scholarly journals Factors Associated With Breastfeeding Duration

Medicina ◽  
2013 ◽  
Vol 49 (9) ◽  
pp. 65
Author(s):  
Giedra Levinienė ◽  
Eglė Tamulevičienė ◽  
Jolanta Kudzytė ◽  
Aušra Petrauskienė ◽  
Apolinaras Zaborskis ◽  
...  

Background and Objective. The assessment of the factors associated with breastfeeding duration helps in creation of a national policy according to the World Health Organization strategy and recommendations. The objective of the study was to identify the factors associated with breastfeeding duration. Material and Methods. These analyses are based on a sample of mothers with babies attending one family health center in Kaunas, Lithuania. Completed questionnaires were obtained from 195 mothers (response rate, 97.5%). One year later, the same respondents, who had 1-year-old children, answered questions of the second questionnaire. Results. Half (53.8%) of the surveyed women breastfed for 3–5 months, 29.7% for 6 months and more, and 16.5% of the respondents breastfed for less than 3 months. The oldest (31–40 years) women breastfed their babies significantly longer than the youngest (<20 years) mothers. The mothers with a higher education breastfed their babies significantly longer than the less educated mothers. The married women breastfed longer than single or living with a partner. The mothers who did not give extra fluids and pacifiers breastfed significantly longer than the women who gave them. The majority of the mothers who had sore nipples, milk stasis, and mastitis breastfed for only up to 3 months. Conclusions. Mothers at risk of short breastfeeding duration should be targeted as a group for breastfeeding promotion early in the pregnancy. The education of healthcare professionals who provide prenatal and postnatal care allows them to choose women who need additional breastfeeding support.

2022 ◽  
Vol 40 ◽  
Author(s):  
Patrícia de Lima Lemos ◽  
Gilmar Jorge de Oliveira Júnior ◽  
Nidyanara Francine Castanheira de Souza ◽  
Izadora Martins da Silva ◽  
Izabella Paes Gonçalves de Paula ◽  
...  

Abstract Objective: To analyze factors associated with the incomplete timely vaccination schedule up to 12 months of age, in children born in 2015, in the municipality of Rondonópolis, Mato Grosso. Methods: Population survey, August/2017 to February/2018, which used the method proposed by the World Health Organization to collect information about routine vaccination. For analysis of the associated factors, the recommendations of the National Immunization Program of the Ministry of Health were considered. Univariate analysis was performed, and the factors associated with p<0.20 entered in the multiple analysis, with hierarchical entry of individual variables and contextual indicator of concentration of the income extremes. Results: The incomplete timely vaccination schedule up to 12 months was 82.03% (95%CI 78.41–86.63). In the final model, the following remained independently associated: having one or more siblings at home (OR 3.18; 95%CI 1.75–5.76) and not receiving a visit from a community health worker in the last 30 days (OR 1.93; 95%CI 1.04–3.57). Conclusions: It is necessary to implement an active search for children with vaccination delay in relation to the recommended interval for each vaccine, in addition to the need to strengthen the link of the family health strategy and child caregivers.


2020 ◽  
Vol 49 (4) ◽  
pp. 75-82
Author(s):  
Milena Maričić ◽  
Snežana Radovanović ◽  
Ivan Gavrilović ◽  
Ivana Jevtović-Obradović ◽  
Samir Khouitar ◽  
...  

The World Health Organization defines health literacy as cognitive and social skills and the capacity to access, understand and use information in a way that promotes and protects human health. People who have higher levels of health literacy are more responsible for their health, family health and the health of their community. Healthcare professionals and researchers, as well as health policy makers, have recognized the need to focus on health literacy as a possible factor in reducing health disparities. However, the precise nature of the relationship between health literacy and the factors that determine it, is still rather unclear.


2016 ◽  
Vol 33 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Arpit R. Mehta ◽  
Sigamani Panneer ◽  
Suparna Ghosh-Jerath ◽  
Elizabeth F. Racine

Background: Extended breastfeeding duration is common in India. Extended breastfeeding protects the infant from infectious disease and promotes child spacing. In the 1990s, the median breastfeeding duration in India was 24 months. Research aim: This study aimed to investigate the median duration of breastfeeding in India and to identify the factors associated with extended breastfeeding to 24 months as recommended by the World Health Organization. Methods: This cross-sectional data analysis used nationally representative data from the 2011–2012 Indian Human Development Survey II. The outcome in this study was extended breastfeeding defined as breastfeeding to 24 months or more. Multivariate logistic regression was used to identify the factors associated with extended breastfeeding. Results: The median duration of breastfeeding was 12 months; approximately 25% of women breastfed 24 months or more. Women were at greater odds of breastfeeding 24 months or more if the infant was a boy compared with a girl, if the women lived in a rural area compared with an urban area, if the women were married at a young age (< 17 vs. 20 years or older at marriage), and if the delivery was assisted by a friend or relative compared with a doctor. Conclusion: The median duration of breastfeeding has decreased by 50% from 1992–1993 to 2011–2012. The women who continue to breastfeed 24 months or more tend to be more traditional (i.e., living in rural areas, marrying young, and having family/friends as birth attendants). Further research to study the health effect of decreased breastfeeding duration is warranted.


