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Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania

BACKGROUND: There are little up-to-date data available on the duration of exclusive breastfeeding in Lithuania. The aim of our study was to examine the factors that could influence exclusive breastfeeding during the first 6 months of life. METHODS: In 2016, a survey was conducted at the Obstetrics a...

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Autores principales: Jakaitė, Vaidilė, Peštenytė, Aurelija, Zakarevičienė, Jolita, Sniečkuvienė, Vilija, Žitkutė, Viktorija, Ramašauskaitė, Diana, Domža, Gintautas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903648/
https://www.ncbi.nlm.nih.gov/pubmed/33627150
http://dx.doi.org/10.1186/s13006-021-00364-6
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author Jakaitė, Vaidilė
Peštenytė, Aurelija
Zakarevičienė, Jolita
Sniečkuvienė, Vilija
Žitkutė, Viktorija
Ramašauskaitė, Diana
Domža, Gintautas
author_facet Jakaitė, Vaidilė
Peštenytė, Aurelija
Zakarevičienė, Jolita
Sniečkuvienė, Vilija
Žitkutė, Viktorija
Ramašauskaitė, Diana
Domža, Gintautas
author_sort Jakaitė, Vaidilė
collection PubMed
description BACKGROUND: There are little up-to-date data available on the duration of exclusive breastfeeding in Lithuania. The aim of our study was to examine the factors that could influence exclusive breastfeeding during the first 6 months of life. METHODS: In 2016, a survey was conducted at the Obstetrics and Gynecology Clinic of Vilnius University Hospital, Santaros Klinikos. Women in postnatal wards were opportunistically offered questionnaires and later followed up by telephone interviews at 6 weeks, 3 months, and 6 months postpartum. We used binary logistic regression to determine the factors that impacted exclusive breastfeeding during the first 6 months following childbirth. RESULTS: Of 475 eligible women that were approached, a total of 447 women were recruited, with response rates of 76.1, 71.4 and 67.0% at 6 weeks, 3 months, and 6 months postpartum, respectively. The prevalence of exclusive breastfeeding through the 6 month postpartum period was 39.8%. Exclusive breastfeeding during days 2 to 4 postpartum was positively influenced by factors such as a natural childbirth, the practice of breastfeeding on demand and maternal self-confidence in breastfeeding. Subsequently, exclusive breastfeeding on demand in the immediate postpartum period and exclusive breastfeeding for up to 3 months were associated with successful exclusive breastfeeding up to 6 months. However, the adverse factors that limited the success and duration of exclusive breastfeeding included free samples of human milk substitutes or advertising at primary healthcare centers 6 weeks after childbirth, pacifier use 6 months after childbirth, as well as amniotomy for labor induction. CONCLUSIONS: Our research demonstrated that exclusive breastfeeding is impacted in both directions by a range of factors during particular periods after delivery. One of the novel findings was the adverse influence of amniotomy for labor induction on exclusive breastfeeding rates. Taking into account diverse factors influencing exclusive breastfeeding and the absence of a single way to promote it, there is a crucial need to increase the incidence of exclusive breastfeeding until infants reach the age of 6 months. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13006-021-00364-6.
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spelling pubmed-79036482021-03-01 Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania Jakaitė, Vaidilė Peštenytė, Aurelija Zakarevičienė, Jolita Sniečkuvienė, Vilija Žitkutė, Viktorija Ramašauskaitė, Diana Domža, Gintautas Int Breastfeed J Research BACKGROUND: There are little up-to-date data available on the duration of exclusive breastfeeding in Lithuania. The aim of our study was to examine the factors that could influence exclusive breastfeeding during the first 6 months of life. METHODS: In 2016, a survey was conducted at the Obstetrics and Gynecology Clinic of Vilnius University Hospital, Santaros Klinikos. Women in postnatal wards were opportunistically offered questionnaires and later followed up by telephone interviews at 6 weeks, 3 months, and 6 months postpartum. We used binary logistic regression to determine the factors that impacted exclusive breastfeeding during the first 6 months following childbirth. RESULTS: Of 475 eligible women that were approached, a total of 447 women were recruited, with response rates of 76.1, 71.4 and 67.0% at 6 weeks, 3 months, and 6 months postpartum, respectively. The prevalence of exclusive breastfeeding through the 6 month postpartum period was 39.8%. Exclusive breastfeeding during days 2 to 4 postpartum was positively influenced by factors such as a natural childbirth, the practice of breastfeeding on demand and maternal self-confidence in breastfeeding. Subsequently, exclusive breastfeeding on demand in the immediate postpartum period and exclusive breastfeeding for up to 3 months were associated with successful exclusive breastfeeding up to 6 months. However, the adverse factors that limited the success and duration of exclusive breastfeeding included free samples of human milk substitutes or advertising at primary healthcare centers 6 weeks after childbirth, pacifier use 6 months after childbirth, as well as amniotomy for labor induction. CONCLUSIONS: Our research demonstrated that exclusive breastfeeding is impacted in both directions by a range of factors during particular periods after delivery. One of the novel findings was the adverse influence of amniotomy for labor induction on exclusive breastfeeding rates. Taking into account diverse factors influencing exclusive breastfeeding and the absence of a single way to promote it, there is a crucial need to increase the incidence of exclusive breastfeeding until infants reach the age of 6 months. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13006-021-00364-6. BioMed Central 2021-02-24 /pmc/articles/PMC7903648/ /pubmed/33627150 http://dx.doi.org/10.1186/s13006-021-00364-6 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data.
spellingShingle Research
Jakaitė, Vaidilė
Peštenytė, Aurelija
Zakarevičienė, Jolita
Sniečkuvienė, Vilija
Žitkutė, Viktorija
Ramašauskaitė, Diana
Domža, Gintautas
Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania
title Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania
title_full Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania
title_fullStr Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania
title_full_unstemmed Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania
title_short Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania
title_sort predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in lithuania
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903648/
https://www.ncbi.nlm.nih.gov/pubmed/33627150
http://dx.doi.org/10.1186/s13006-021-00364-6
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