scholarly journals Influence of Breastfeeding Promotion Package on Breastfeeding Practices among Women- A Cohort Study

2020 ◽  
Vol 5 (1) ◽  
pp. 1-8
Author(s):  
Ariff S ◽  
Tariq B ◽  
Sadiq K ◽  
Sikanderali L ◽  
Shaheen F ◽  
...  
Keyword(s):  
Cohort Study ◽  
Breastfeeding Promotion ◽  
Breastfeeding Practices

Influences of Cesarean Delivery on Breastfeeding Practices and Duration: A Prospective Cohort Study

2018 ◽  
Vol 34 (3) ◽  
pp. 526-534 ◽  
Author(s):  
Cheng Chen ◽  
Yan Yan ◽  
Xiao Gao ◽  
Shiting Xiang ◽  
Qiong He ◽  
...  
Keyword(s):  
Cohort Study ◽  
Regression Model ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prospective Cohort Study ◽  
Exclusive Breastfeeding ◽  
Prospective Cohort ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Practices

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.

scholarly journals Delayed Lactogenesis Is Associated with Suboptimal Breastfeeding Practices: A Prospective Cohort Study

2019 ◽  
Vol 150 (4) ◽  
pp. 894-900 ◽  
Author(s):  
Li Huang ◽  
Shangzhi Xu ◽  
Xi Chen ◽  
Qian Li ◽  
Lixia Lin ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Cox Regression ◽  
Normal Weight ◽  
Face To Face ◽  
Gestational Weight ◽  
Breastfeeding Practices ◽  
Suboptimal Breastfeeding ◽  
Adjusted Model

ABSTRACT Background Breastfeeding has many established health benefits to both babies and mothers. There is limited evidence on the association between delayed lactogenesis and breastfeeding practices. Objective We assessed the association between delayed lactogenesis and breastfeeding practices in women initiating breastfeeding. Design We used data from a prospective cohort study in Wuhan, China, which enrolled pregnant women at 8–16 weeks of gestation and followed up to postpartum. Women were included who had a singleton live birth, initiated breastfeeding, and provided information on infant feeding. Maternal lactogenesis status was assessed by face-to-face interview at day 4 postpartum. Breastfeeding practices (full breastfeeding and/or any breastfeeding) were queried by telephone interview at 3, 6, and 12 mo postpartum. Poisson regression and Cox regression were used to identify the association between delayed lactogenesis and breastfeeding practices. Results Delayed lactogenesis was reported by 17.9% of the 2877 participants. After adjusting for potential confounders, when compared with timely lactogenesis, delayed lactogenesis was significantly associated with higher risk of inability to sustain full breastfeeding at 3 mo postpartum (RR: 1.24, 95% CI: 1.10, 1.39) and 6 mo postpartum (RR: 1.14, 95% CI: 1.04, 1.24). Delayed lactogenesis was also significantly associated with early termination of any breastfeeding (HR: 1.15, 95% CI: 1.01, 1.30) in the adjusted model. In a combined analysis, women with higher gestational weight gain (GWG, ≥16 kg for underweight and normal weight, 15 kg for overweight/obesity) and who subsequently experienced delayed lactogenesis had the highest risk of ending any breastfeeding earlier (adjusted HR: 1.32, 95% CI: 1.11, 1.55) compared with those who gained less GWG and experienced timely lactogenesis. Conclusions This study shows that delayed lactogenesis was associated with low rate of full breastfeeding and shorter duration of any breastfeeding. Greater efforts to promote breastfeeding should be targeted towards women with delayed lactogenesis.

scholarly journals Delayed Onset of Lactogenesis Is Associated with Suboptimal Breastfeeding Practices in the TMCHC Study: A Prospective Cohort Study (OR30-05-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Li Huang ◽  
Xi Chen ◽  
Qian Li ◽  
Lixia Lin ◽  
Duan Gao ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cox Regression ◽  
Chinese Women ◽  
Basic Research ◽  
Delivery Mode ◽  
Face To Face ◽  
Delayed Onset ◽  
Funding Sources ◽  
Breastfeeding Practices ◽  
Suboptimal Breastfeeding

