Adequacy of Milk Intake During Exclusive Breastfeeding: A Longitudinal Study

PEDIATRICS ◽  
2011 ◽  
Vol 128 (4) ◽  
pp. peds.2011-0914d-peds.2011-0914d
Keyword(s):  
Longitudinal Study ◽  
Exclusive Breastfeeding ◽  
Milk Intake

Adequacy of Milk Intake During Exclusive Breastfeeding: A Longitudinal Study

PEDIATRICS ◽  
2011 ◽  
Vol 128 (4) ◽  
pp. e907-e914 ◽  
Author(s):  
S. B. Nielsen ◽  
J. J. Reilly ◽  
M. S. Fewtrell ◽  
S. Eaton ◽  
J. Grinham ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Exclusive Breastfeeding ◽  
Milk Intake

Duration of exclusive breastfeeding and wheezing in the first year of life: A longitudinal study

2017 ◽  
Vol 45 (4) ◽  
pp. 316-324 ◽  
Author(s):  
Elvira Verduci ◽  
Giuseppe Banderali ◽  
Diego Peroni ◽  
Carlotta Lassandro ◽  
Giovanni Radaelli
Keyword(s):  
Longitudinal Study ◽  
Exclusive Breastfeeding ◽  
First Year ◽  
First Year Of Life

scholarly journals Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 298
Author(s):  
Esmeralda Santacruz-Salas ◽  
Antonio Segura-Fragoso ◽  
Ana Isabel Cobo-Cuenca ◽  
Juan Manuel Carmona-Torres ◽  
Diana P. Pozuelo-Carrascosa ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Exclusive Breastfeeding ◽  
Psychological Factors ◽  
Odds Ratio ◽  
Previous Experience ◽  
Clinical Variables ◽  
Factors Associated

The commencement and maintenance of exclusive breastfeeding (EB) are dependent on several mother–infant factors. To analyse the prevalence of EB during four different periods and to analyse the factors that can affect its maintenance, we performed a prospective, observational, longitudinal study of 236 mothers and their child between 37 and 42 weeks of gestation and weighing more than 2.5 kg. Four interviews were conducted (T1: on discharge, T2: at 15 days, T3: at one month, T4: at three months). The results showed that EB decreased considerably at three months (69.5% vs. 47.46%). The factors that reduced the risk of abandonment were as following: having decided before giving birth that one wants to offer breastfeeding (T2: odds ratio (OR): 0.02, p = 0.001), T3 (OR: 0.04, p = 0.001) and T4 (OR: 0.07, p = 0.01)) and having previous experience with EB (T2 (OR: 0.36, p = 0.01), T3 (OR: 0.42 p = 0.02) and T4 (OR: 0.51, p = 0.03)). The factors that increased the risk of EB abandonment were offering feeding bottles in the hospital (T2 (OR: 11. 06, p = 0.001); T3 (OR: 5.51, p = 0.001) and T4 (OR: 4.43, p = 0.001)) and thinking that the infant is not satisfied (T2 (OR: 2.39, p = 0.01) and T3 (OR: 2.34, p = 0.01)). In conclusion, the abandonment of EB in the first three months is associated with sociodemographic and clinical variables and psychological factors such as insecurity and doubts of the mother during the process and the absence of a favourable close environment.

scholarly journals Stress response after breastfeeding and breastfeeding self-efficacy as modifiable predictors of exclusive breastfeeding at 3 months postpartum: a longitudinal study

2020 ◽  
Author(s):  
Mie Shiraishi ◽  
Masayo Matsuzaki ◽  
Shoko Kurihara ◽  
Maki Iwamoto ◽  
Mieko Shimada
Keyword(s):  
Longitudinal Study ◽  
Stress Responses ◽  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Care Center ◽  
Multiple Logistic Regression Analysis ◽  
Secondary Analysis ◽  
Biological Marker ◽  
Psychosocial Variables ◽  
Modifiable Factors

