Academic literature on the topic 'Breastfeeding duration rate'
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Journal articles on the topic "Breastfeeding duration rate"
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Orefice, Valeria, Fulvia Ceccarelli, Carmelo Pirone, Paola Galoppi, Francesca Romana Spinelli, Cristiano Alessandri, Roberto Brunelli, Giuseppina Perrone, and Fabrizio Conti. "Breastfeeding in women affected by systemic lupus erythematosus: Rate, duration and associated factors." Lupus 30, no. 6 (February 20, 2021): 913–20. http://dx.doi.org/10.1177/0961203321995263.
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Objective Breastfeeding is a crucial moment for both mothers and child, providing a beneficial effect on child survival, nutrition, development and on maternal health. Despite the prevalent involvement of childbearing women in systemic lupus erythematosus (SLE), breastfeeding is still a neglected topic. The objective of this study was to evaluate breastfeeding frequency, duration and associated factors in SLE women. Methods We consecutively enrolled SLE pregnant women reporting demographic, clinical, serological, gynaecological and obstetric data. Breastfeeding experience was evaluated by using a specific questionnaire. Disease activity was assessed before and during pregnancy as well as during postpartum. Results A total of 57 pregnancies in 43 SLE women were included in the present study. In almost all the pregnancies, mothers planned to breastfeed their child (96.5%) and forty-one (71.9%) actually did breastfeed. The median time of breastfeeding was 3 months (IQR 7). Non-breastfeeding women showed a more frequent caesarean section (p = 0.0001), IUGR occurrence (p = 0.004) and disease relapse (p = 0.0001) after pregnancy. When comparing patients according with breastfeeding duration (cut-off 6 months), we found a significant more frequent smoking habitus (p = 0.02), caesarean section (p = 0.009), and joint involvement during postpartum (p = 0.0001) in women breastfeeding for less than or equal to 6 months, together with higher median BMI (p = 0.0001). Moreover, breastfeeding duration was positively associated with disease duration and hydroxychloroquine (HCQ) treatment during disease history, pregnancy and postpartum. Conclusions SLE women didn’t show lower breastfeeding rate in comparison with general population but they presented higher prevalence of early discontinuation within three months. Early interruption was positively associated with smoking, BMI, joint involvement; meanwhile disease duration and HCQ treatment during postpartum were positively associated with a longer breastfeeding duration.
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Ersen, Gamze, Ismail Kasim, Ezgi Agadayi, Aybuke Demir Alsancak, Tijen Sengezer, and Adem Ozkara. "Factors Affecting the Behavior and Duration of Breastfeeding Among Physician Mothers." Journal of Human Lactation 36, no. 3 (January 2, 2020): 471–77. http://dx.doi.org/10.1177/0890334419892257.
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Background Increasing breastfeeding duration may help physician mothers better counsel their patients. To improve the breastfeeding duration of physician mothers, the factors that may influence their breastfeeding duration should be known. Research Aim To investigate the breastfeeding behavior and duration among physician mothers and to determine the factors that influence breastfeeding practices. Methods This was an online prospective cross-sectional self-report survey. A 26-item author-created data-collecting tool inquiring sociodemographic and work characteristics, medical history of delivery, and breastfeeding history was sent to female physicians who had infants between 12 and 60 months of age via an online social group, “Physician Mothers,” with 11,632 members. Participants ( N = 615) responded, and descriptive statistics were analyzed. Results Participants’ mean duration of exclusive breastfeeding was 4.8 months ( SD = 1.9). The total breastfeeding length was a mean 15.8 months ( SD = 7.6). The rate of breastfeeding duration for at least 24 months was 17.8% ( n = 75). The most common reason for weaning from breastfeeding was workplace-related conditions (23.6%, n = 145). Participants reported that the mean time of resuming night shifts after delivery was 8.6 months ( SD = 4.7). The rate of participants who were unable to use their breastfeeding leave rights partially or completely was 43.6% ( n = 268). Conclusion Although legislation is in place to allow working mothers to breastfeed their infants, these legal rights were not used properly. Physician mothers should be fully supported in using their breastfeeding leave rights, and workplace conditions should be improved to enable physician mothers to breastfeed their infants for extended periods.
