Breastfeeding at 1, 3 and 6 Months after Birth according to the Mode of Birth: A Correlation Study

Background: Breastfeeding is a determinant of child and maternal health. However, evidence is limited on how mode of birth influences breastfeeding. Research aim: To examine the mode of birth and breastfeeding duration and the type of lactation at one, three and six months after birth in XXX, during 2017. Methods: Correlation study on breastfeeding duration and type of lactation during the six months after birth, and mode of birth, in a randomised sample. Women ≥18 years of age with term singleton infants, were included. Collected data through interviews and hospital records. Pearson’s and Spearman’s correlation analyses were conducted. SPSSv21 and α = 0.05 were used. Results: Breastfeeding duration was shorter in women with greater parity (−0.055 **) (p < 0.01) and epidural analgesia (0.057 **) (p < 0.01), and longer in mothers with episiotomy (−0.267 **) (p < 0.01). Episiotomy was associated with breastfeeding at one month (0.112 **) (p < 0.01), and at six months (0.347 *) (p < 0.01). The prevalence of breastfeeding was lower in women who received epidural analgesia at three months (−0.140 **) (p < 0.01) and higher at six months (0.013 **) (p < 0.01). The percentages of breastfeeding at three months were significantly greater in women with no perineal tears (2.1) (p < 0.05). At six months, small rates of breastfeeding were found in women with greater parity (0.051 **) (p < 0.01). No significant association was detected, neither between the type of lactation and the mode of birth, nor between breastfeeding duration and the mode of birth. Conclusions: Epidural analgesia, episiotomy, perineal tears and parity influence the type of lactation and duration of breastfeeding during the six months after birth. The results suggest no association between the type of lactation and the mode of birth or between breastfeeding duration and the mode of birth.

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Links between Community Poverty and Child and Maternal Health in Peru

Korean Journal of Sociology ◽

10.21562/kjs.2016.12.50.6.51 ◽

2016 ◽

Vol 50 (6) ◽

pp. 51

Author(s):

Heeju Shin

Keyword(s):

Maternal Health ◽

Child And Maternal Health ◽

Community Poverty

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Structural adjustment programmes adversely affect vulnerable populations: a systematic-narrative review of their effect on child and maternal health

Public Health Reviews ◽

10.1186/s40985-017-0059-2 ◽

2017 ◽

Vol 38 (1) ◽

Cited By ~ 16

Author(s):

Michael Thomson ◽

Alexander Kentikelenis ◽

Thomas Stubbs

Keyword(s):

Maternal Health ◽

Vulnerable Populations ◽

Structural Adjustment ◽

Narrative Review ◽

Child And Maternal Health ◽

Structural Adjustment Programmes

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P10 Realist review linking political exposures to child and maternal health outcomes

10.1136/jech-2021-ssmabstracts.100 ◽

2021 ◽

Author(s):

Maxwell Barnish ◽

Si Ying Tan ◽

Araz Taeihagh ◽

Michelle Tørnes ◽

Rebecca Nelson-Horne ◽

...

Keyword(s):

Maternal Health ◽

Health Outcomes ◽

Realist Review ◽

Maternal Health Outcomes ◽

Child And Maternal Health

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Illicit financial flows and the provision of child and maternal health services in low- and middle-income countries

BMC International Health and Human Rights ◽

10.1186/s12914-020-00236-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Bienvenido Ortega ◽

Jesús Sanjuán ◽

Antonio Casquero

Keyword(s):

Maternal Health ◽

Health Services ◽

Maternal Health Services ◽

Middle Income ◽

Financial Flows ◽

Middle Income Countries ◽

Illicit Financial Flows ◽

Child And Maternal Health ◽

Low And Middle Income

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Epigenome-Wide Association Study Reveals Duration of Breastfeeding Is Associated with Epigenetic Differences in Children

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17103569 ◽

2020 ◽

Vol 17 (10) ◽

pp. 3569

Author(s):

William B. Sherwood ◽

Dilini M. Kothalawala ◽

Latha Kadalayil ◽

Susan Ewart ◽

Hongmei Zhang ◽

...

