Predictors of Breastfeeding Duration among Women in Kuwait: Results of 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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Effect of Secondary Cigarette Smoke from Household Members on Breastfeeding Duration: A Prospective Cohort Study

Breastfeeding Medicine ◽

10.1089/bfm.2018.0024 ◽

2018 ◽

Vol 13 (6) ◽

pp. 412-417 ◽

Cited By ~ 2

Author(s):

Kris Y.W. Lok ◽

Man Ping Wang ◽

Vincci H. S. Chan ◽

Marie Tarrant

Keyword(s):

Cohort Study ◽

Cigarette Smoke ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Breastfeeding Duration ◽

Household Members

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Low-Level Prenatal Toxin Exposures and Breastfeeding Duration: A Prospective Cohort Study

Maternal and Child Health Journal ◽

10.1007/s10995-017-2346-4 ◽

2017 ◽

Vol 21 (12) ◽

pp. 2245-2255 ◽

Cited By ~ 6

Author(s):

Casey B. Rosen-Carole ◽

Peggy Auinger ◽

Cynthia R. Howard ◽

Elizabeth A. Brownell ◽

Bruce P. Lanphear

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Breastfeeding Duration ◽

Low Level

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The Association between Early Childhood and Later Childhood Sugar-Containing Beverage Intake: A Prospective Cohort Study

Nutrients ◽

10.3390/nu11102338 ◽

2019 ◽

Vol 11 (10) ◽

pp. 2338 ◽

Cited By ~ 1

Author(s):

Ziesmann ◽

Kiflen ◽

Rubeis ◽

Smith ◽

Maguire on behalf of the TARGet Kids collaboration ◽

...

Keyword(s):

Early Childhood ◽

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Early Life ◽

Fruit Juice ◽

Strong Predictor ◽

Daily Intake ◽

Breastfeeding Duration ◽

Care Practice

Sugar-containing beverages (SCBs) are a major source of sugar intake in children. Early life intake of SCBs may be a strong predictor of SCB intake later in life. The primary objective of this study was to evaluate if SCB intake (defined as 100% fruit juice, soda, and sweetened drinks) in early childhood (≤2.5 years of age) was associated with SCB intake in later childhood (5–9 years of age). A prospective cohort study was conducted using data from the TARGet Kids! primary care practice network (n = 999). Typical daily SCB intake was measured by parent-completed questionnaires. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using logistic regression. A total of 43% of children consumed ≥0.5 cups/day of SCBs at ≤2.5 years and this increased to 64% by 5–9 years. Daily SCB intake, compared to no daily intake, at ≤2.5 years was significantly associated with SCB intake at 5–9 years (adjusted OR: 4.03; 95% CI: 2.92–5.55) and this association was much stronger for soda/sweetened drinks (adjusted OR: 12.83; 95% CI: 4.98, 33.0) than 100% fruit juice (OR: 3.61; 95% CI: 2.63–4.95). Other early life risk factors for SCB intake at 5–9 years were presence of older siblings, low household income, and shorter breastfeeding duration. Daily intake of SCBs in early childhood was strongly associated with greater SCB intake in later childhood. Early life may be an important period to target for population prevention strategies.

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Time since migration and breastfeeding duration among mainland Chinese immigrant women: a two-phase prospective cohort study

The Lancet ◽

10.1016/s0140-6736(16)31985-7 ◽

2016 ◽

Vol 388 ◽

pp. S58

Author(s):

Kris Y W Lok ◽

Dorothy L Bai ◽

Noel PT Chan ◽

Janet YH Wong ◽

Marie Tarrant

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Immigrant Women ◽

Breastfeeding Duration ◽

Chinese Immigrant ◽

Two Phase ◽

Mainland Chinese ◽

Chinese Immigrant Women

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Duration of breastfeeding, age at introduction of complementary foods and allergy-related diseases: a prospective cohort study

International Breastfeeding Journal ◽

10.1186/s13006-020-00352-2 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Louise Ekelund ◽

Inga Gloppen ◽

Torbjørn Øien ◽

Melanie Rae Simpson

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Sensitivity Analyses ◽

Breastfeeding Duration ◽

Reverse Causality ◽

Complementary Foods ◽

Duration Of Breastfeeding ◽

Reduced Risk ◽

Prevention Of Allergy

Abstract Background The influences of breastfeeding and infant diet in the prevention of allergy-related diseases are uncertain and many of the studies conducted on the topic are limited by methodological challenges. Our aim was to assess whether the duration of breastfeeding and age at complementary food introduction affected the prevalence of asthma, wheeze, allergic rhinoconjunctivitis (ARC) and eczema at two and six years of age. Methods We used information gathered between 2000 and 2014 through questionnaires in the Prevention of Allergy among Children in Trondheim (PACT) study, a prospective cohort study in Trondheim, Norway. The current study includes 6802 children who submitted questionnaires detailing breastfeeding duration and or age at introduction to complementary foods, as well as at least one of the child health questionnaires completed at two and six years of age. Adjusted odds ratios (aORs) were calculated for each combination of exposure and outcomes and sensitivity analyses were performed to assess the possible influence of recall bias and reverse causality. Results The mean duration of breastfeeding was 11 months (SD 5.6) in this study population and 5695 of 6796 (84%) infants had been breastfed for at least 6 months. We did not find any conclusive preventative effect of longer breastfeeding on parental reported doctor-diagnosed asthma, aOR 0.79 (95% CI 0.51, 1.21). However, at 6 years of age we observed a reduction in the less strictly defined outcome wheeze, aOR 0.71 (95% CI 0.53, 0.95). Longer breastfeeding was associated with a reduced risk of ARC at 2 years, aOR 0.65 (95% CI 0.49, 0.86), with a continued protective trend at 6 years, aOR 0.77 (95% CI 0.58, 1.04). Conclusions Longer breastfeeding resulted in a reduced risk of wheeze and a trend towards a protective effect on ARC up until school age. No conclusive associations were seen between the duration of breastfeeding or age at introduction to complementary foods and prevention of asthma, wheeze, ARC and eczema. Trial registration The trial is registered in Current Controlled Trials as ISRCTN28090297.

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