Factors Associated with Breastfeeding Initiation and Exclusive Breastfeeding Rates in Turkish Adolescent Mothers

Abstract Background In 2003, the World Health Organization recommended exclusive breastfeeding (EB) during the newborn’s first 6 months of life and, if possible, during the first 2 years. However, EB rates resist these recommendations. In developed countries, only 1 out of 3 babies is breastfed during its first 6 months of life, and great differences between areas and countries can be observed. Only 35% of the newborns receive breastfeeding at 3–4 months of age. There are diverse strategies described in the literature that have proven their efficiency in improving breastfeeding rates. It has also been proven that professional support is an effective tool to extend any kind of breastfeeding; besides, it has been observed that mother-to-mother support also increases breastfeeding initiation, sustainment, and exclusive duration. The overall aim of the study is to assess the impact of the support groups on the sustainment of exclusive breastfeeding until 6 months after birth. Methods/design This study is a cluster-random multicentric clinical trial with a control group and an intervention group, without blinding because it is impossible to mask the intervention. A randomization by centres of primary health (clusters) will be carried out. The women allocated to the intervention or control group will be randomized with a simple randomization sampling. The participants’ breastfeeding rate will be followed up at the first 10 days, and at 2, 4, and 6 months of their newborn’s life. Discussion There is a need to assess the impact of mother support groups on exclusive breastfeeding. This study aims to analyse the outcomes related to the support received and to identify what should the structure of these groups be; in other words, to describe factors related to a better breastfeeding experience in order to help women increase breastfeeding rates. Trial registration The trial is prospectively recorded at the ISRCTN registry (Trial ID: ISRCTN17263529). Date recorded: 17/06/2020.

Download Full-text

Factors Associated with Exclusive Breastfeeding among Mothers who Work at Home at Tabanan Regency

Public Health and Preventive Medicine Archive ◽

10.24843/phpma.2016.v04.i02.p09 ◽

2016 ◽

pp. 179

Author(s):

Hesteria F.A.S ◽

I.W.G. Artawan Eka Putra ◽

Dyah Pradnyaparamita Duarsa

Keyword(s):

Exclusive Breastfeeding ◽

Bivariate Analysis ◽

Breastfeeding Initiation ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Work At Home ◽

Social Demographic ◽

At Home

Background and purpose: Working mothers and mothers who leave their babies in their home for more than 8 hours a day almost do not exclusively breastfeed their babies. The aim of this study was to determine the proportion of exclusive breastfeeding among mothers who work at home and factors associated with it.Methods: Cross-sectional survey was conducted by convenience sampling of 132 mothers with 6-12 months babies at Puskesmas Marga I Tabanan Regency from March-April 2016. The data was collected by interview about social-demographic characteristic, knowledge, perception, pregnancy and maternity counseling, early breastfeeding initiation, families support, medical assistant and exclusive breastfeeding. The data analyzed by univariate, bivariate, multivariate using STATA 12.1. Chi square applied in bivariate analysis and poison regression applied in multivariate analysis.Results: Proportion of respondents who exclusively breastfeed their babies for 6 months was 66.67%. Reasons for not exclusively breastfeed were not enough breastmilk (32.58%), no breastmilk (13.64%), families suggestion (8.33%), babies refused breastmilk (6.06%), health provider suggestion (2.27%) and to avoid the shape of the breast (1.52%). Multivariate analysis found that variables associated with the exclusive breastfeeding were parity (APR=1.50; 95%CI: 1.01-2.15), early breasfeeding initiation (APR=1.80; 95%CI: 1.13-2.90) and families support (APR=1.4; 95%CI: 1.10-1.76).Conclusion: Factors significantly associated with exclusive breastfeeding were parities less than 3, early breasfeeding initiation and families support.

Download Full-text

A prenatal group based phone counseling intervention to improve breastfeeding rates and complementary feeding: a randomized, controlled pilot and feasibility trial

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03976-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jennifer S. Cauble ◽

Amy Herman ◽

Jo Wick ◽

Jeannine Goetz ◽

Christine M. Daley ◽

...