Keyword(s):

Association Study ◽

Exclusive Breastfeeding ◽

Breastfeeding Duration ◽

Future Health ◽

Feeding Method ◽

False Discovery ◽

Genome Wide ◽

Duration Of Breastfeeding ◽

Robust Linear Regression

Several small studies have shown associations between breastfeeding and genome-wide DNA methylation (DNAm). We performed a comprehensive Epigenome-Wide Association Study (EWAS) to identify associations between breastfeeding and DNAm patterns in childhood. We analysed DNAm data from the Isle of Wight Birth Cohort at birth, 10, 18 and 26 years. The feeding method was categorized as breastfeeding duration >3 months and >6 months, and exclusive breastfeeding duration >3 months. EWASs using robust linear regression were performed to identify differentially methylated positions (DMPs) in breastfed and non-breastfed children at age 10 (false discovery rate of 5%). Differentially methylated regions (DMRs) were identified using comb-p. The persistence of significant associations was evaluated in neonates and individuals at 18 and 26 years. Two DMPs, in genes SNX25 and LINC00840, were significantly associated with breastfeeding duration >6 months at 10 years and was replicated for >3 months of exclusive breastfeeding. Additionally, a significant DMR spanning the gene FDFT1 was identified in 10-year-old children who were exposed to a breastfeeding duration >3 months. None of these signals persisted to 18 or 26 years. This study lends further support for a suggestive role of DNAm in the known benefits of breastfeeding on a child’s future health.

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Longer shared parental leave is associated with longer duration of breastfeeding: a cross-sectional study among Swedish mothers and their partners

BMC Pediatrics ◽

10.1186/s12887-020-02065-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Maria Grandahl ◽

Jenny Stern ◽

Eva-Lotta Funkquist

Keyword(s):

Linear Regression ◽

Parental Leave ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

Vaginal Birth ◽

Breastfeeding Duration ◽

Multivariate Linear Regression Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Duration Of Breastfeeding

Abstract Background Breastfeeding is associated with health benefits for both the mother and infant and is therefore important to support; moreover, parental leave is a beneficial factor for breastfeeding. The Swedish parental leave is generous, allowing each parent to take 90 days; additionally, a further 300 days can be taken by either parent. Generally, mothers take 70% of the parental leave days, mainly during the first year. However, breastfeeding duration has declined in the last decade, and it is not known how shared parental leave is associated with the duration of breastfeeding. Aim To investigate how parental leave is associated with the duration of exclusive and partial breastfeeding of the infant during the first 12 months after birth. An additional aim was to describe infants’ and parents’ characteristics and mode of birth in association with the duration of exclusive and partial breastfeeding. Methods This cross-sectional study was part of the Swedish Pregnancy Planning Study, conducted in Sweden in 2012–2015. The parents were recruited at 153 antenatal clinics in nine counties. In total, 813 couples completed a follow-up questionnaire 1 year after birth. Linear regression models were used to analyse the association between parental leave and the duration of breastfeeding. Results Infants were exclusively breastfed for, on average, 2.5 months (range 0–12 months) and partially breastfed, on average, 7 months (range 0–12 months). Most of the parental leave was taken by the mother (mean = 10.9 months) during the infant’s first 12 months, while the partner took 3 months, on average. The parental leave (used and planned) during the infant’s first 24 months were, on average, 21 months. In the multivariate linear regression analysis, mothers’ and partners’ high level of education (p < 0.001, p = 0.044, respectively), mothers’ higher age (p = 0.049), non-instrumental vaginal birth (p = 0.004) and longer parental leave for the first 24 months (p < 0.001) were associated with longer duration of partial breastfeeding. Conclusion The duration of partial breastfeeding was associated with higher parental educational level, higher age, non-instrumental vaginal birth and longer parental leave.

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Breastfeeding and maternal cardiovascular risk factors: 1982 Pelotas Birth Cohort

Scientific Reports ◽

10.1038/s41598-019-49576-1 ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 1

Author(s):

Natália P. Lima ◽

Diego G. Bassani ◽

Elma Izze S. Magalhães ◽

Fernando C. Barros ◽

Bernardo L. Horta

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Cardiometabolic Risk ◽

Pulse Wave ◽

Breastfeeding Duration ◽

Clear Trend ◽

Confounding Variables ◽

Duration Of Breastfeeding ◽

Unadjusted Analysis

Abstract This study evaluated the association of breastfeeding duration with maternal metabolic cardiovascular risk factors among women who have been prospectively followed since birth in a southern Brazilian city. In the unadjusted analysis, total cholesterol was higher among women who never breastfed in relation to those who breastfed ≥12 months. Among women with one livebirth, a shorter duration of breastfeeding was associated with lower HDL, while those with two or more livebirths and that breastfed for shorter time presented lower pulse wave velocity, glycaemia and non-HDL measures. After controlling for confounding variables, the magnitude of these associations decreased, and the confidence intervals included the reference. Concerning the duration of breastfeeding of the last child, the analysis was stratified by time since last birth. After controlling for confounders, systolic blood pressure was lower among women who breastfed 3 to <6 months and had a child within the last five years in relation to those who breastfed ≥6, but no clear trend was observed (p = 0.17). In conclusion, our findings suggest that there is no association between lactation and maternal cardiometabolic risk factors.

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