Abstract Background: Only 50% of mothers in Japan exclusively breastfeed their infants during the postpartum period. To increase this rate, we aimed to examine modifiable factors at 1 month postpartum related to exclusive breastfeeding at 3 months postpartum by focusing on breastfeeding-related and psychosocial variables. Methods: This prospective cohort study was a secondary analysis of a longitudinal study, which was conducted in a secondary medical care center in Osaka, Japan from 2017 to 2018. Demographic variables, infant feeding modality, breastfeeding-related variables, and psychosocial variables were obtained using questionnaires at 1 month postpartum. Daytime salivary cortisol levels before and after breastfeeding at 1 month postpartum were measured as a biological marker for stress responses associated with breastfeeding. Each infant’s feeding modality was re-assessed at 3 months postpartum. A multiple logistic regression analysis was performed to examine the factors affecting exclusive breastfeeding at 3 months postpartum. Results: Of the 104 participants, 61 reported exclusive breastfeeding at 3 months postpartum. The following factors significantly affected exclusive breastfeeding at 3 months postpartum: multipara (adjusted odds ratio, 95% confidence interval: 11.128, 2.078–59.594), having a university degree (5.246, 1.037–26.526), no plan to return to work by 6 months postpartum (0.021, 0.001–0.460), exclusive breastfeeding at 1 month postpartum (42.841, 6.047–303.515), higher breastfeeding self-efficacy scale score at 1 month postpartum (1.070, 1.004–1.139), and lower cortisol level after breastfeeding at 1 month postpartum (0.000, 0.000–0.020). Conclusions: Stress levels after breastfeeding and breastfeeding self-efficacy were identified as modifiable factors related to subsequent exclusive breastfeeding. Healthcare professionals need to develop effective approaches to reducing breastfeeding-related stress and improving breastfeeding self-efficacy to help women fulfill their antenatal breastfeeding intentions and increase exclusive breastfeeding practices.

Which Australian Women Do Not Exclusively Breastfeed to 6 Months, and why?

2020 ◽  
pp. 089033442092999 ◽  
Author(s):  
Katrina M. Moss ◽  
Annette J. Dobson ◽  
Leigh Tooth ◽  
Gita D. Mishra
Keyword(s):  
Longitudinal Study ◽  
Exclusive Breastfeeding ◽  
Feeding Practices ◽  
Descriptive Statistics ◽  
Health Study ◽  
Breastfeeding Support ◽  
Demographic Profiles ◽  
Multivariable Regression ◽  
Lower Education ◽  
Insufficient Milk

Background Rates of exclusive breastfeeding in Australia lag behind international targets. Reasons for non-exclusive breastfeeding are poorly understood. Research aims To describe demographic profiles of participants reporting different feeding practices, and reasons for not exclusively breastfeeding to 6 months. Methods Demographics for 2888 mothers (5340 children) and reasons for 1879 mothers (3018 children) from the Mothers and Their Children’s Health Study (a sub-study of the Australian Longitudinal Study on Women’s Health) were examined using descriptive statistics and multivariable regression. Results Only 34.4% of children were exclusively breastfed to 6 months. Five non-exclusive feeding practices were identified: never breastfed (3.9%), breastfed < 6 months (20.8%), and breastfed to 6 months but had formula (6.8%), solids (24.5%), or both formula and solids (9.7%). Mothers of children who received < 6 months of human milk were more likely to have a lower education, be overweight/obese, smoke, and live in cities (compared to mothers of children exclusively breastfed). Reasons for never breastfeeding and for breastfeeding < 6 months were primarily insufficient milk and breastfeeding difficulties (e.g., latching issues). Reasons for introducing solids were primarily cues for solids (e.g., showing interest). Reasons for formula were insufficient milk and practical considerations (e.g., return to work). Reasons for both solids and formula were diverse, including insufficient milk, weaning cues, and practical considerations. Conclusions Mothers who did not exclusively breastfeed to 6 months were a heterogeneous group, indicating that both targeted and universal strategies are required to increase rates of exclusive breastfeeding. Support should encompass the broad range of feeding practices.