Abstract Objectives Whether delayed onset of lactogenesis (delayed OL) was linked to successful breastfeeding is unclear. We aimed to assess the association between delayed OL and breastfeeding practices in Chinese women. Methods Women form the TMCHC (Tongji Maternal and Child Health Cohort) study, who had OL assessment by face-to-face interview at day 4 postpartum and breastfeeding practices collected at 3, 6 and 12 months postpartum, were selected for the study. Poisson regression and Cox regression were used to identify the association between delayed OL and breastfeeding practices. Results Delayed OL was reported by 17.7% of the 2691 participants. After adjusting for maternal age, ethnicity, education, income, parity, pre-pregnancy BMI, GDM, gestational weight gain, gestational age, delivery mode, birth weight and breastfeeding information at day 1 postpartum, delayed OL was significantly associated with a higher risk of an inability to sustain full breastfeeding at 3 months postpartum (RR:1.31, 95% CI: 1.16, 1.48) and 6 months postpartum (RR:1.17, 95% CI: 1.07, 1.28), when compared with timely OL. Delayed OL was also significantly associated with early termination of any breastfeeding (HR:1.17, 95% CI: 1.01, 1.34) in adjusted model. Conclusions This study shows that women with delayed OL had a higher risk of suboptimal breastfeeding practices. Comprehensive efforts should be targeted towards women with delayed OL to promote breastfeeding. Funding Sources Funding was received from National Program on Basic Research Project of China (NO.2013FY114200) and the Fundamental Research Funds for the Central Universities (HUST2016YXZD040) for Nianhong Yang. Supporting Tables, Images and/or Graphs

scholarly journals Breastfeeding rates and duration in Germany: a Bavarian cohort study

2008 ◽  
Vol 99 (5) ◽  
pp. 1127-1132 ◽  
Author(s):  
Martina Kohlhuber ◽  
Barbara Rebhan ◽  
Ursula Schwegler ◽  
Berthold Koletzko ◽  
Hermann Fromme
Keyword(s):  
Cohort Study ◽  
Influencing Factor ◽  
Negative Attitude ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Promotion ◽  
Breastfeeding Rate ◽  
Lower Education ◽  
Breastfeeding Rates ◽  
Breastfeeding Problems

Breastfeeding is the recommended feeding for all healthy infants. The aim of our study was to assess the current state of breastfeeding prevalence, duration and behaviour in Bavaria, Germany as a basis for targeting breastfeeding promotion measures. The Bavarian Breastfeeding Study is a prospective cohort study of 3822 mothers who delivered in April 2005 in Bavaria, Germany. Breastfeeding duration and determinants such as socioeconomic status, attitudes towards breastfeeding, birth mode and breastfeeding problems were assessed by questionnaires 2–6 d after birth and 2, 4, 6, and 9 months after birth. The initial breastfeeding rate was 90 %. After 4 months 61 % still breastfed (any breastfeeding). In the multivariate analyses the main influencing factor reducing breastfeeding initiation was the partner's negative attitude towards breastfeeding (OR 21·79; 95 % CI 13·46, 35·27). No initial breastfeeding was also associated with lower education, maternal grandmother's negative attitude and pre-term birth. Protective factors were primary breastfeeding experience and information on breastfeeding before birth. Breastfeeding duration < 4 months was strongly associated with breastfeeding problems (OR 7·56; 95 % CI 6·21, 9·19), smoking, lower education, partner's negative attitude and Caesarean section. Since the attitude of family members is an important influencing factor on breastfeeding rates, breastfeeding promotion should also target the partners of pregnant women and the families of newborn infants. Public health interventions such as more effective support for the management of breastfeeding problems, especially in lower social status families, should be implemented and their effectiveness should be critically evaluated.

Caesarean delivery associated with adverse breastfeeding practices: a prospective cohort study

2019 ◽  
Vol 40 (5) ◽  
pp. 644-648 ◽  
Author(s):  
Phung Thi Hoang Nguyen ◽  
Colin W. Binns ◽  
Anh Vo Van Ha ◽  
Cong Luat Nguyen ◽  
Tan Khac Chu ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Caesarean Delivery ◽  
Breastfeeding Practices
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