Maternal sociodemographic characteristics and the use of the Iowa Infant Attitude Feeding Scale to describe breastfeeding initiation and duration in a population of urban, Latina mothers: a prospective cohort study

Background: Mothers are encouraged to exclusively breastfeed for the first 6 months. However, cesarean delivery rates have increased worldwide, which may affect breastfeeding. Research aim: This study aimed to determine the potential effects of cesarean delivery on breastfeeding practices and breastfeeding duration. Methods: This was a 6-month cohort study extracted from a 24-month prospective cohort study of mother–infant pairs in three communities in Hunan, China. Data about participants’ characteristics, delivery methods, breastfeeding initiation, use of formula in the hospital, exclusive breastfeeding, and any breastfeeding were collected at 1, 3, and 6 months following each infant’s birth. The chi-square test, logistic regression model, and Cox proportional hazard regression model were used to examine the relationship between breastfeeding practices and cesarean delivery. Results: The number of women who had a cesarean delivery was 387 (40.6%), and 567 (59.4%) women had a vaginal delivery. The exclusive breastfeeding rates at 1, 3, and 6 months were 80.2%, 67.4%, and 21.5%, respectively. Women who had a cesarean delivery showed a lower rate of exclusive breastfeeding and any breastfeeding than those who had a vaginal delivery ( p < .05). In addition, cesarean delivery was related with using formula in the hospital and delayed breastfeeding initiation. Cesarean delivery also shortened the breastfeeding duration (hazard ratio = 1.40, 95% confidence interval [1.06, 1.84]). Conclusion: Healthcare professionals should provide more breastfeeding skills to women who have a cesarean delivery and warn mothers about the dangers of elective cesarean section for breastfeeding practices.

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Frequency and Determinants of Breastfeeding in Greece: A Prospective Cohort Study during the COVID-19 Pandemic

Children ◽

10.3390/children9010043 ◽

2022 ◽

Vol 9 (1) ◽

pp. 43

Author(s):

Maria Tigka ◽

Dimitra Metallinou ◽

Christina Nanou ◽

Zoi Iliodromiti ◽

Katerina Lykeridou

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Mode Of Delivery ◽

Maternity Hospital ◽

National Study ◽

Breastfeeding Initiation ◽

Maternity Hospitals ◽

Delivery Type ◽

Determinants Of Breastfeeding

Breastfeeding is considered to be the cornerstone of child health. In Europe however, overall breastfeeding rates remain low. The present study aimed at estimating the frequency of breastfeeding in Greece during the COVID-19 pandemic period and comparing findings with the latest national study in order to identify a potential impact of the pandemic. Additionally, possible correlations of socio-cultural and demographic characteristics with breastfeeding indicators were investigated. This prospective cohort study included 847 women from five tertiary maternity hospitals, between January and December 2020. Data were collected by a structured questionnaire via interview during hospitalization and via telephone in the first, third and sixth month postpartum. Results showed that all breastfeeding indicators improved over the last three years. Full breastfeeding reached 7.2%, contrary to 0.78% of the latest national study at six months postpartum. Employment, marital status, educational level, mode of delivery, type of maternity hospital, body mass index before pregnancy, previous breastfeeding experience of the mother and infant’s birth weight correlated significantly with breastfeeding indicators at different time periods. The COVID-19 pandemic seems to have favorably influenced breastfeeding initiation and duration in Greece due to lockdowns, home confinement and teleworking.

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INISIASI MENYUSU DINI MENJAGA KESTABILAN SUHU PADA BAYI BARU LAHIR

Media Ilmu Kesehatan ◽

10.30989/mik.v7i1.267 ◽

2018 ◽

Vol 7 (1) ◽

pp. 51-59

Author(s):

Nuli Nuryanti Zulala ◽

Mei Neni Sitaresmi ◽

Sulistyaningsih Sulistyaningsih

Keyword(s):

Cohort Study ◽

Neonatal Mortality ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Lower Risk ◽

Neonatal Death ◽

Breastfeeding Initiation ◽

Axillary Temperature ◽

Exclusion Criteria ◽

The Difference

Background: Hypothermia contributes 6.3% to neonatal mortality. Interventions to keep newborns warm can reduce neonatal mortality by 18-42%. Early Breastfeeding Initiation (EBI) is a simple intervention that reduces the risk of neonatal death. Objective: The aim of this study to determine the difference of axillary temperature of newborn between improper EBI group and proper EBI group for 24 hours. Methods: This prospective cohort study was conducted at Aisyiyah Muntilan Hospital. Sixty-two healthy newborns from healthy mothers born in November 2016 who meet the inclusion and exclusion criteria. Subjects were grouped in improper EBI groups (n=32) and proper EBI groups (n=32). Axila temperature measurements were performed at 1st minute, 30th minute, 60th minute, 6th hour, 12th hour, 24th hour. Results: The result of the hypotermic occurrence is more happened on improper EBI than proper EBI. EBI is able to prevent hypothermia during the first 24 hours of newborn life Conclussions: Infants with proper EBI have a lower risk of hypothermia.