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Levinienė, Giedra, Eglė Tamulevičienė, Jolanta Kudzytė, Aušra Petrauskienė, Apolinaras Zaborskis, Indrė Aželienė, and Liutauras Labanauskas. "Factors Associated With Breastfeeding Duration." Medicina 49, no. 9 (October 5, 2013): 65. http://dx.doi.org/10.3390/medicina49090065.
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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.
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Okunade, Albert, Ahmad Reshad Osmani, Toluwalope Ayangbayi, and Adeyinka Kevin Okunade. "Children’s Health Capital Investment: Effects of U.S. Infant Breastfeeding on Teenage Obesity." Econometrics 9, no. 4 (November 29, 2021): 42. http://dx.doi.org/10.3390/econometrics9040042.
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Obesity, as a health and social problem with rising prevalence and soaring economic cost, is increasingly drawing scholarly and public policy attention. While many studies have suggested that infant breastfeeding protects against childhood obesity, empirical evidence on this causal relationship is fragile. Using the health capital development theory, this study exploited multiple data sources from the U.S. and a three-way error components model (ECM) with a jackknife resampling plan to estimate the effect of in-hospital breastfeeding initiation and breastfeeding for durations of 3, 6, and 12 months on the prevalence of obesity during teenage years. The main finding was that a 1% rise in the in-hospital breastfeeding initiation rate reduces the teenage obesity prevalence rate by 1.7% (9.6% of a standard deviation). The magnitude of this effect declines as the infant breastfeeding duration lengthens—e.g., the 12-month infant breastfeeding duration rate is associated with a 0.53% (3.7% of a standard deviation) reduction in obesity prevalence in the teenage years (9th to 12th grades). The study findings agree with both the behavioral and physiological theories on the long-term effects of breastfeeding, and have timely implications for public policies promoting infant breastfeeding to reduce the economic burden of teenage and later adult-stage obesity prevalence rates.
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Léger-Leblanc, Gisèle, and France M. Rioux. "Effect of a Prenatal Nutritional Intervention Program On Initiation and Duration of Breastfeeding." Canadian Journal of Dietetic Practice and Research 69, no. 2 (July 2008): 101–5. http://dx.doi.org/10.3148/69.2.2008.101.
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Purpose: To evaluate initiation and duration of breastfeeding of infants born to mothers who participated in the Early Childhood Initiative (ECI) program. Factors affecting the initiation and the early cessation of breastfeeding were also explored. Methods: Twenty-five pregnant women participating in the ECI program completed this prospective study. At 36 weeks’ gestation, a questionnaire was administered to assess socioeconomic status, intention to breastfeed and breastfeeding experience. When the infants were three and six months of age, feeding practices were assessed with a questionnaire. Results: The breastfeeding initiation rate was 62.5%. At one and three months postpartum, exclusive breastfeeding rates were 39% and 4%, respectively. At six months, none of the women was exclusively breastfeeding. Primiparity, prenatal classes, having been breastfed and intention to breastfeed at 36 weeks’ gestation were positively associated with breastfeeding initiation. Father’s education, intention to breastfeed at 36 weeks’ gestation, no water or formula given to the infant during hospitalization and higher maternal hemoglobin level at 36 weeks’ gestation were positively associated with the duration of breastfeeding. Conclusions: The rate of initiation and duration of breastfeeding for ECI participants were low. To achieve successful interventions, it is important to target modifiable factors known to influence the initiation and duration of breastfeeding within this population.
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Bai, Yeon, Shahla M. Wunderlich, and Rickie Kashdan. "Alternative Hospital Gift Bags and Breastfeeding Exclusivity." ISRN Nutrition 2013 (June 27, 2013): 1–7. http://dx.doi.org/10.5402/2013/560810.