scholarly journals Is exclusive breastfeeding an option or a necessity in Africa? A pooled study using the deuterium oxide dose-to-mother technique

2020 ◽  
Author(s):  
Helen Mulol ◽  
Anna Coutsoudis ◽  
Waliou Amoussa Hounkpatin ◽  
Elisaphinate Urio ◽  
Philomène Kenguela Wabolou ◽  
...  
Keyword(s):  
Human Milk ◽  
Exclusive Breastfeeding ◽  
Deuterium Oxide ◽  
Oral Intake ◽  
World Health Organisation ◽  
Economic Benefits ◽  
Milk Intake ◽  
World Health ◽  
Country Level ◽  
Maternal Recall

Given the valuable health, development, and economic benefits of human milk exclusive breastfeeding (EBF) is recommended by the World Health Organisation for the first six months of an infant’s life. Many resource-limited regions in Africa do not line-up with these recommendations therefore EBF promotion efforts on the continent need to be scaled up and monitored. This study explores the human milk intake volumes of 5 countries (Benin, Central African Republic, Morocco, South Africa and Tanzania) both at country level and in a pooled sample at 3 months (n= 355) and at 6 months (n=193). Mean human milk intake volumes in the pooled samples were 697.6 g/day at 3 months and 714.9 g/day at 6 months. EBF was determined both by maternal recall as well as using the deuterium oxide dose-to-mother technique using two different cut-offs of non-milk oral intake. Comparison of these results showed substantial over-reporting of EBF by maternal recall, which suggests that actual rates of EBF are even lower than reported thus highlighting the importance of scaling-up EBF promotion strategies.

scholarly journals Women’s Mental Health as a Factor Associated with Exclusive Breastfeeding and Breastfeeding Duration: Data from a Longitudinal Study in Greece

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 150
Author(s):  
Maria Dagla ◽  
Irina Mrvoljak-Theodoropoulou ◽  
Despoina Karagianni ◽  
Calliope Dagla ◽  
Dimitra Sotiropoulou ◽  
...  
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Exclusive Breastfeeding ◽  
Maternal Mental Health ◽  
Negative Relationship ◽  
Depression Scale ◽  
Well Being ◽  
Perinatal Period ◽  
Breastfeeding Duration ◽  
Patient Health

Background: This study investigated the relationship between exclusive breastfeeding and breastfeeding duration, and maternal psychological well-being in the perinatal period. Methods: A longitudinal study involving a retrospective follow-up of a group of 1080 women from pregnancy to the 1st year postpartum, who gave birth during the 5-year period between January 2014 and January 2019 in Athens, Greece, was designed. Women’s history and two psychometric tools—the Edinburg Postpartum Depression Scale (EPDS) and the Patient Health Questionnaire-9 (PHQ-9) administered at 5-time points—were used for data collection. Logistic regression analysis and a series of multiple analysis of variance (MANOVA) tests were performed. Results: The chance for exclusive breastfeeding (giving only breast milk) appeared to decrease (a) with an increase of the scores for psychometric tools antenatally (PHQ-9, p = 0.030) or at the 6th week postpartum (EPDS, p < 0.001 and PHQ-9, p < 0.001), (b) with an increase in the number of psychotherapeutic sessions needed antenatally (p = 0.030), and (c) when the initiation of psychotherapy was necessary postpartum (p = 0.002). Additionally, a shorter duration of any breastfeeding (with or without formula or other types of food/drink) seems to be associated with (a) the occurrence of pathological mental health symptoms (p = 0.029), (b) increased PHQ-9 scores antenatally (p = 0.018), (c) increased EPDS scores at the 6th week (p = 0.004) and the 12th month postpartum (p = 0.031), (d) the initiation of psychotherapy postpartum (p = 0.040), and e) the need for more than 13 psychotherapeutic sessions (p = 0.020). Conclusions: This study demonstrates a negative relationship between exclusive breastfeeding and breastfeeding duration, and poor maternal mental health in the perinatal period.

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