Does the Degree of Acculturation Influence Breastfeeding Intention and Start or the Frequency of Early Weaning? Results of a Prospective Observational Study

Abstract Objectives Recent breastfeeding studies from immigration countries have found that acculturation factors influence breastfeeding behaviour in women with a migration background. To date, there has been no systematic investigation for Germany. Therefore, we study whether and how the degree of acculturation within a population of migrant women influences the start, time and duration of breastfeeding. Patient Population and Methodology Pregnant women who were admitted to one of the three participating maternity clinics in Berlin for the birth of their child in the one-year study period were surveyed (including sociodemographic details, data on migration/acculturation). These women were interviewed again two or three days post partum (including start of breastfeeding, planned breastfeeding duration, reasons for not breastfeeding). In a subgroup, a telephone interview took place 6 months post partum about the actual breastfeeding duration, contraceptive behaviour post partum and availing of midwife services following delivery. Breastfeeding behaviour was analysed using multivariate regression models, among other things. Results The prepartum survey included 7100 women, 6884 women were contacted in the postnatal wards, and the subgroup six months after delivery comprised 605 women. No acculturation-related differences were found in the start of breastfeeding. In the adjusted model, a medium and higher degree of acculturation diminished the chance of planning a long breastfeeding period. More acculturated women show a greater risk of weaning within the first six months than less acculturated women. Conclusion The degree of acculturation has relevant significance for some aspects of breastfeeding behaviour in women with a migration background. This should be considered both in breastfeeding promotion programmes and in further national breastfeeding studies.

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The impact of psychosocial factors on breastfeeding duration in the BaBi cohort study, Germany

European Journal of Public Health ◽

10.1093/eurpub/ckz187.122 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

A Grosser ◽

I-M Doyle ◽

A Löffler ◽

J Breckenkamp ◽

J Spallek ◽

...

Keyword(s):

Psychosocial Factors ◽

Migration Background ◽

Breastfeeding Duration ◽

Breastfeeding Intention ◽

Modifiable Factors ◽

Study Results ◽

And Migration ◽

Duration Of Breastfeeding ◽

The Impact ◽

Antenatal Classes

Abstract Background Breastfeeding is considered beneficial for both mother and child. In Germany, national guidelines recommend fully breastfeeding for at least 4 months, a goal reached by only 34% of mothers in 2012. The WHO’s recommendation of exclusively breastfeeding for six months was met by 19% only. Hardly modifiable factors such as socio-economic status and migration background have been associated with duration of breastfeeding but little is known about the impact of psychosocial factors such as personality traits and social support. We hypothesise that there are differences in the psychosocial profiles of mothers regarding the duration of breastfeeding. Methods We analyse baseline and follow-up data of the Bielefeld BaBi birth cohort (2013-16). They include detailed migration and socio-economic backgrounds, as well as three measures of psychological characteristics: the optimism scale, the Big Five inventory and the locus of control scales. We perform bivariate and multivariate analyses in order to identify psychosocial determinants of fully breastfeeding for four and six months. Results Out of 780 BaBi study participants, 548 fully breastfed for four months (70.3%), of which 279 continued until at least six months (35.8%). Logistic regression analyses show that fully breastfeeding for at least four or six months is independently associated with the intention to breastfeed and the attendance of antenatal class during this or previous pregnancies. Personality characteristics, social status and migration background show however no significant association with breastfeeding duration. Conclusions Our study results support the promotion of individuals’ breastfeeding intention and attendance to antenatal classes to increase breastfeeding duration. Since differences in breastfeeding practices have the potential to create inequalities in maternal and child health, more efforts are needed to intensify research on modifiable factors influencing breastfeeding duration. Key messages Neither psychosocial factors nor socioeconomic status were associated with breastfeeding duration. Two modifiable factors, breastfeeding intention and attending antenatal classes, were the main predictors of breastfeeding duration.

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Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

10.21203/rs.2.18912/v2 ◽

2020 ◽

Author(s):

Kris Y.W. Lok ◽

Charlotte L.Y. Chow ◽

Heidi S.L. Fan ◽

Vincci H.S. Chan ◽

Marie Tarrant

Keyword(s):

Hong Kong ◽

Hospital Discharge ◽

Public Hospitals ◽

Self Report ◽

Breastfeeding Duration ◽

Breastfeeding Support ◽

Breastfeeding Intention ◽

Hospital Practices ◽

Duration Of Breastfeeding ◽

Study Participants

Abstract Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices have been associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers’ achievement of their planned duration of breastfeeding. Methods: A total of 1011 mother-newborn pairs from the postnatal units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postnatal, or until participants were no longer breastfeeding. Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding. Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants’ achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced one baby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 – 23.6). Conclusions : Nearly half of participants did not achieve their planned breastfeeding duration. Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals.