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The type of gift bags given to new mothers at the time of discharge from the hospital can influence their confidence in breastfeeding. Most hospitals in the US continue to distribute commercial gift bags containing formula samples despite the reported negative influence of commercial bags on the duration of breastfeeding. This study compared breastfeeding outcomes in women receiving three different kinds of gift bags at discharge. A prospective intervention study was conducted during 2009-2010 in New Jersey. Three breastfeeding cohorts were recruited and assigned to three groups: COMMERCIAL received discharge bags containing formula samples, BF-INFO received breastfeeding information and supplies, and PUMP received breastfeeding information/supplies plus a manual breast pump. Follow-up contacts were at 2, 4, and 12 postpartum weeks to determine breastfeeding outcome. The mean durations of exclusive (EBF) and partial breastfeeding were compared between groups using ANOVA. A total of 386 participants completed the study. The mean EBF duration (weeks) in the PUMP (, ) and BF-INFO (, ) were significantly longer () than COMMERCIAL (, ). The rate of EBF through 12 weeks in PUMP was most consistent. The mean duration of partial breastfeeding showed similar results: significantly longer in PUMP and BF-INFO than COMMERCIAL ().
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Kohlhuber, Martina, Barbara Rebhan, Ursula Schwegler, Berthold Koletzko, and Hermann Fromme. "Breastfeeding rates and duration in Germany: a Bavarian cohort study." British Journal of Nutrition 99, no. 5 (May 2008): 1127–32. http://dx.doi.org/10.1017/s0007114508864835.
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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.
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Garcez, Letícia W., and Elsa R. J. Giugliani. "Population-Based Study on the Practice of Breastfeeding in Children Born with Cleft Lip and Palate." Cleft Palate-Craniofacial Journal 42, no. 6 (November 2005): 687–93. http://dx.doi.org/10.1597/04-108r1.1.
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Objective To investigate the practice of breastfeeding and related difficulties in children born in Porto Alegre, Brazil, with cleft lip, cleft palate, and cleft lip with cleft palate. Design Cohort, observational, and population-based study. Population and Sample Mothers of all children born in 2001 and 2002 with cleft lip and palate in the city of Porto Alegre, Brazil (n = 31), were interviewed in their homes. From the information collected, the frequencies of breastfeeding and exclusive breastfeeding in the first year of life were estimated and the median duration was computed according to the type of cleft. A descriptive analysis was used to study the difficulties. Main Indicators Initiation rate, pattern, duration, and difficulties of breastfeeding and exclusive breastfeeding. Results The initiation rate of breastfeeding was 100% and its median duration was 42.5 days. Exclusive breastfeeding was initiated by 67.7% of the sample and maintained for 15 days (median). The breastfeeding duration was significantly higher in the presence of cleft lip, being equal or even superior to (in the case of exclusive breastfeeding) the median of Porto Alegre's general population. The most frequently mentioned difficulties were weak suction, difficulty attaching to the breast, and breast milk escaping through the nostrils. Conclusions In spite of the diverse difficulties reported and the lack of professional support after discharge from the maternity wards, the initiation rate and the duration of breastfeeding of children with cleft lip and palate found in this study reinforce the theory that this malformation, especially cleft lip, is compatible with successful breastfeeding.
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Sangwarn, Matthana, and Kanjana Naromrum. "Factors Influencing on the Duration of Breastfeeding in Ramathibodi Hospital Personnel." Ramathibodi Medical Journal 43, no. 3 (September 30, 2020): 15–26. http://dx.doi.org/10.33165/rmj.2020.43.3.218806.
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Background: Breast milk is the best food for newborn and the important base in physical mental intellectual and emotional development.
Objective: To identify rate of exclusive breastfeeding at least 6 months and to influencing factors on duration of breastfeeding in Ramathibodi Hospital personnel.
Methods: This study was a cross-sectional study. Participants were 483 Ramathibodi Hospital personnels who gave birth at Ramathibodi Hospital from October 1, 2012, to September 30, 2015. Instruments were demographic data and breastfeeding history questionnaires. Data were analyzed by descriptive statistics and the correlation between the factors associated with breastfeeding used chi-square test and multiple logistic regression analysis.