Keyword(s):

Infant Feeding ◽

Exclusive Breastfeeding ◽

Feasibility Trial ◽

Breastfeeding Initiation ◽

Early Introduction ◽

Maternal Acceptance ◽

Counseling Intervention ◽

Randomized Controlled ◽

Phone Counseling ◽

Breastfeeding Rates

Abstract Background Despite numerous benefits for both mom and baby, few infants are exclusively breastfed for the recommended first six months. Additionally, infants are given solids too early. Prenatal education increases rates of breastfeeding initiation and we hypothesize it can also improve exclusive breastfeeding rates and prevent the early introduction of solids. We conducted a randomized controlled pilot and feasibility trial to understand the feasibility and maternal acceptance of a prenatal behavioral lifestyle intervention (PBLI) delivered via group based phone counseling (GBPC) and its effectiveness on rates of exclusive breastfeeding up to six months postpartum. Secondary aims included rates of any breastfeeding up to six months, rates of early introduction of solids, and infant feeding progression. Methods Forty-one pregnant women were recruited from a Kansas City Metropolitan Obstetrics and Gynecology office and randomly assigned to a usual care group or a PBLI. Women in the PBLI participated in six GBPC sessions where they learned about breastfeeding and introducing solids. Feeding questionnaires to assess breastfeeding and introduction of solids were sent at two weeks, two months, four months, and six months postpartum. Structured interviews were also conducted after the intervention and at six months postpartum to assess maternal acceptance and intervention feasibility. Results Participants overwhelmingly found the intervention acceptable and beneficial. Rates of exclusive breastfeeding and any breastfeeding did not differ between groups at any time point. No between group differences were found for early introduction of solids or infant feeding progression. Conclusions Mothers discontinue breastfeeding earlier than recommended despite high rates of initiation. A PBLI delivered via GBP is feasible, acceptable to participants, and showed positive impacts such as maternal empowerment for both breastfeeding and introducing solids. Future interventions should incorporate both prenatal and postpartum components. Trial registration Study protocols were approved by the University of Kansas Medical Center’s Human Subjects Committee (STUDY00140506) and registered at ClinicalTrials.gov on 02/22/2018 (NCT03442517, retrospectively registered). All participants gave written informed consent prior to data collection.

Download Full-text

Affect of Early Skin-to-Skin Mother–Infant Contact in the Maintenance of Exclusive Breastfeeding: Experience in a Health Department in Spain

Journal of Human Lactation ◽

10.1177/0890334416676469 ◽

2017 ◽

Vol 34 (2) ◽

pp. 304-312 ◽

Cited By ~ 5

Author(s):

Rafael Vila-Candel ◽

Kiri Duke ◽

F. Javier Soriano-Vidal ◽

Enrique Castro-Sánchez

Keyword(s):

Retrospective Study ◽

Exclusive Breastfeeding ◽

Health Department ◽

Breastfeeding Initiation ◽

Economic Factors ◽

Psychological Benefits ◽

Skin Contact ◽

Cesarean Births ◽

Breastfeeding Rates ◽

Skin To Skin

Background: Breastfeeding has been shown to result in extensive physical and psychological benefits for both the mother and the newborn. However, the rate and duration of exclusive breastfeeding (EBF) remains low worldwide. Mother–infant skin-to-skin contact (SSC) immediately after birth has demonstrated results that support the argument for breastfeeding continuation. Research aim: This study aimed to investigate the prevalence of EBF 3 months postpartum and the effect of early SSC in maintaining optimal EBF practices for mothers and their healthy newborns. Methods: We conducted an observational, retrospective study in Spain from 2013 to 2015. Pregnant women were interviewed immediately postpartum and again at 3 months postpartum regarding variables associated with breastfeeding initiation and continuation. Results: There were 1,071 women recruited. Early SSC was performed in 92% of vaginal births but only 57% of urgent cesarean births. Of women breastfeeding at discharge, 69.5% performed SSC with their newborn. We found that 68.6% of women were exclusively breastfeeding by discharge and 46.7% by 3 months postpartum. Type of feeding at discharge, country of origin, and parity were found to be associated with each other ( p = .003, p = .001, respectively). Early SSC was also significantly associated with type of feeding at discharge, 1 month, 2 months, and 3 months postpartum ( p < .001). Hypogalactia (19.8%) was the most frequently reported factor for breastfeeding discontinuation. Conclusion: Breastfeeding promotion interventions are likely to improve breastfeeding rates at 3 months postpartum. Social and economic factors should be taken into account when such programs are planned to be implemented.

