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J Obstet Gynecol Neonatal Nurs. 2006 Jan-Feb;35(1):87-97.

The relationship between vulnerability factors and breastfeeding outcome.

Author information

1
Perinatal Partnership Program of Eastern and Southeastern Ontario, Ottawa, Canada. sdunn@pppeso.on.ca

Abstract

OBJECTIVE:

To determine whether vulnerability factors (confidence with breastfeeding, postpartum depression, supplementation, and perceived adequacy of support) are associated with breastfeeding outcome at 6 weeks postpartum after controlling for age and education.

DESIGN:

Secondary analysis of a cross-sectional telephone survey at 6 weeks postpartum.

SETTING:

Ottawa-Carleton, Ontario, Canada.

PARTICIPANTS:

A proportionate, consecutive sample of breastfeeding women from each of four hospitals in the region (526/554, 95% response rate).

METHODS:

Stratified bivariate analyses were used to examine the relationship between each factor and breastfeeding outcome. Multivariate logistic regression analyses examined relationships between all factors and breastfeeding outcome.

RESULTS:

In the logistic regression analyses, confidence with breastfeeding (odds ratio: 1.85, 95% confidence interval: 1.50-2.27, p < .001) and postpartum depression (odds ratio: 0.28, 95% confidence interval: 0.11-0.71, p= .007) were related to breastfeeding after controlling for age and education.

CONCLUSIONS:

Support for breastfeeding should include assessment of maternal confidence with breastfeeding and postpartum depression. Evaluation of intervention strategies to address these vulnerability factors is a priority.

[Indexed for MEDLINE]

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