2016 ◽  
Vol 4 (1) ◽  
pp. 26 ◽  
Author(s):  
Maged Yassin ◽  
Mohanad Taha ◽  
Samar Abu Jamiea

Wasting contributes to morbidity and mortality for children under 5 years of age particularly in the developing countries. This study identified the various risk factors associated with wasting among children aged 6 to 24 months old in Gaza Strip. The study sample consisted of 98 wasted children and 98 control children. A questionnaire interview was used. The World Health Organization Anthro software for assessing nutritional status of the world's children was applied. Data were computer analyzed using SPSS/PC statistical package version 21. Anthropometric data showed that birth weight was significantly lower in cases than controls (2.9±0.8 versus 3.1±0.6 kg, P=0.030). Weight and height were also significantly decreased in cases (P=0.000). Wasting was significantly higher among children of less educated mothers (χ2=8.110, P=0.044) and among children of less family income (OR=4.1, P=0.000). Children not received nutritional help or donation had more frequent wasting than those did (P=0.004). Wasting was significantly higher among non-exclusively breastfed children (OR=2.1, P=0.010) and among children who breastfed ≤12 months (P=0.021). Early introduction of complementary food increased wasting by 2.8 times (OR=2.8, P=0.001). Children with poor appetite had highest frequency of wasting (χ2=6.139, P=0.046). Wasting was significantly higher in respiratory and gastrointestinal tract infected children [OR=2.9, P=0.000 and OR=3.1, P=0.000, respectively). In conclusion, less income, not receive nutritional help or donation, non-exclusive breastfeeding and breastfeeding duration of ≤12 months, early start of complementary food and respiratory and gastrointestinal infections are the predicted risk factors of wasting among children in Gaza Strip.


2020 ◽  
Author(s):  
Tanja Rozek Mitrovic ◽  
Vesna Petrović ◽  
Danilo Višnjevac

Abstract Background: Breastfeeding and human milk are ideal and the normative standards for infant feeding and nutrition up to 6 months. The Decree on the National Breastfeeding Support Program in Serbia set the goals, as World Health Organization, baby to 6 months of age has exclusive breastfeeding for 50-60% of infants.Method: This cohort study retrospectively uses data routinely collected during health visits to the child, completing the survey by the mother who gave birth between 1. January 2013 and 31. December 2017. The study was carried out in a pediatric practice dispensary located in Indjija, suburban area in Serbia. In this study, 1089 surveys were processed . The objective of this study was to assess the prevalence of breastfeeding and recognize factors that affect breastfeeding duration.Results: The results of this study show that 27.82% of newborns breastfeeding within the first hour after birth and within the first 6h 69.59% of the newborn. Never-breastfed infants are 5.78%. Breastfeed babies up to 4 months were 61%, up to 6. months were 53.7%, and a year and longer 28.55% of infants. Factors affecting the rate breastfeeding and breastfeeding duration with statistical significance are hour of first breastfeeding, by mother: age, level of education, marital status, parity, type delivery, and by the baby: gender, year of birth, gestational age, birth weight.Conclusions: Breastfeeding prevalence and dreastfeeding duration in suburban area in Serbia shows an increasing trend with each successive generation. The Baby Friendly Hospital Initiatives still need to be implemented, in the breastfeeding support program more to include patronage and pediatric nursing, promote prepartum pregnant counseling, developmental counseling, prevention of preterm birth. A complex of nutritional, environmental, socioeconomic, psychological as well as genetic interactions establish a massive list of benefits of breastfeeding to the health outcomes of the breastfed infant and to the breastfeeding mother.


Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 983 ◽  
Author(s):  
Amal Nasser ◽  
Fadumo Omer ◽  
Fatima Al-Lenqawi ◽  
Rehab Al-awwa ◽  
Tamam Khan ◽  
...  

