Declared Reasons for Cessation Breastfeeding During the First Year of Life: Multidisciplinary Analysis Based on a Cohort Study in Northern Spain

Background: It is clear that breastfeeding is the gold standard of infant feeding because of the many advantages it offers to both the child and the mother. Objective: to identity the main reasons for cessation breastfeeding declares by the mother themselves during the first year. Design: A prospective cohort study was conducted, recruiting 969 newborns in a third level hospital in Spain. The main maternal variables studied were: maternal age, parity, educational level, work occupation, smoking habit, gestational age, birth, weigh, feeding type, and duration of breastfeeding. All the participants were followed for a year to determinate the duration of breastfeeding and to know the reason of the abandonment. Results: At 6 months, the percentage of maternal lactation was cut in half and only 24.6% of these mothers maintain. Mainly 15.80% of the mothers decide to give up the exclusive maternal lactation of their own free desire, and 15.41% because they suspect hypogalactia. The work cause is the third reason of abandonment in both cases. Conclusions: Our results show the need to improve the health policies of promotion, protection and support the initiation of breastfeeding. In particular, our results show the importance of the work factor with particular emphasis on improving conciliation measures.

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Declared Reasons for Cessation of Breastfeeding during the First Year of Life: An Analysis Based on a Cohort Study in Northern Spain

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168414 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8414

Author(s):

Carolina Lechosa-Muñiz ◽

María Paz-Zulueta ◽

Joaquín Cayón-De las Cuevas ◽

Javier Llorca ◽

María Jesús Cabero-Pérez

Keyword(s):

Cohort Study ◽

Milk Production ◽

Smoking Habit ◽

University Hospital ◽

First Year ◽

Northern Spain ◽

Related Factors ◽

Work Related ◽

Duration Of Breastfeeding ◽

First Year Of Life

Background: Breastfeeding is the gold standard of infant feeding due to the many advantages it offers to both the child and the mother. Objective: To identity the main reasons for cessation of breastfeeding reported by mothers during the first year of life. Design: A prospective cohort study was conducted, recruiting 970 infants from a university hospital in Spain. The main maternal variables studied were maternal age, parity, educational level, work occupation, smoking habit, weeks of gestation at birth, birth weight, feeding type, and duration of breastfeeding. All participants were followed for one year to determinate the duration of breastfeeding and to gather reasons for abandoning breastfeeding. Results: At six months, the percentage of breastfeeding experienced a decline of 50%, and only 24.5% of these mothers maintained breastfeeding. Up to 15.8% of the mothers decided to give up exclusive breastfeeding by their own choice, whereas 15.4% did so because they suspected low milk production. Work-related causes represent the third reason of abandonment. Conclusions: Our results highlight the need to improve the health policies for the promotion, protection, and support for the initiation and maintenance of breastfeeding. In particular, our results highlight the importance of researching women’s low milk production and work-related factors, with particular emphasis on improving conciliation measures.

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Anthropometry at birth and at age of routine vaccination to predict mortality in the first year of life: A birth cohort study in BukinaFaso

PLoS ONE ◽

10.1371/journal.pone.0213523 ◽

2019 ◽

Vol 14 (3) ◽

pp. e0213523 ◽

Cited By ~ 8

Author(s):

Martha Mwangome ◽

Moses Ngari ◽

Paluku Bwahere ◽

Patrick Kabore ◽

Marie McGrath ◽

...

Keyword(s):

Cohort Study ◽

Birth Cohort ◽

Routine Vaccination ◽

Birth Cohort Study ◽

First Year ◽

First Year Of Life

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Breastfeeding and Infant Eczema in the First Year of Life in the KOALA Birth Cohort Study: A Risk Period-Specific Analysis

PEDIATRICS ◽

10.1542/peds.2006-0772 ◽

2007 ◽

Vol 119 (1) ◽

pp. e137-e141 ◽

Cited By ~ 22

Author(s):

B. E. P. Snijders ◽

C. Thijs ◽

I. Kummeling ◽

J. Penders ◽

P. A. van den Brandt

Keyword(s):

Cohort Study ◽

Birth Cohort ◽

Birth Cohort Study ◽

First Year ◽

Specific Analysis ◽

Risk Period ◽

First Year Of Life ◽

Infant Eczema

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Acid-suppressive medications in the first year of life and risk of childhood asthma: a population-based birth cohort study

European Respiratory Journal ◽

10.1183/13993003.00197-2020 ◽

2020 ◽

Vol 56 (5) ◽

pp. 2000197 ◽

Cited By ~ 1

Author(s):

Claudio Barbiellini Amidei ◽

Rosanna Comoretto ◽

Loris Zanier ◽

Daniele Donà ◽

Anna Cantarutti ◽

...

Keyword(s):

Cohort Study ◽

Birth Cohort ◽

Childhood Asthma ◽

Population Based ◽

Birth Cohort Study ◽

First Year ◽

First Year Of Life

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Clinical Features of Food Allergy During the First Year of Life: The ADAPAR Birth Cohort Study

PEDIATRICS ◽

10.1542/peds.2017-2475pp ◽

2017 ◽

Vol 140 (Supplement 3) ◽

pp. S196.1-S196

Author(s):

Angela Tsuang ◽

Julie Wang

Keyword(s):

Cohort Study ◽

Food Allergy ◽

Birth Cohort ◽

Clinical Features ◽

Birth Cohort Study ◽

First Year ◽

First Year Of Life

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Increased Burden of Respiratory Disease in the First Year of Life Due to Prenatal Ambient Air to Polycyclic Aromatic Hydrocarbons, Krakow Birth Cohort Study