Results: Questionnaires were returned 329 (68%). Exclusive breastfeeding for first 6 months was 20%. The finding showed that age, level of education, occupation, average family income per month, duration of breastfeeding intention, breastfeeding instruction at antenatal care clinic, and personnel have breast milk before discharge were related to the duration of breastfeeding for more than or equal 6 months (P < .05). Occupation and duration of breastfeeding intention predicted the duration of breastfeeding in Ramathibodi Hospital personnel 17.2%.
Conclusions: This study showed that high age, high level of education, maternal occupation, high family income, duration of breastfeeding intention, breastfeeding instruction at antenatal care clinic, and personnel having breast milk before discharge related to the duration of breastfeeding for equal or more than 6 months. The predictable factors on the duration of breastfeeding for equal or more than 6 months were occupation and duration of breastfeeding intention.
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Liu, Jieyu, Di Gao, Yanhui Li, Manman Chen, Xinxin Wang, Qi Ma, Tao Ma, et al. "Breastfeeding Duration and High Blood Pressure in Children and Adolescents: Results from a Cross-Sectional Study of Seven Provinces in China." Nutrients 14, no. 15 (July 30, 2022): 3152. http://dx.doi.org/10.3390/nu14153152.
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This study was aimed to investigate the associations between breastfeeding duration and blood pressure (BP) levels, BP Z scores and high BP (HBP) in children and adolescents. A total of 57,201 participants including 29,491 boys and 27,710 girls aged 7–18 years were recruited from seven provinces in China in 2012. HBP was defined as BP levels of ≥95th percentiles of the referent age-, sex-, and height-specific population. Breastfeeding duration was divided into non-breastfeeding, 0–5 months, 6–12 months, and >12 months. Information on demographic, parental or family factors and dietary behaviors was collected through a self-administered questionnaire. Multivariable linear regression and logistic regression models were applied to assess the relationships of breastfeeding duration with BP levels and BP Z scores and with HBP, respectively. Stratified analyses were performed to further investigate the potential subgroup-specific associations. The reported prolonged breastfeeding (>12 months) rate was 22.53% in the total population. After full adjustment, compared to the non-breastfeeding group, breastfeeding for 6–12 months was correlated with 0.43 (95% CI: −0.75, −0.11) and 0.36 (95% CI: −0.61, −0.12) mmHg lower levels of SBP and DBP, respectively. Similar decrease trends were found for BP Z scores. Prolonged breastfeeding (>12 months) was associated with 1.33 (95% CI: 1.12, 1.58) and 1.12 (95% CI: 0.94, 1.33) higher odds of HBP in boys and girls, respectively. Based on nationally representative data, there was no evidence that a longer duration of breastfeeding is protective against childhood HBP. Breastfeeding for 6–12 months may be beneficial to BP, while prolonged breastfeeding durations might increase the odds of HBP in children and adolescents.
Dissertations / Theses on the topic "Breastfeeding duration rate"
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陳柏茵 and Pak-yan Chan. "A professional support intervention to increase the rate and duration of exclusive breastfeeding." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251067.
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Chan, Pak-yan. "A professional support intervention to increase the rate and duration of exclusive breastfeeding." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B43251067.
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Chan, Mei-fung Shirley, and 陳美鳳. "Professional lactation counseling and support for increasing the rate and duration on breastfeeding." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193033.
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Breast milk is well recognized as the best natural food for infants and is also known to provide immediate and long-term health benefits for infants. According to the Baby- Friendly Hospital Initiative Hong Kong Association, the breastfeeding initiation rate in Hong Kong has been continuously increasing. For duration of breastfeeding, World Health Organization recommends exclusive breastfeeding for six months and the introduction of complementary food should start since the age of two. Despite active promotion of breastfeeding up to 6 months, the exclusive breastfeeding rate is still low and women in Hong Kong generally stop breastfeeding within the first few months.
The Department of Health in Hong Kong facilitates a supportive environment in all Maternal and Child Health centres to promote breastfeeding. To support mothers exclusively breastfeed for the first six months, a structured individualized lactation counseling and support is worth to implement when mothers are discharged from hospital around 48 hours and transfer to primary care. The individualized lactation counseling provides latching technique to ensure proper attachment and positioning to prevent early complications at the early postnatal. It also continues to follow up until 1-to-2 weeks after delivery.