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Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

10.21203/rs.2.18912/v3 ◽

2020 ◽

Author(s):

Kris Y.W. Lok ◽

Charlotte L.Y. Chow ◽

Heidi S.L. Fan ◽

Vincci H.S. Chan ◽

Marie Tarrant

Keyword(s):

Hong Kong ◽

Hospital Discharge ◽

Public Hospitals ◽

Self Report ◽

Breastfeeding Duration ◽

Breastfeeding Support ◽

Breastfeeding Intention ◽

Hospital Practices ◽

Duration Of Breastfeeding ◽

Study Participants

Abstract Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices were found to be associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers’ achievement of their planned duration of breastfeeding. Methods: A total of 1011 mother-newborn pairs from the postnatal units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postnatal, or until participants were no longer breastfeeding. Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding. Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants’ achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced onebaby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 – 23.6). Conclusions: Nearly half of participants did not achieve their planned breastfeeding duration. Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals.

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Breastfeeding Duration and Related Factors among Mothers in Southeast Nigeria

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210548 ◽

2021 ◽

Vol 11 (5) ◽

pp. 305-312

Author(s):

Uchenna Ekwochi ◽

Ebelechuku Francesca Ugochukwu ◽

Chinyere Ukamaka Onubogu

Keyword(s):

Exclusive Breastfeeding ◽

Cross Sectional Study ◽

Breastfeeding Duration ◽

Related Factors ◽

Cross Sectional ◽

Southeastern Nigeria ◽

Early Introduction ◽

One Year ◽

Nutritional Benefits ◽

Duration Of Breastfeeding

Background: Breastfeeding is beneficial to mothers, infants and society at large. The nutritional and non-nutritional benefits are gained when practiced in line with recommended durations. Objective: The duration of breastfeeding and related factors among mothers of southeastern Nigeria were explored. Methods: This was a hospital based cross-sectional study using an interviewer-administered questionnaire. Data analysis employed SPSS version 20. Results: A total of 1,833 women were surveyed. Most (93.3%) were aged 20-40 years and had at least secondary education (94,6%). More than half (64.3%) were working class. Many had 1-4 children (91.5%) and a family size of ≤6 (74.2%). Up to 83.3% of the mothers breastfed for ≥12 months. Common reasons advanced for cessation of breastfeeding were pregnancy (29.8%), baby refusing to suckle (10.2%) or old enough to stop breastfeeding (18.0%). No reason for cessation was given for 22.4%. Mothers <20 years practiced non-exclusive breastfeeding or early introduction of complementary feeds, bottle-fed and were significantly least likely to breastfeed for up to one year. Conclusion: A suboptimal number of Nigerian mothers breastfed for ≥12 months. Unscientific reasons were proffered for cessation of breastfeeding. Younger mothers practiced non-exclusive breastfeeding, bottle-fed and gave early complementary feeds, negatively affecting duration of breastfeeding. Sustained individualized health education is advocated to improve duration of breastfeeding and avail young children of its wholesome nutritional benefits. Key words: Breastfeeding Cessation, Breastfeeding Duration, Lactation Cessation Determinants, Weaning Timing, Nutrition.

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Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

10.21203/rs.2.18912/v4 ◽

2020 ◽

Author(s):

Kris Y.W. Lok ◽

Charlotte L.Y. Chow ◽

Heidi S.L. Fan ◽

Vincci H.S. Chan ◽

Marie Tarrant

Keyword(s):

Hong Kong ◽

Hospital Discharge ◽

Public Hospitals ◽

Self Report ◽

Breastfeeding Duration ◽

Breastfeeding Support ◽

Breastfeeding Intention ◽

Hospital Practices ◽

Duration Of Breastfeeding ◽

Study Participants

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O42 SURGICAL REPAIR OF DIASTASIS RECTI ABDOMINIS (DRA) PROVIDES LONG-TERM IMPROVEMENT OF ABDOMINAL CORE FUNCTION AND QUALITY OF LIFE: A THREE-YEAR FOLLOW-UP