Download Full-text

Breastfeeding Rates Among Singletons, Twins and Triplets in Japan: A Population-Based Study

Twin Research and Human Genetics ◽

10.1375/twin.9.2.298 ◽

2006 ◽

Vol 9 (2) ◽

pp. 298-302 ◽

Cited By ~ 17

Author(s):

Yoshie Yokoyama ◽

Saeko Wada ◽

Masako Sugimoto ◽

Mari Katayama ◽

Miyuki Saito ◽

...

Keyword(s):

Breast Feeding ◽

Exclusive Breastfeeding ◽

Odds Ratio ◽

Population Based ◽

Bottle Feeding ◽

Mixed Feeding ◽

Formula Milk ◽

Population Based Study ◽

Factors Associated ◽

Breastfeeding Rates

AbstractThis study was performed to determine the rates of breastfeeding among singletons, twins and triplets in Japan, and identify factors associated with the decision to breastfeed or bottle-feed. We analyzed a database of medical check-up of infants aged 3 to 6 months between April 2001 and July 2004 in Nishinomiya City in Japan. This medical check-up is given to almost 100% of infants in Japan and the data of 15,262 infants were analyzed. Among these, 14,963 (98.0%) were singletons, 290 (1.9%) were twins and 9 (0.1%) were triplets. Exclusive breast-feeding was chosen by 6680 (43.8%) mothers, mixed-feeding by 4645 (30.4%) mothers, and bottle-feeding with formula milk only by 3900 (25.6%) mothers. The rate of exclusive breastfeeding among twins or triplets was significantly lower than among singleton babies: 4.1% among twins or triplets, and 44.7% among singletons. Moreover, twins and triplets were independently associated with a higher rate of bottle-feeding: the odds ratio indicated that mothers who had twins or triplets were 2.44 times more likely to choose bottle-feeding with formula milk only than those who had singletons. Sucking ability at birth was associated with a higher rate of bottle-feeding: the odds ratio indicated that mothers who had infants with poor sucking ability at birth were 1.56 times more likely to choose bottle-feeding as those who had infants with normal sucking ability.

Download Full-text

Determinants of early breastfeeding initiation and exclusive breastfeeding in Colombia

Public Health Nutrition ◽

10.1017/s1368980019002180 ◽

2019 ◽

Vol 23 (3) ◽

pp. 496-505 ◽

Cited By ~ 1

Author(s):

Sheridan Finnie ◽

Rafael Peréz-Escamilla ◽

Gabriela Buccini

Keyword(s):

