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Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia

BACKGROUND: Optimal breastfeeding has benefits for the mother-infant dyads. This study investigated the prevalence and determinants of cessation of exclusive breastfeeding (EBF) in the early postnatal period in a culturally and linguistically diverse population in Sydney, New South Wales, Australia....

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Autores principales: Ogbo, Felix A., Eastwood, John, Page, Andrew, Arora, Amit, McKenzie, Anne, Jalaludin, Bin, Tennant, Elaine, Miller, Erin, Kohlhoff, Jane, Noble, Justine, Chaves, Karina, Jones, Jennifer M., Smoleniec, John, Chay, Paul, Smith, Bronwyn, Oei, Ju-Lee, Short, Kate, Collie, Laura, Kemp, Lynn, Raman, Shanti, Woolfenden, Sue, Clark, Trish, Blight, Victoria, Eapen, Valsamma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385049/
https://www.ncbi.nlm.nih.gov/pubmed/28405212
http://dx.doi.org/10.1186/s13006-017-0110-4
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author Ogbo, Felix A.
Eastwood, John
Page, Andrew
Arora, Amit
McKenzie, Anne
Jalaludin, Bin
Tennant, Elaine
Miller, Erin
Kohlhoff, Jane
Noble, Justine
Chaves, Karina
Jones, Jennifer M.
Smoleniec, John
Chay, Paul
Smith, Bronwyn
Oei, Ju-Lee
Short, Kate
Collie, Laura
Kemp, Lynn
Raman, Shanti
Woolfenden, Sue
Clark, Trish
Blight, Victoria
Eapen, Valsamma
author_facet Ogbo, Felix A.
Eastwood, John
Page, Andrew
Arora, Amit
McKenzie, Anne
Jalaludin, Bin
Tennant, Elaine
Miller, Erin
Kohlhoff, Jane
Noble, Justine
Chaves, Karina
Jones, Jennifer M.
Smoleniec, John
Chay, Paul
Smith, Bronwyn
Oei, Ju-Lee
Short, Kate
Collie, Laura
Kemp, Lynn
Raman, Shanti
Woolfenden, Sue
Clark, Trish
Blight, Victoria
Eapen, Valsamma
author_sort Ogbo, Felix A.
collection PubMed
description BACKGROUND: Optimal breastfeeding has benefits for the mother-infant dyads. This study investigated the prevalence and determinants of cessation of exclusive breastfeeding (EBF) in the early postnatal period in a culturally and linguistically diverse population in Sydney, New South Wales, Australia. METHODS: The study used routinely collected perinatal data on all live births in 2014 (N = 17,564) in public health facilities in two Local Health Districts in Sydney, Australia. The prevalence of mother’s breastfeeding intention, skin-to-skin contact, EBF at birth, discharge and early postnatal period (1–4 weeks postnatal) were estimated. Multivariate logistic regression models that adjusted for confounders were conducted to determine association between cessation of EBF in the early postnatal period and socio-demographic, psychosocial and health service factors. RESULTS: Most mothers intended to breastfeed (92%), practiced skin-to-skin contact (81%), exclusively breastfed  at delivery (90%) and discharge (89%). However, the prevalence of EBF declined (by 27%) at the early postnatal period (62%). Younger mothers (<20 years) and mothers who smoked cigarettes in pregnancy were more likely to cease EBF in the early postnatal period compared to older mothers (20–39 years) and those who reported not smoking cigarettes, respectively [Adjusted Odds Ratio (AOR) =2.7, 95%CI 1.9–3.8, P <0.001 and AOR = 2.5, 95%CI 2.1–3.0, P <0.001, respectively]. Intimate partner violence, assisted delivery, low socio-economic status, pre-existing maternal health problems and a lack of partner support were also associated with early cessation of EBF in the postnatal period. CONCLUSIONS: Our findings suggest that while most mothers intend to breastfeed, and commence EBF at delivery and at discharge, the maintenance of EBF in the early postnatal period is sub-optimal. This highlights the need for efforts to promote breastfeeding in the wider community along with targeted actions for disadvantaged groups and those identified to be at risk of early cessation of EBF to maximise impact.
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spelling pubmed-53850492017-04-12 Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia Ogbo, Felix A. Eastwood, John Page, Andrew Arora, Amit McKenzie, Anne Jalaludin, Bin Tennant, Elaine Miller, Erin Kohlhoff, Jane Noble, Justine Chaves, Karina Jones, Jennifer M. Smoleniec, John Chay, Paul Smith, Bronwyn Oei, Ju-Lee Short, Kate Collie, Laura Kemp, Lynn Raman, Shanti Woolfenden, Sue Clark, Trish Blight, Victoria Eapen, Valsamma Int Breastfeed J Research BACKGROUND: Optimal breastfeeding has benefits for the mother-infant dyads. This study investigated the prevalence and determinants of cessation of exclusive breastfeeding (EBF) in the early postnatal period in a culturally and linguistically diverse population in Sydney, New South Wales, Australia. METHODS: The study used routinely collected perinatal data on all live births in 2014 (N = 17,564) in public health facilities in two Local Health Districts in Sydney, Australia. The prevalence of mother’s breastfeeding intention, skin-to-skin contact, EBF at birth, discharge and early postnatal period (1–4 weeks postnatal) were estimated. Multivariate logistic regression models that adjusted for confounders were conducted to determine association between cessation of EBF in the early postnatal period and socio-demographic, psychosocial and health service factors. RESULTS: Most mothers intended to breastfeed (92%), practiced skin-to-skin contact (81%), exclusively breastfed  at delivery (90%) and discharge (89%). However, the prevalence of EBF declined (by 27%) at the early postnatal period (62%). Younger mothers (<20 years) and mothers who smoked cigarettes in pregnancy were more likely to cease EBF in the early postnatal period compared to older mothers (20–39 years) and those who reported not smoking cigarettes, respectively [Adjusted Odds Ratio (AOR) =2.7, 95%CI 1.9–3.8, P <0.001 and AOR = 2.5, 95%CI 2.1–3.0, P <0.001, respectively]. Intimate partner violence, assisted delivery, low socio-economic status, pre-existing maternal health problems and a lack of partner support were also associated with early cessation of EBF in the postnatal period. CONCLUSIONS: Our findings suggest that while most mothers intend to breastfeed, and commence EBF at delivery and at discharge, the maintenance of EBF in the early postnatal period is sub-optimal. This highlights the need for efforts to promote breastfeeding in the wider community along with targeted actions for disadvantaged groups and those identified to be at risk of early cessation of EBF to maximise impact. BioMed Central 2017-04-08 /pmc/articles/PMC5385049/ /pubmed/28405212 http://dx.doi.org/10.1186/s13006-017-0110-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Ogbo, Felix A.
Eastwood, John
Page, Andrew
Arora, Amit
McKenzie, Anne
Jalaludin, Bin
Tennant, Elaine
Miller, Erin
Kohlhoff, Jane
Noble, Justine
Chaves, Karina
Jones, Jennifer M.
Smoleniec, John
Chay, Paul
Smith, Bronwyn
Oei, Ju-Lee
Short, Kate
Collie, Laura
Kemp, Lynn
Raman, Shanti
Woolfenden, Sue
Clark, Trish
Blight, Victoria
Eapen, Valsamma
Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia
title Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia
title_full Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia
title_fullStr Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia
title_full_unstemmed Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia
title_short Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia
title_sort prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in sydney, australia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385049/
https://www.ncbi.nlm.nih.gov/pubmed/28405212
http://dx.doi.org/10.1186/s13006-017-0110-4
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