The number of babies in Qatar being exclusively breastfed is significantly lower than the global target set by the World Health Organization. The purpose of this study was to assess knowledge, attitude, and practice (KAP), selected barriers, and professional support as well as their association with continued breastfeeding at one year of age. A sample of Qatari and non-Qatari mothers (N = 195) who attended a well-baby clinic held at primary health care centers in Qatar completed a self-administered questionnaire. Descriptive analysis, the Pearson Chi-squared test, and logistic regression were performed. Around 42% of the mothers stopped breastfeeding when their child was aged between 0 and 11 months old. Mothers who had only one or female child stopped breastfeeding between the ages of 0 and 6 months (p = 0.025, 0.059). The more optimal the breastfeeding practices followed by the mothers, the older the age of the infant when they stopped breastfeeding (p = 0.001). The following factors were inversely associated with breastfeeding duration: the mother’s perceptions that she “did not know how to breastfeed,” or “wasn’t making enough milk,” and the need “to return to work/school”, with p = 0.022, 0.004, and 0.022, respectively. These findings present factors that should be considered when planning for health education and promotion programs to prolong breastfeeding duration in Qatar.


2020 ◽  
pp. 20-25
Author(s):  
Denise Sackett ◽  
Tala Dajani ◽  
David Shoup ◽  
Uzoma Ikonne

The benefits of breastfeeding are well established. The World Health Organization and the Centers for Disease Control and Prevention recommend that mothers breastfeed infants for at least one year, but most children are not breastfed that long because of many factors. Breastfeeding mothers face many challenges to continued breastfeeding, including medical conditions that arise during this period, such as postpartum depression and lactational mastitis. Because of a perceived lack of consistent guidance on medication safety, it can be difficult for the family physician to treat these conditions while encouraging mothers to continue breastfeeding. The purpose of the current review is to summarize and clarify treatment options for the osteopathic family physician treating lactating mothers. We specifically focus on the pharmacological management of contraception, postpartum depression, and lactational mastitis.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Coca ◽  
Davi Casale Aragon ◽  
...  

Abstract Background The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations. Results The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment’s health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.


Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 195
Author(s):  
Emma Woolley ◽  
Shirley Wyver

The World Health Organization (WHO) recommends exclusive breastfeeding for six months and continuation of breastfeeding for up to two years. Formal child care has an important role in supporting breastfeeding, as many Australian infants commence care before two years of age. Currently, little is known about support or barriers in child care contexts. The present qualitative instrumental case study explores practices which protect, promote and support breastfeeding at a child care centre located in the Australian Capital Territory’s outer suburbs. Extending from a previously published collective case study, a cultural-institutional focus of analysis was used to explore the roles of proximity, flexibility and communication in supporting breastfeeding within a child care centre located close to an infant’s home. Interviews with centre staff and mothers, triangulated with observations of the centre environment and policy documents provide insight into the environment. Affirming the roles of flexibility in routine and staff rostering and two-way communication, findings suggest longer-term benefits may be derived from selecting a child care centre close to an infant’s home, provided mothers can overcome barriers to breastmilk expression in the workplace. The study recognises the role of non-lactating caregivers in the transition to formal child care, and of the support culture for educators who breastfeed. This study extends the knowledge base of breastfeeding support interventions in the child care setting to inform future research and policy.


Author(s):  
Grigoris Gerotziafas ◽  
Mariella Catalano ◽  
Ioannis Theodorou ◽  
Patrick van Dreden ◽  
Vincent Marechal ◽  
...  

One year after the declaration of the COVID-19 pandemic by the World Health Organization (WHO) and despite the implementation of mandatory physical barriers and social distancing, humanity remains challenged by a long-lasting and devastating public health crisis. Non-pharmacological interventions (NPI) are efficient mitigation strategies. The success of these intense NPI is dependent on the approval and commitment of the population. The launch of a mass vaccination program in many countries in late December 2020 with mRNA vaccines, adenovirus-based vaccines, and inactivated virus vaccines has generated hope for the end of the pandemic. Current issues: The continuous appearance of new pathogenic viral strains and the ability of vaccines to prevent infection and transmission raise important concerns as we try to achieve community immunity against SARS-CoV-2 and its variants. The need of a second and even third generation of vaccines and the possibility of potentially harmful side-effects of the vaccines (i.e. venous thromboembolism ) have already been acknowledged. Perspectives: There is a critical and urgent need for a balanced and integrated strategy for the management of the COVID-19 outbreaks organized on three axes: (1) Prevention of the SARS-CoV-2 infection, (2) Detection and early diagnosis of patients at risk of disease worsening, and (3) Anticipation of medical care (PDA). Conclusion: The “PDA strategy” integrated into state policy for the support and expansion of health systems and introduction of digital organization (i.e. telemedicine, artificial intelligence and machine learning technology) is of major importance for the preservation of citizens’ health and life world-wide.


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