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Matern Child Health J. 2018 May;22(5):725-734. doi: 10.1007/s10995-018-2441-1.

Social Factors Associated with Non-initiation and Cessation of Predominant Breastfeeding in a Mother-Child Cohort in Spain.

Author information

1
Health Research Institute, Biodonostia, San Sebastián, Spain.
2
Health Research Institute, Biodonostia, San Sebastián, Spain. ambien4ss-san@euskadi.eus.
3
Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain. ambien4ss-san@euskadi.eus.
4
Public Health Division of Gipuzkoa, Basque Government, Avenida Navarra No 4, 20013, San Sebastián, Gipuzkoa, Spain. ambien4ss-san@euskadi.eus.
5
Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain.
6
Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, Valencia, Spain.
7
Public Health Division of Gipuzkoa, Basque Government, Avenida Navarra No 4, 20013, San Sebastián, Gipuzkoa, Spain.
8
FISABIO, Valencia, Spain.
9
ISGlobal Center for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
10
Hospital del Mar Research Institute, Barcelona, Spain.
11
Research Unit, University Hospital Son Espases, Palma, Spain.
12
Departamento de Medicina, Universidad de Oviedo, Oviedo, Spain.

Abstract

Objective The aim of the study was to identify factors associated with non-initiation and cessation of predominant breastfeeding (PBF) in a mother-child cohort from Spain. Materials and Methods The analysis included 2195 mother-infant from birth to 14 months post- delivery recruited between 2004 and 2008. Maternal characteristics were collected during the pregnancy. Lactation data were obtained at 6 and 14 months after delivery. PBF was defined as intake of breast milk plus liquids like juices or water. The PBF cessation was calculated using the date that women started PBF and the date that she reported to start giving infant formula and/or food. The relationship between maternal variables and PBF initiation and cessation was modeled using logistic and Cox proportional hazards regression analysis. Results The prevalence of PBF at hospital discharge was 85.3, 53.4% at 3 months, 46.1% at 4 months and 7.2% at 6 month. Only two women continued PBF at 12 months and none at 14 months. The initiating of PBF was associated with higher levels of maternal education, being a first-time mother and worked in a non-manual occupation. Higher level of physical activity, not smoking and having a healthy BMI, were also positively associated with PBF initiation. PBF cessation was higher in young, obese women, who had had complications during the pregnancy, and who had lower levels of education and smoked. The employment status of women, in week 32 of pregnancy and also in month 14 post-delivery, determined likelihood of PBF cessation. Conclusions Healthier habits and education positively influenced PBF initiation and duration. Decrease in PBF duration rates in Spain can be interpreted in part as a consequence of women returning to work.

KEYWORDS:

Breastfeeding; Life style; Predominant breastfeeding; Socioeconomic factors

PMID:
29349652
DOI:
10.1007/s10995-018-2441-1
[Indexed for MEDLINE]

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