The objective of this study is to evaluate the effectiveness of the individualized professional lactation counseling and support at early postnatal periods to prolong the duration of breastfeeding. Eight studies were identified after comprehensive literature review and the quality of these studies was assessed. An evidence-based guideline was developed based on the analyzed research findings. The implementation and evaluation of the proposed guideline were compiled in this translational research.
An evidence-based guideline for providing individualized lactation counseling and support was developed to help health professionals to provide competent and effective breastfeeding counseling to mothers. The purpose of the guideline is to encourage mothers to breastfeed up to six months.published_or_final_version
Nursing Studies
Master
Master of Nursing
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Rutherford, Shaunta N. "Breastfeeding Perceptions, Rates of Initiation, and Duration Among Urban and Rural Women." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5653.
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Breastfeeding is the optimal feeding method for infants up to the age of 2. Breast milk is suited to fulfill the nutritional needs of infants while providing immunological and neurological benefits. Breastfeeding rates of initiation and duration are low in the United States, especially in the state of Georgia. The purpose of this cross-sectional study was to investigate how breastfeeding initiation and duration, self-efficacy, perceptions, and community breastfeeding resources differ based on geographical location. The social ecological model was used as the theoretical framework for this study. An online and in-person survey that combined the Iowa Feeding Attitude Scale, Breastfeeding Self-Efficacy Questionnaire and The Breastfeeding in Public Survey was administered to 150 English speaking mothers aged 18 and older with a child 1 year or younger. The research questions were addressed using various statistical analyses (crosstabs, Mann Whitney U-test, and t test). The study results showed no differences in the odds of breastfeeding initiation and duration among mothers in urban and rural Georgia. No differences in breastfeeding perception or the use of breastfeeding community resources were observed. The results of this study contribute to social change by identifying the need to develop breastfeeding interventions that will address breastfeeding perceptions, community resources, and breastfeeding self-efficacy in urban and rural areas.
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Griswold, Michele K. "Experiences of Racism and Breastfeeding Initiation and Duration Among First-Time Mothers of the Black Women’s Health Study: A Dissertation." eScholarship@UMMS, 2017. https://escholarship.umassmed.edu/gsn_diss/52.
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BACKGROUND: Breastfeeding and lactation are cited as sensitive periods in the life course that contribute to the accumulation of risks or opportunities ultimately shaping vulnerability or resilience later in life. As such, breastfeeding and lactation are critical components of health equity. Despite this, Black women in the U.S. initiate and continue to breastfeed at lower rates than White women and other groups. Underlying reasons for racial inequities in breastfeeding rates are poorly understood. Exposure to racism, one manifestation of historical oppression in the U.S. has been cited as a determinant of poor health outcomes for decades but has not been extensively described in the context of breastfeeding.
AIMS: To investigate the association between experiences of racism and 1.) breastfeeding initiation 2.) breastfeeding duration 3.) and the association between selected life-course factors and breastfeeding initiation and duration among participants of the Black Women’s Health Study.
METHODS: This study was a prospective secondary analysis of the Black Women’s Health Study. The sample included all participants who enrolled in 1995, responded to the racism assessment in 1997 and reported the birth of a first child following the racism assessment resulting in an N=2, 995 for the initiation outcome and N= 2,392 for the duration outcome. In addition to the racism assessment, we also included life-course factors (nativity, neighborhood segregation and social mobility). For each aim, we calculated odds ratios and 95% confidence intervals using binomial and multinomial logistic regression using two models. The first adjusted for age, the second adjusted for age, BMI, education, marital status, geographic region, neighborhood SES and occupation.
RESULTS: Associations between daily and institutional summary racism variables and breastfeeding initiation and duration were small and not statistically significant. Experiences of racism in the job setting was associated with lower odds of breastfeeding duration at 3-5 months compared with 3 months 95% CI [0.60, 0.98]. Experiences of racism with the police was associated with higher odds of breastfeeding initiation and duration at 3-5 months [1.01, 1.77] and at 6 months [1.10, 1.82] compared with women who did not report this experience. The participant’s nativity and the nativity of her parents were life-course factors that predicted lower odds of breastfeeding initiation and duration. Neighborhood segregation did not reach statistical significance after adjusting for covariates but results trended toward lower odds of breastfeeding initiation and duration for women who reported living in a predominately Black neighborhood (compared with White) up to age 18 and for women who reported living in a predominately Black neighborhood in 1999.