British Journal of Surgery ◽

10.1093/bjs/znab396.041 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Anders Olsson ◽

Olivia Kiwanuka ◽

Sofia Wilhelmsson ◽

Gabriel Sandblom ◽

Otto Stackelberg

Keyword(s):

Quality Of Life ◽

Surgical Repair ◽

Post Partum ◽

Diastasis Recti ◽

Sf 36 ◽

Core Function ◽

One Year ◽

The One

Abstract Aim Diastasis Recti Abdominis (DRA) is a condition affecting many post-partum women. The aim of this study was to evaluate long-term results of surgical repair of DRA in a cohort of post-partum women. Material and Methods Sixty post-partum women with DRA and training-resistant core dysfunctions were included. Surgical repair was performed with suture plication of the linea alba. Abdominal core function was evaluated with the Abdominal Trunk Function Protocol (ATFP) including a self-report questionnaire and seven functional tests. Urinary incontinence and Quality of Life was evaluated with the Urogenital Distress Inventory (UDI-6), the Incontinence Impact Questionnaire (IIQ-7) and the SF-36 questionnaire. Follow-up was performed at one year and three years’ post-operatively. Results Response rate at the three-year follow-up was 86.7 % for the DRI questionnaire; and 71.7% for ATFP, the UDI-6, IIQ-7, and SF-36 questionnaires. All DRI-parameters were improved (p < 0,05) after three-years of follow-up compared to preoperative values. The functional tests in the ATFP showed an improvement (p < 0.05) in core muscle strength and stability, persisting back and abdominal muscle strength compared to preoperative values as well as an improvement compared to the one-year follow-up values (p < 0.05). UDI-6 and IIQ-7 results were improved (p < 0.05) compared to preoperative values and showed consistent values compared to the one-year follow-up. Quality of life measured with SF-36 were improved compared to preoperative values and showed consistent values compared to the one-year follow-up (p < 0.05). Conclusions The functional improvement of surgical reconstruction of the DRA persisted for three years in this series of post-partum women with DRA.

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Estimation of the Duration of Post-partum Amenorrhea among Nepalese Mothers: Some Indirect Techniques

Nepal Journal of Science and Technology ◽

10.3126/njst.v10i0.2963 ◽

1970 ◽

Vol 10 ◽

pp. 213-218

Author(s):

Tika Ram Aryal

Keyword(s):

Post Partum ◽

Science And Technology ◽

Ministry Of Health ◽

Indirect Technique ◽

The One ◽

Duration Of Breastfeeding ◽

Close Estimate

The main aim of this paper is to use some indirect techniques to estimate the duration of post-partum amenorrhea (PPA) among Nepalese mothers by using the data of Ministry of Health (MOH 2001,2006). The techniques used are based on two types of data, i.e., duration of PPA and breastfeeding (BF). Among the techniques, the one developed by Aryal (2008) provided a very close estimate of the duration of PPA period among Nepalese mothers. The estimated average PPA period was found to be 11.8 months against the observed value of 11.1 months in 2001 data (MOH 2001) while it was 10.3 months against the observed value of 9.3 months in 2006 data (MOH 2006). Estimated PPA period was found to be much close especially by fitting the inverse and logarithmic models. In addition to this, duration of PPA period was also estimated in relation to the characteristics of mothers and the results were found to be consistent with the observed values. It is therefore the used techniques provided very close estimate of PPA period, which might be an applicable technique to estimate the duration of PPA period for any population if the data of the duration of breastfeeding are available.Key words: Post-partum amenorrhea; Breastfeeding; Indirect-technique; Curves fitting; FertilityDOI: 10.3126/njst.v10i0.2963Nepal Journal of Science and Technology Vol. 10, 2009 Page: 213-218

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Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

10.21203/rs.2.18912/v1 ◽

2019 ◽

Author(s):

Kris Y.W. Lok ◽

Charlotte L.Y. Chow ◽

Heidi S.L. Fan ◽

Vincci H.S. Chan ◽

Marie Tarrant

Keyword(s):

Hong Kong ◽

Hospital Discharge ◽

Public Hospitals ◽

Self Report ◽

Breastfeeding Duration ◽

Breastfeeding Support ◽

Breastfeeding Intention ◽

Hospital Practices ◽

Duration Of Breastfeeding ◽

Study Participants

Abstract Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices have been associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers’ achievement of their planned duration of breastfeeding. Methods: A total of 1011 mother-newborn pairs from the postpartum units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postpartum, or until participants were no longer breastfeeding. Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding. Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants’ achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced 0 - 1 baby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 – 23.6). Conclusions: Nearly half of participants did not achieve their planned breastfeeding duration. Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals.

