisal Priore, Silvia Eloiza Franceschini, Sylvia do Carmo Castro Rev Saude Publica Public Health Practice. Original Articles OBJECTIVE: To assess the determinants of exclusive breastfeeding abandonment. METHODS: Longitudinal study based on a birth cohort in Viçosa, MG, Southeastern Brazil. In 2011/2012, 168 new mothers accessing the public health network were followed. Three interviews, at 30, 60, and 120 days postpartum, with the new mothers were conducted. Exclusive breastfeeding abandonment was analyzed in the first, second, and fourth months after childbirth. The Edinburgh Postnatal Depression Scale was applied to identify depressive symptoms in the first and second meetings, with a score of ≥ 12 considered as the cutoff point. Socioeconomic, demographic, and obstetric variables were investigated, along with emotional conditions and the new mothers’ social network during pregnancy and the postpartum period. RESULTS: The prevalence of exclusive breastfeeding abandonment at 30, 60, and 120 days postpartum was 53.6% (n = 90), 47.6% (n = 80), and 69.6% (n = 117), respectively, and its incidence in the fourth month compared with the first was 48.7%. Depressive symptoms and traumatic delivery were associated with exclusive breastfeeding abandonment in the second month after childbirth. In the fourth month, the following variables were significant: lower maternal education levels, lack of homeownership, returning to work, not receiving guidance on breastfeeding in the postpartum period, mother’s negative reaction to the news of pregnancy, and not receiving assistance from their partners for infant care. CONCLUSIONS: Psychosocial and sociodemographic factors were strong predictors of early exclusive breastfeeding abandonment. Therefore, it is necessary to identify and provide early treatment to nursing mothers with depressive symptoms, decreasing the associated morbidity and promoting greater duration of exclusive breastfeeding. Support from health professionals, as well as that received at home and at work, can assist in this process. Faculdade de Saúde Pública da Universidade de São Paulo 2014-10 /pmc/articles/PMC4285824/ /pubmed/26039402 http://dx.doi.org/10.1590/S0034-8910.2014048005340 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Public Health Practice. Original Articles
Machado, Mariana Campos Martins
Assis, Karine Franklin
Oliveira, Fabiana de Cássia Carvalho
Ribeiro, Andréia Queiroz
Araújo, Raquel Maria Amaral
Cury, Alexandre Faisal
Priore, Silvia Eloiza
Franceschini, Sylvia do Carmo Castro
Determinants of the exclusive breastfeeding abandonment: psychosocial factors
title Determinants of the exclusive breastfeeding abandonment: psychosocial factors
title_full Determinants of the exclusive breastfeeding abandonment: psychosocial factors
title_fullStr Determinants of the exclusive breastfeeding abandonment: psychosocial factors
title_full_unstemmed Determinants of the exclusive breastfeeding abandonment: psychosocial factors
title_short Determinants of the exclusive breastfeeding abandonment: psychosocial factors
title_sort determinants of the exclusive breastfeeding abandonment: psychosocial factors
topic Public Health Practice. Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285824/
https://www.ncbi.nlm.nih.gov/pubmed/26039402
http://dx.doi.org/10.1590/S0034-8910.2014048005340
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