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

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

Geburtshilfe und Frauenheilkunde ◽

10.1055/a-0601-6873 ◽

2018 ◽

Vol 78 (06) ◽

pp. 596-604

Author(s):

Silke Brenne ◽

Jürgen Breckenkamp ◽

Theda Borde ◽

Matthias David ◽

Oliver Razum

Keyword(s):

Post Partum ◽

Systematic Investigation ◽

Migration Background ◽

Breastfeeding Duration ◽

Start Time ◽

Breastfeeding Intention ◽

One Year ◽

The One ◽

Duration Of Breastfeeding ◽

Adjusted Model

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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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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The Impact of Breastfeeding Duration on the Development of Normal Occlusal Features of the Primary Dentition among Baghdad Preschool Children

Journal of Baghdad College of Dentistry ◽

10.26477/jbcd.v30i4.2553 ◽

2018 ◽

Vol 30 (4) ◽

pp. 37-44

Author(s):

Munad J AL_Duliamy

Keyword(s):

Preschool Children ◽

Positive Impact ◽

Dental Health ◽

Primary Dentition ◽

Breastfeeding Duration ◽

Chi Square ◽

Second Molar ◽

Duration Of Breastfeeding ◽

Relationship Of ◽

The Impact

Background: Normal occlusal features of primary dentition are crucial for normal development of the permanent dentition. Breastfeeding is an important factor for both general and dental health of children. Aim: The aim of the present study is to assess the impact of the breastfeeding duration on the prevalence of normal occlusal features of the primary dentition among preschool children in Baghdad. Materials and Methods: The sample was 630 Iraqi children (270- boys, 360 girls), aged 3-5 years selected from four kindergartens in Baghdad city. The study was carried out through questionnaire and clinical examination. Normal occlusal features were examined as the presence or absence of interincisive spaces (IS) and primate spaces (PS), terminal relationship of the primary second molar that classified as: Flush terminal (FT), mesial step (MS) and distal step (DS). The presence or absence of ideal incisor overbite was also recorded. Data were statistically analyzed using SPSS (version 21). Chi square and z test were used in data analysis. Result:s A significant relation was present between the duration of breastfeeding and the presence of: primate and interincisive spaces, flush terminal plane, mesial terminal plane and ideal incisor overbite. Conclusion Breastfeeding duration has a positive impact on the development of normal occlusal features of the primary dentition. Efforts should be taken to enhance the knowledge of the community, especially the mothers, about this impact to encourage them to practice exclusive breastfeeding for more than 12 months.

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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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Evaluation of the effect of breastfeeding duration on child health

Kazan medical journal ◽

10.17816/kmj2019-578 ◽

2019 ◽

Vol 100 (4) ◽

pp. 578-582 ◽

Cited By ~ 1

Author(s):

V K Yur'ev ◽

K E Moiseeva ◽

A V Alekseeva ◽

Sh D Harbediya

Keyword(s):

Breast Milk ◽

Strong Correlation ◽

Subjective Assessment ◽

Children's Health ◽

Children’S Health ◽

Breastfeeding Duration ◽

First Year ◽

Healthy Children ◽

Duration Of Breastfeeding ◽

The Impact

Aim. To conduct an objective and subjective assessment of the impact of breastfeeding duration on children's health. Methods. For a subjective assessment, a survey with random sampling of 476 mothers of children under the age of 1 year was conducted. For an objective assessment of health, the copying of data from the form 112/u “Case history of child's development” was used. The representativeness of this sample was tested by the method of Professor A.M. Merkov, with the error not exceeding 4%. Results. The majority of women participating in the survey indicated that after discharge from the obstetric hospital, they continued breastfeeding for up to 3 months (21.8%) and up to 6 months (25.3%). The study revealed a statistically significant relationship between the subjective assessment of children's health and the duration of breastfeeding. The highest subjective health score was in children who received breast milk up to 6 and 12 months (4.2±0.09 and 4.3±0.07), the lowest — in children who were formula-fed (3.1±0.10). The performed analysis of the dependence of the proportion of healthy children on the duration of breastfeeding demonstrated the direct strong correlation between the indicators (rxy=0.88). The presence of an inverse strong correlation was established between the proportion of children with chronic diseases and the duration of breastfeeding (rxy=–0.88). In addition, the longer the period of feeding the baby with breast milk, the lower the incidence of acute diseases during the first year of life (rxy=–0.85). Conclusion. Assessment of the child's health, both subjective and objective, depends on the duration of breastfeeding; infants who are breastfed longer during the first year are less likely to get sick and generally have better health.