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INISIASI MENYUSU DINI MENJAGA KESTABILAN SUHU PADA BAYI BARU LAHIR

Media Ilmu Kesehatan ◽

10.30989/mik.v7i1.222 ◽

2019 ◽

Vol 7 (1) ◽

pp. 51-59

Author(s):

Nuli Nuryanti Zulala ◽

Mei Neni Sitaresmi ◽

Sulistyaningsih

Keyword(s):

Cohort Study ◽

Neonatal Mortality ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Lower Risk ◽

Neonatal Death ◽

Breastfeeding Initiation ◽

Axillary Temperature ◽

Exclusion Criteria ◽

The Difference

Background: Hypothermia contributes 6.3% to neonatal mortality. Interventions to keep newborns warm can reduce neonatal mortality by 18-42%. Early Breastfeeding Initiation (EBI) is a simple intervention that reduces the risk of neonatal death. Objective: The aim of this study to determine the difference of axillary temperature of newborn between improper EBI group and proper EBI group for 24 hours. Methods: This prospective cohort study was conducted at Aisyiyah Muntilan Hospital. Sixty-two healthy newborns from healthy mothers born in November 2016 who meet the inclusion and exclusion criteria. Subjects were grouped in improper EBI groups (n=32) and proper EBI groups (n=32). Axila temperature measurements were performed at 1st minute, 30th minute, 60th minute, 6th hour, 12th hour, 24th hour. Results: The result of the hypotermic occurrence is more happened on improper EBI than proper EBI. EBI is able to prevent hypothermia during the first 24 hours of newborn life Conclussions: Infants with proper EBI have a lower risk of hypothermia. Keyword: Early Breastfeeding Initiation, Hypothermia, Newborn

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Common Breastfeeding Problems and Their Effect on The Continuation of Exclusive or Predominant Breastfeeding in Kinshasa

10.21203/rs.3.rs-36783/v1 ◽

2020 ◽

Author(s):

Pelagie Babakazo ◽

Marc Bosonkie ◽

Eric Mafuta ◽

Nono Mvuama ◽

Mala-Ali Mapatano

Keyword(s):

Cohort Study ◽

Breast Milk ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Sociodemographic Characteristics ◽

Milk Supply ◽

Lactating Mothers ◽

Exclusive Or ◽

Breastfeeding Problems

Abstract Background: Breastfeeding has numerous advantages for infant, mother and society. However, many mothers discontinue breastfeeding due to problems they encounter. This study aimed to identify problems commonly experienced by breastfeeding mothers during the first six months in Kinshasa and to determine their effect on the continuation of exclusive or predominant breastfeeding.Methods: A prospective cohort study was carried out in Kinshasa from October 2012 to July 2013. A total of 422 mother-infant couples were recruited shortly after being discharged from twelve maternity facilities in Kinshasa and followed-up for six months. Interviews were conducted at the mother’s house during the first week after birth, and thereafter at monthly intervals for six months. Data included mother’s sociodemographic characteristics, the breastfeeding problems she experienced and information on child’s feeding. The Cox Proportional Model was used to determine the effect of breastfeeding problems on the continuation of exclusive or predominant breastfeeding.Results: Cracked or sore nipples, insufficient production of milk and breast engorgement were the most commonly experienced problems by lactating mothers. The problems occurred mainly during the first week (17.1%; CI95% 13.7–21.1) and the rest of the first month (16.2%; CI95% 12.8–20.3). Experiencing breastfeeding problems during any period negatively affected the continuation of exclusive or predominant breastfeeding.Conclusions: The first month after birth presents the most risk for the occurrence of breastfeeding problems. Those problems negatively affect the course of breastfeeding. Mothers should be supported as soon as possible after delivery, to improve their breastfeeding performance and to be informed on how to maintain breast milk supply.

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