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First-Time Mothers’ Enjoyment of Breastfeeding Correlates with Duration of Breastfeeding, Sense of Coherence, and Parental Couple and Child Relation: A Longitudinal Swedish Cohort Study

Nursing Research and Practice ◽

10.1155/2020/8194389 ◽

2020 ◽

Vol 2020 ◽

pp. 1-13

Author(s):

Agnes Granberg ◽

Anette Ekström-Bergström ◽

Caroline Bäckström

Keyword(s):

Cohort Study ◽

Sense Of Coherence ◽

Subjective Experience ◽

Breastfeeding Duration ◽

First Time Mothers ◽

Positive Feelings ◽

One Year ◽

Duration Of Breastfeeding ◽

Prospective Longitudinal ◽

First Time

Objectives. Many women do not reach their own breastfeeding goals regarding duration of breastfeeding. Different factors influence breastfeeding, and to learn more about breastfeeding within a multidimensional and longitudinal perspective, further research is needed. Therefore, the aim of the present study was to investigate diverse factors correlated with first-time mothers’ enjoyment of breastfeeding and breastfeeding duration, between childbirth and two years after birth. Methods. In a prospective longitudinal cohort study, 324 newly become mothers were followed. The Spearman correlation test was used to investigate factors correlated with the degree to which mothers enjoy breastfeeding and the duration of breastfeeding. The Mann–Whitney test was conducted for comparisons of demographic characteristics between mothers who did or did not breastfeed. Results. Among the mothers, 99.2% initiated breastfeeding after birth. Frequencies of breastfeeding were 54.8% at six months, 9.1% at one year, and 1.0% at two years. The degree to which the mother enjoyed breastfeeding was correlated positively with (1) the duration of breastfeeding, (2) more positive feelings for and relation to the child, (3) the partner’s perceived relation to the child, (4) a higher sense of coherence, and (5) stronger perceived parental couple’s relationship. Longer breastfeeding duration was correlated positively with (1) a higher degree of enjoyment of breastfeeding, (2) more positive relation to the child, and (3) stronger perceived parental couple’s relationship. Additionally, breastfeeding during the first two hours after birth, more positive feelings for and relation to the child, and a higher degree of enjoyment of breastfeeding were more frequently reported among breastfeeding mothers, in comparison with not breastfeeding mothers. Conclusion. Mothers’ subjective experience from breastfeeding, sense of coherence, and couple relationship with partner and relationship with the child are valuable factors in regard to breastfeeding.

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Resources: Internet Resources for the Independent Medical Evaluator – 2007

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2007.julaug02 ◽

2007 ◽

Vol 12 (4) ◽

pp. 4-7

Author(s):

Christopher R. Brigham ◽

Jenny Walker

Keyword(s):

Head Trauma ◽

Clonic Seizure ◽

Acute Subdural Hematoma ◽

Orbital Fracture ◽

Orbital Wall ◽

First Occurrence ◽

One Year ◽

The One ◽

Neurological Injuries ◽

Medial Orbital Wall

Abstract Rating patients with head trauma and multiple neurological injuries can be challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, Section 13.2, Criteria for Rating Impairment Due to Central Nervous System Disorders, outlines the process to rate impairment due to head trauma. This article summarizes the case of a 57-year-old male security guard who presents with headache, decreased sensation on the left cheek, loss of sense of smell, and problems with memory, among other symptoms. One year ago the patient was assaulted while on the job: his Glasgow Coma Score was 14; he had left periorbital ecchymosis and a 2.5 cm laceration over the left eyelid; a small right temporoparietal acute subdural hematoma; left inferior and medial orbital wall fractures; and, four hours after admission to the hospital, he experienced a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section. Because this patient has not experienced any seizures since the first occurrence, according to the AMA Guides he is not experiencing the “episodic neurological impairments” required for disability. Complex cases such as the one presented here highlight the need to use the criteria and estimates that are located in several sections of the AMA Guides.

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