Advanced

Risk factors for exclusive breastfeeding lasting less than two months - Identifying women in need of targeted breastfeeding support

Cato, Karin; Sylvén, Sara M.; Lindbäck, Johan; Skalkidou, Alkistis and Rubertsson, Christine LU (2017) In PLoS ONE 12(6).
Abstract

Background: Breastfeeding rates in Sweden are declining, and it is important to identify women at risk for early cessation of exclusive breastfeeding. Objective: The aim of this study was to investigate factors associated with exclusive breastfeeding lasting less than two months postpartum. Methods: A population-based longitudinal study was conducted at Uppsala University Hospital, Sweden. Six hundred and seventy-nine women were included in this sub-study. Questionnaires were sent at five days, six weeks and six months postpartum, including questions on breastfeeding initiation and duration as well as several other background variables. The main outcome measure was exclusive breastfeeding lasting less than two months postpartum.... (More)

Background: Breastfeeding rates in Sweden are declining, and it is important to identify women at risk for early cessation of exclusive breastfeeding. Objective: The aim of this study was to investigate factors associated with exclusive breastfeeding lasting less than two months postpartum. Methods: A population-based longitudinal study was conducted at Uppsala University Hospital, Sweden. Six hundred and seventy-nine women were included in this sub-study. Questionnaires were sent at five days, six weeks and six months postpartum, including questions on breastfeeding initiation and duration as well as several other background variables. The main outcome measure was exclusive breastfeeding lasting less than two months postpartum. Multivariable logistic regression analysis was used in order to calculate adjusted Odds Ratios (AOR) and 95% Confidence Intervals (95% CI). Results: Seventy-seven percent of the women reported exclusive breastfeeding at two months postpartum. The following variables in the multivariate regression analysis were independently associated with exclusive breastfeeding lasting less than two months postpartum: being a first time mother (AOR 2.15, 95% CI 1.32-3.49), reporting emotional distress during pregnancy (AOR 2.21, 95% CI 1.35-3.62) and giving birth by cesarean section (AOR 2.63, 95% CI 1.34-5.17). Conclusions: Factors associated with shorter exclusive breastfeeding duration were determined. Identification of women experiencing emotional distress during pregnancy, as well as scrutiny of caregiving routines on cesarean section need to be addressed, in order to give individual targeted breastfeeding support and promote longer breastfeeding duration.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
in
PLoS ONE
volume
12
issue
6
publisher
Public Library of Science
external identifiers
  • scopus:85020746210
ISSN
1932-6203
DOI
10.1371/journal.pone.0179402
language
English
LU publication?
no
id
58b7f346-3c30-4408-a571-f0187d88222f
date added to LUP
2017-10-27 13:34:35
date last changed
2018-01-07 12:23:50
@article{58b7f346-3c30-4408-a571-f0187d88222f,
  abstract     = {<p>Background: Breastfeeding rates in Sweden are declining, and it is important to identify women at risk for early cessation of exclusive breastfeeding. Objective: The aim of this study was to investigate factors associated with exclusive breastfeeding lasting less than two months postpartum. Methods: A population-based longitudinal study was conducted at Uppsala University Hospital, Sweden. Six hundred and seventy-nine women were included in this sub-study. Questionnaires were sent at five days, six weeks and six months postpartum, including questions on breastfeeding initiation and duration as well as several other background variables. The main outcome measure was exclusive breastfeeding lasting less than two months postpartum. Multivariable logistic regression analysis was used in order to calculate adjusted Odds Ratios (AOR) and 95% Confidence Intervals (95% CI). Results: Seventy-seven percent of the women reported exclusive breastfeeding at two months postpartum. The following variables in the multivariate regression analysis were independently associated with exclusive breastfeeding lasting less than two months postpartum: being a first time mother (AOR 2.15, 95% CI 1.32-3.49), reporting emotional distress during pregnancy (AOR 2.21, 95% CI 1.35-3.62) and giving birth by cesarean section (AOR 2.63, 95% CI 1.34-5.17). Conclusions: Factors associated with shorter exclusive breastfeeding duration were determined. Identification of women experiencing emotional distress during pregnancy, as well as scrutiny of caregiving routines on cesarean section need to be addressed, in order to give individual targeted breastfeeding support and promote longer breastfeeding duration.</p>},
  articleno    = {e0179402},
  author       = {Cato, Karin and Sylvén, Sara M. and Lindbäck, Johan and Skalkidou, Alkistis and Rubertsson, Christine},
  issn         = {1932-6203},
  language     = {eng},
  month        = {06},
  number       = {6},
  publisher    = {Public Library of Science},
  series       = {PLoS ONE},
  title        = {Risk factors for exclusive breastfeeding lasting less than two months - Identifying women in need of targeted breastfeeding support},
  url          = {http://dx.doi.org/10.1371/journal.pone.0179402},
  volume       = {12},
  year         = {2017},
}