Risk Factors ◽

Exclusive Breastfeeding ◽

Pregnancy Intention ◽

Breastfeeding Initiation ◽

Modifiable Risk Factors ◽

Skilled Attendant ◽

Prelacteal Feeding ◽

Cross Sectional ◽

Factors Associated ◽

Nationally Representative

AbstractObjective:To identify modifiable risk factors associated with early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) in Colombia.Design:Cross-sectional study from the 2010 Colombia nationally representative Demographic Health Survey (DHS). Studied exposures were categorized into five hierarchical blocks of increasing proximity to the outcomes: household, maternal, health systems, child, and early feeding characteristics. The two outcomes examined were delayed breastfeeding initiation among infants <24 months and interruption of EBF among infants <6 months. Prevalence ratios were computed using Poisson regression analysis with robust error variance, adjusted for sampling weights, following a hierarchical modelling approach.Setting:Nationally representative cross-sectional survey from Colombia.Participants:The EIBF analytical sample included 6592 and the EBF sample 1512 women with young children.Results:EIBF prevalence was 65·6 % in children under 24 months and EBF was 43 % in infants under 6 months. Modifiable risk factors associated with delayed breastfeeding initiation were: C-section (PR = 2·08, CI 95 % = 1·92, 2·25), maternal overweight/obesity (PR = 1·09, CI 95 % = 1·01, 1·17), lack of skilled attendant at birth (PR = 1·09, CI 95 % = 1·01, 1·18). Modifiable risk factors for EBF interruption were C-section (PR = 1·12, CI 95 % = 1·02, 1·23) and prelacteal feeding (PR = 1·51, CI 95 % = 1·37, 1·68). Non-pregnancy intention was a protective factor for EBF interruption (PR = 0·82, CI 95 % = 0·72, 0·93).Conclusions:C-section, lack of skilled attendant at birth, prelacteal feeding, maternal nutritional status, and pregnancy intention were modifiable factors associated with suboptimal breastfeeding practices in Colombia.

Download Full-text

Breastfeeding in the first six months of life for babies seen by Lactation Consulting

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.3538.3412 ◽

2021 ◽

Vol 29 ◽

Author(s):

Bruna Alibio Moraes ◽

Juliana Karine Rodrigues Strada ◽

Vanessa Aparecida Gasparin ◽

Lilian Cordova do Espirito-Santo ◽

Helga Geremias Gouveia ◽

...

Keyword(s):

Survival Analysis ◽

Exclusive Breastfeeding ◽

Survival Curve ◽

Smoking During Pregnancy ◽

Factors Associated ◽

Initial Questionnaire ◽

Birth Data ◽

Breastfeeding Rates ◽

Professional Assistance

Objective: to identify breastfeeding patterns, survival of exclusive breastfeeding and factors associated with its interruption, in the first six months of life of babies seen by Lactation Consulting. Method: a prospective cohort, with 231 mother-babies in a Baby-Friendly Hospital. An initial questionnaire was applied after 24 hours of birth, after consulting, as well as a follow-up questionnaire, applied by telephone at 15, 30, 60, 120 and 180 days, with sociodemographic and obstetric variables, maternal habits, father’s schooling, birth data and baby feeding. Survival Analysis was carried out. Results: at 180 days of age, exclusive breastfeeding was 12.7% and the probability was 19.6% in the analysis of the survival curve. The factors associated with its interruption were smoking during pregnancy (HR 1.66; CI 1.05 - 2.61), age ≥ 35 years old (HR 1.73; CI 1.03 - 2.90), difficulty in breastfeeding after hospital discharge (HR 2.09; CI 1.29 - 3.41), search for professional assistance (HR 2.45; CI 1.69 - 3.54) and use of a pacifier (HR 1.76; IC 1.21 - 2.58). Conclusion: lactation consultancy contributed to the improvement of the exclusive breastfeeding rates, although there are opportunities for advances.

Download Full-text

Time trends and determinants of breastfeeding practices among adolescents and young women in Nigeria, 2003–2018

BMJ Global Health ◽

10.1136/bmjgh-2020-002516 ◽

2020 ◽

Vol 5 (8) ◽

pp. e002516

Author(s):

Lenka Benova ◽

Manahil Siddiqi ◽

Ibukun-Oluwa Omolade Abejirinde ◽

Okikiolu Badejo

Keyword(s):