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Health, Lifestyle, and Psycho-Social Determinants of Poor Sleep Quality During the Early Phase of the COVID-19 Pandemic: A Focus on UK Older Adults Deemed Clinically Extremely Vulnerable

Frontiers in Public Health ◽

10.3389/fpubh.2021.753964 ◽

2021 ◽

Vol 9 ◽

Author(s):

Chinedu T. Udeh-Momoh ◽

Tamlyn Watermeyer ◽

Shireen Sindi ◽

Parthenia Giannakopoulou ◽

Catherine E. Robb ◽

...

Keyword(s):

Mental Health ◽

Older Adults ◽

Sleep Quality ◽

Negative Relationship ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Health Lifestyle ◽

Modifiable Factors ◽

Study Results ◽

The Impact

Background: Several studies have assessed the impact of COVID-19-related lockdowns on sleep quality across global populations. However, no study to date has specifically assessed at-risk populations, particularly those at highest risk of complications from coronavirus infection deemed “clinically-extremely-vulnerable-(COVID-19CEV)” (as defined by Public Health England).Methods: In this cross-sectional study, we surveyed 5,558 adults aged ≥50 years (of whom 523 met criteria for COVID-19CEV) during the first pandemic wave that resulted in a nationwide-lockdown (April–June 2020) with assessments of sleep quality (an adapted sleep scale that captured multiple sleep indices before and during the lockdown), health/medical, lifestyle, psychosocial and socio-demographic factors. We examined associations between these variables and sleep quality; and explored interactions of COVID-19CEV status with significant predictors of poor sleep, to identify potential moderating factors.Results: Thirty-seven percent of participants reported poor sleep quality which was associated with younger age, female sex and multimorbidity. Significant associations with poor sleep included health/medical factors: COVID-19CEV status, higher BMI, arthritis, pulmonary disease, and mental health disorders; and the following lifestyle and psychosocial factors: living alone, higher alcohol consumption, an unhealthy diet and higher depressive and anxiety symptoms. Moderators of the negative relationship between COVID-19CEV status and good sleep quality were marital status, loneliness, anxiety and diet. Within this subgroup, less anxious and less lonely males, as well as females with healthier diets, reported better sleep.Conclusions: Sleep quality in older adults was compromised during the sudden unprecedented nation-wide lockdown due to distinct modifiable factors. An important contribution of our study is the assessment of a “clinically-extremely-vulnerable” population and the sex differences identified within this group. Male and female older adults deemed COVID-19CEV may benefit from targeted mental health and dietary interventions, respectively. This work extends the available evidence on the notable impact of lack of social interactions during the COVID-19 pandemic on sleep, and provides recommendations toward areas for future work, including research into vulnerability factors impacting sleep disruption and COVID-19-related complications. Study results may inform tailored interventions targeted at modifiable risk factors to promote optimal sleep; additionally, providing empirical data to support health policy development in this area.

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A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

Scientific Reports ◽

10.1038/s41598-021-04338-w ◽

2022 ◽

Vol 12 (1) ◽

Author(s):

C. Franco-Antonio ◽

E. Santano-Mogena ◽

S. Chimento-Díaz ◽

P. Sánchez-García ◽

S. Cordovilla-Guardia

Keyword(s):

Postpartum Depression ◽

Positive Impact ◽

Intervention Group ◽

Depression Scale ◽

Breastfeeding Duration ◽

Control Group ◽

Motivational Intervention ◽

Brief Motivational Intervention ◽

Duration Of Breastfeeding ◽

The Impact

AbstractPostpartum depression (PPD) is the most frequent psychiatric complication during the postnatal period. According to existing evidence, an association exists between the development of PPD and the maintenance of breastfeeding. A brief motivational intervention (bMI), based on the motivational interview, seems effective in promoting breastfeeding. The objective of this study was to analyse the impact of a bMI aiming to promote breastfeeding on the development of PPD and explore the mediating/moderating roles of breastfeeding and breastfeeding self-efficacy in the effect of the intervention on developing PPD. Eighty-eight women who gave birth by vaginal delivery and started breastfeeding during the immediate postpartum period were randomly assigned to the intervention group (bMI) or control group (breastfeeding education). Randomisation by minimisation was carried out. The breastfeeding duration was longer in the intervention group (11.06 (± 2.94) weeks vs 9.02 (± 4.44), p = 0.013). The bMI was associated with a lower score on the Edinburgh Postnatal Depression Scale, with a regression β coefficient of − 2.12 (95% CI − 3.82; − 0.41). A part of this effect was mediated by the effect of the intervention on the duration of breastfeeding (mediation/moderation index β = − 0.57 (95% CI − 1.30; − 0.04)). These findings suggest that a bMI aiming to promote breastfeeding has a positive impact preventing PPD mainly due to its effectiveness in increasing the duration of breastfeeding.

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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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