Epidemiology ◽

10.1097/00001648-200611001-00208 ◽

2006 ◽

Vol 17 (Suppl) ◽

pp. S88

Author(s):

Wieslaw Jedrychowski

Keyword(s):

Cohort Study ◽

Polycyclic Aromatic Hydrocarbons ◽

Birth Cohort ◽

Respiratory Disease ◽

Aromatic Hydrocarbons ◽

Ambient Air ◽

Birth Cohort Study ◽

First Year ◽

Polycyclic Aromatic ◽

First Year Of Life

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Surveillance of vaccine-related adverse events in the first year of life: A Manitoba Cohort study

Journal of Clinical Epidemiology ◽

10.1016/0895-4356(95)00522-6 ◽

1996 ◽

Vol 49 (1) ◽

pp. 51-58 ◽

Cited By ~ 19

Author(s):

Janice D. Roberts ◽

Leslie L. Roos ◽

Linda A. Poffenroth ◽

Thomas H. Hossard ◽

Judith D. Bebchuk ◽

...

Keyword(s):

Cohort Study ◽

Adverse Events ◽

First Year ◽

First Year Of Life

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Longitudinal assessment of antibiotic resistance gene profiles from the infant gut microbiome

10.21203/rs.2.18486/v1 ◽

2019 ◽

Author(s):

Evelyn Loo ◽

Amanda Zain ◽

Gaik Chin Yap ◽

Rikky W Purbojati ◽

Daniela I Drautz-Moses ◽

...

Keyword(s):

Antibiotic Resistance ◽

Cohort Study ◽

Resistance Gene ◽

Resistance Genes ◽

Antibiotic Resistance Gene ◽

Antibiotic Resistance Genes ◽

Longitudinal Cohort Study ◽

First Year ◽

Beta Lactam ◽

First Year Of Life

Abstract Background: The rapid spread of multidrug- resistant pathogenic bacteria is a worldwide public health concern. Given the high carriage rate of extended spectrum beta-lactamase (ESBL)- producing Enterobacteriaceae in Asia, we aimed to evaluate community prevalence and dynamics by studying the longitudinal changes in antibiotic resistance gene (ARG) profiles and prevalence of ESBL-producing E coli and K. pneumoniae in the intestinal microbiome of infants participating in the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study, a longitudinal cohort study of pregnant women and their infants. Methods: We analysed the antibiotic resistance genes profile in the first year of life among 75 infants who had stool samples collected at multiple timepoints using metagenomics. Results: The mean number of ARGs per infant increased with age. The most common ARGs identified confer resistance to aminoglycoside, beta-lactam, macrolide and tetracycline antibiotics; all infants harboured these antibiotic resistance genes at some point in the first year of life. Few ARGs persisted throughout the first year of life. Beta-lactam resistant Escherichia coli and Klebsiella pneumoniae were detected in 4 (5.3%) and 32 (42.7%) of subjects respectively. Conclusion: In this longitudinal cohort study of healthy infants living in a region with high endemic antibacterial resistance, we demonstrate that majority of the infants harboured a number of antibiotic resistance genes in their gut and showed that the infant gut resistome is diverse and dynamic over the first year of life.

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Longitudinal assessment of antibiotic resistance gene profiles in gut microbiomes of infants at risk of eczema

10.21203/rs.2.18486/v2 ◽

2020 ◽

Author(s):

Evelyn Loo ◽

Amanda Zain ◽

Gaik Chin Yap ◽

Rikky W Purbojati ◽

Daniela I Drautz-Moses ◽

...

Keyword(s):

Antibiotic Resistance ◽

Cohort Study ◽

Resistance Genes ◽

Pathogenic Bacteria ◽

Antibiotic Resistance Gene ◽

Antibiotic Resistance Genes ◽

Multidrug Resistant ◽

First Year ◽

Beta Lactam ◽

First Year Of Life

Abstract Background While there is increasing knowledge about the gut microbiome, the factors influencing and the significance of the gut resistome are still not well understood. Infant gut commensals risk transferring multidrug-resistant antibiotic resistance genes (ARGs) to pathogenic bacteria. The rapid spread of multidrug-resistant pathogenic bacteria is a worldwide public health concern. Better understanding the naïve infant gut resistome may build the evidence base for antimicrobial stewardship in both humans and in the food industry. Given the high carriage rate of extended spectrum beta-lactamase (ESBL)- producing Enterobacteriaceae in Asia, we aimed to evaluate community prevalence, dynamics, and longitudinal changes in antibiotic resistance gene (ARG) profiles and prevalence of ESBL-producing .E coli and K. pneumoniae in the intestinal microbiome of infants participating in the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study, a longitudinal cohort study of pregnant women and their infants. Methods We analysed ARGs in the first year of life among 75 infants who had stool samples collected at multiple timepoints using metagenomics. Results The mean number of ARGs per infant increased with age. The most common ARGs identified confer resistance to aminoglycoside, beta-lactam, macrolide and tetracycline antibiotics; all infants harboured these antibiotic resistance genes at some point in the first year of life. Few ARGs persisted throughout the first year of life. Beta-lactam resistant Escherichia coli and Klebsiella pneumoniae were detected in 4 (5.3%) and 32 (42.7%) of subjects respectively. Conclusion In this longitudinal cohort study of infants living in a region with high endemic antibacterial resistance, we demonstrate that the majority of the infants harboured several antibiotic resistance genes in their gut and showed that the infant gut resistome is diverse and dynamic over the first year of life.

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