Adolescent Mothers ◽

Young Women ◽

Exclusive Breastfeeding ◽

Maternal Age ◽

Age Groups ◽

Economic Benefits ◽

Demographic And Health Surveys ◽

Breastfeeding Initiation ◽

Age Group ◽

Breastfeeding Practices

IntroductionOptimal breastfeeding practices have far-reaching health and economic benefits. Evidence suggests disparities in breastfeeding practices by maternal age-groups, with younger mothers often having lower rates of breastfeeding initiation, continuation and exclusivity compared with older mothers. There is limited knowledge of trends and factors associated with breastfeeding practices, particularly among adolescent and younger mothers in Nigeria. We examine key breastfeeding practices in Nigeria over a 15-year period, comparing adolescent mothers to young women.MethodsWe used four Nigeria Demographic and Health Surveys collected between 2003 and 2018. We constructed six key breastfeeding indicators to cover the time period of breastfeeding from initiation to child age 24 months in women of three maternal age groups at the time of birth: young adolescents (<18 years), older adolescents (18–19.9 years) and young women (20–24.9 years). We used logistic regression to examine the association between maternal age group and select breastfeeding behaviours on the 2018 survey.ResultsAnalysis showed an increase in optimal breastfeeding practices across the four surveys and among all maternal age groups examined. Adolescent mothers had consistently lower prevalence for three of the six key breastfeeding indicators: early initiation of breastfeeding, exclusive breastfeeding <6 months and no prelacteal feed. Compared with young women, adolescent mothers had a higher prevalence of continued breastfeeding at 1 and 2 years. In multivariate analysis, we found that maternal age group was not associated with early breastfeeding initiation or with exclusive breastfeeding <6 months. However, several sociodemographic (ethnicity, region of residence) and healthcare-related (mode of delivery, antenatal care, postnatal breastfeeding counselling) factors were strongly associated with these two practices.ConclusionsIn Nigeria, there is need to better support breastfeeding and nutritional practices in adolescents and young women focusing on ethnic groups (Hausa, Fulani, Kanuri/Beriberi) and geographic regions (South East) that are lagging behind.

Download Full-text

Factors associated with exclusive breastfeeding practices in the commune of Sakété, southern Benin: a cross-sectional study

E3S Web of Conferences ◽

10.1051/e3sconf/202131901100 ◽

2021 ◽

Vol 319 ◽

pp. 01100

Author(s):

Waliou Amoussa Hounkpatin ◽

Sam Bodjrenou ◽

Maryline Baba-Ode ◽

Jaurès Lokonon ◽

Sosthene Vissoh ◽

...

Keyword(s):

Focus Groups ◽

Exclusive Breastfeeding ◽

Cross Sectional Study ◽

Breastfeeding Initiation ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Close Relatives ◽

Southern Benin

The purpose of this study was to determine the factors associated with exclusive breastfeeding (EBF) practices in community settings of southern Benin. We conducted a quantitative and qualitative cross-sectional study in Sakété commune. Six midwives and 100 breastfeeding women with at least one child under 6 months of age completed a semi-structured questionnaire. We also conducted focus groups with grandmothers. The quantitative data were analyzed with SPSS 20 using chi-square tests, Student's t-tests, and logistic regression. The data from the focus groups were analyzed thematically. The Information-Education-Communication (IEC) sessions on the EBF were conducted in all the visited maternity care facilities. Nonetheless, only 58% of breastfeeding mothers followed EBF practices, and most grandmothers did not follow EBF practices. Regression analysis identified that mothers who participated in IEC sessions focused on good infant feeding and nutrition practices and those seeking advice from close relatives were more likely to use EBF. The study revealed a low EBF rate and suggested that interventions could educate mothers and other household members on the importance of timely breastfeeding initiation in the study area.

Download Full-text

Factors Associated with Breastfeeding Initiation in Adolescent Mothers

The Journal of Pediatrics ◽

10.1016/j.jpeds.2013.06.027 ◽

2013 ◽

Vol 163 (5) ◽

pp. 1489-1494 ◽

Cited By ~ 18

Author(s):

Katherine Apostolakis-Kyrus ◽

Christina Valentine ◽

Emily DeFranco

Keyword(s):

Adolescent Mothers ◽

Breastfeeding Initiation ◽

Factors Associated

Download Full-text