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Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months

The commencement and maintenance of exclusive breastfeeding (EB) are dependent on several mother–infant factors. To analyse the prevalence of EB during four different periods and to analyse the factors that can affect its maintenance, we performed a prospective, observational, longitudinal study of...

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Autores principales: Santacruz-Salas, Esmeralda, Segura-Fragoso, Antonio, Cobo-Cuenca, Ana Isabel, Carmona-Torres, Juan Manuel, Pozuelo-Carrascosa, Diana P., Laredo-Aguilera, José Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7766654/
https://www.ncbi.nlm.nih.gov/pubmed/33339354
http://dx.doi.org/10.3390/children7120298
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author Santacruz-Salas, Esmeralda
Segura-Fragoso, Antonio
Cobo-Cuenca, Ana Isabel
Carmona-Torres, Juan Manuel
Pozuelo-Carrascosa, Diana P.
Laredo-Aguilera, José Alberto
author_facet Santacruz-Salas, Esmeralda
Segura-Fragoso, Antonio
Cobo-Cuenca, Ana Isabel
Carmona-Torres, Juan Manuel
Pozuelo-Carrascosa, Diana P.
Laredo-Aguilera, José Alberto
author_sort Santacruz-Salas, Esmeralda
collection PubMed
description The commencement and maintenance of exclusive breastfeeding (EB) are dependent on several mother–infant factors. To analyse the prevalence of EB during four different periods and to analyse the factors that can affect its maintenance, we performed a prospective, observational, longitudinal study of 236 mothers and their child between 37 and 42 weeks of gestation and weighing more than 2.5 kg. Four interviews were conducted (T1: on discharge, T2: at 15 days, T3: at one month, T4: at three months). The results showed that EB decreased considerably at three months (69.5% vs. 47.46%). The factors that reduced the risk of abandonment were as following: having decided before giving birth that one wants to offer breastfeeding (T2: odds ratio (OR): 0.02, p = 0.001), T3 (OR: 0.04, p = 0.001) and T4 (OR: 0.07, p = 0.01)) and having previous experience with EB (T2 (OR: 0.36, p = 0.01), T3 (OR: 0.42 p = 0.02) and T4 (OR: 0.51, p = 0.03)). The factors that increased the risk of EB abandonment were offering feeding bottles in the hospital (T2 (OR: 11. 06, p = 0.001); T3 (OR: 5.51, p = 0.001) and T4 (OR: 4.43, p = 0.001)) and thinking that the infant is not satisfied (T2 (OR: 2.39, p = 0.01) and T3 (OR: 2.34, p = 0.01)). In conclusion, the abandonment of EB in the first three months is associated with sociodemographic and clinical variables and psychological factors such as insecurity and doubts of the mother during the process and the absence of a favourable close environment.
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spelling pubmed-77666542020-12-28 Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months Santacruz-Salas, Esmeralda Segura-Fragoso, Antonio Cobo-Cuenca, Ana Isabel Carmona-Torres, Juan Manuel Pozuelo-Carrascosa, Diana P. Laredo-Aguilera, José Alberto Children (Basel) Article The commencement and maintenance of exclusive breastfeeding (EB) are dependent on several mother–infant factors. To analyse the prevalence of EB during four different periods and to analyse the factors that can affect its maintenance, we performed a prospective, observational, longitudinal study of 236 mothers and their child between 37 and 42 weeks of gestation and weighing more than 2.5 kg. Four interviews were conducted (T1: on discharge, T2: at 15 days, T3: at one month, T4: at three months). The results showed that EB decreased considerably at three months (69.5% vs. 47.46%). The factors that reduced the risk of abandonment were as following: having decided before giving birth that one wants to offer breastfeeding (T2: odds ratio (OR): 0.02, p = 0.001), T3 (OR: 0.04, p = 0.001) and T4 (OR: 0.07, p = 0.01)) and having previous experience with EB (T2 (OR: 0.36, p = 0.01), T3 (OR: 0.42 p = 0.02) and T4 (OR: 0.51, p = 0.03)). The factors that increased the risk of EB abandonment were offering feeding bottles in the hospital (T2 (OR: 11. 06, p = 0.001); T3 (OR: 5.51, p = 0.001) and T4 (OR: 4.43, p = 0.001)) and thinking that the infant is not satisfied (T2 (OR: 2.39, p = 0.01) and T3 (OR: 2.34, p = 0.01)). In conclusion, the abandonment of EB in the first three months is associated with sociodemographic and clinical variables and psychological factors such as insecurity and doubts of the mother during the process and the absence of a favourable close environment. MDPI 2020-12-16 /pmc/articles/PMC7766654/ /pubmed/33339354 http://dx.doi.org/10.3390/children7120298 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Santacruz-Salas, Esmeralda
Segura-Fragoso, Antonio
Cobo-Cuenca, Ana Isabel
Carmona-Torres, Juan Manuel
Pozuelo-Carrascosa, Diana P.
Laredo-Aguilera, José Alberto
Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months
title Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months
title_full Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months
title_fullStr Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months
title_full_unstemmed Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months
title_short Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months
title_sort factors associated with the abandonment of exclusive breastfeeding before three months
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7766654/
https://www.ncbi.nlm.nih.gov/pubmed/33339354
http://dx.doi.org/10.3390/children7120298
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