CONCLUSION: Experiences of institutional racism in the job setting was associated with lower odds of breastfeeding duration. In addition to explicit experiences of racism, this study provides preliminary evidence surrounding life-course factors and breastfeeding. Individual level interventions may mitigate harmful effects of racism but structural level interventions are critical to close the gap of racial inequity in breastfeeding rates in the U.S.
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Šniukaitė, Daiva. "Nėščiųjų mokymo apie žindymą įtaka žindymo paplitimui ir papildomo maitinimo pradžiai." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20140623_181459-40119.
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Lietuvoje išimtinai kūdikius iki 6 mėn. žindo tik 25, 7 proc. motinų, o 14 proc. jau nuo 1 gyvenimo mėnesio davė arbatos. Tyrimais yra nustatyta, kad žindymo ir laktacijos valdymo mokymas nėštumo metu, gali prailginti išimtinio žindymo trukmę.Tikslas – nustatyti nėščiųjų mokymo apie žindymo ir laktacijos valdymą įtaką išimtinio žindymo(IŽ) paplitimui, papildomo maitinimo(PM) įvedimo pradžiai bei įvertinti motinų žinias ir pastangas, siekiant spręsti su žindymu susijusias problemas.Uždaviniai: 1. Įvertinti nėščiųjų mokymo apie žindymą įtaką IŽ paplitimui ir trukmei; 2.Įvertinti nėščiųjų mokymo apie žindymą įtaką PM įvedimo pradžiai; 3.Įvertinti išklausiusių ir neišklausiusių mokymo apie žindymą motinų žinias ir pastangas siekiant spręsti su žindymu susijusias problemas; 4. Išsiaiškinti motinų nuostatas apie žindymo trukmę ir veiksnius, galinčius ją įtakoti; 5. Nustatyti motinų požiūrį į personalo pagalbą pradedant žindyti.Tyrimo metodas. Tyrimas buvo atliktas VU Sporto medicinos, reabilitacijos ir slaugos instituto ir RMC bazėje 2006-2008 metais. Naudojant anoniminę anketą-klausimyną buvo apklaustos 50 moterų, auginančios 6-18 mėn. amžiaus vaikus ir išklausiusios prenatalinį žindymo ir laktacijos valdymo pagrindų kursą (poveikio grupė(PG)), ir 50 moterų (kontrolinė grupė(KG)), auginančių tokio paties amžiaus vaikus ir neišklausiusios tokio kurso. Klausimyno pirmoje dalyje buvo siekiama išsiaiškinti moterų žindymo ir papildomo maisto įvedimo praktiką, nuostatas apie sėkmingo... [toliau žr. visą tekstą]In Lithuania only 25.7% of babies are exclusively breastfed (BF) up to 6 months. Evidence has proved that prenatal teaching on BF and lactation management(LM) can prolong exclusive BF. Objective: to determine the influence of prenatal BF training over the rates of exclusive BF and the initiation of complementary feeding(CF) and to assess the mothers‘ knowledge and efforts in solving BF-related problems. Tasks: 1.Assess the influence of prenatal BF training over the rates and length of exclusive BF. 2. Assess the influence of prenatal BF training over the initiation of CF. 3. Assess the knowledge and efforts in solving BF-related problems by mothers who have undergone and who haven‘t undergone prenatal BF training. 4. Determine mothers‘ attitudes toward the length of BF and the factors influencing this length. 5. Determine mothers’ attitudes toward the personnel’s assistance at the initiation of BF. Methods: The investigation was carried out at the IRSMN at the MF of VU and the NNC in 2006 – 2008. The survey included 50 women raising children aged 6–18 months, having completed a prenatal BF and LM course (“intervention group” IG) and 50 - raising children of the same age but having not completed such course (“control group” CG). The first part of the anonymous questionnaire was aimed at determining the practices of BF and initiating CF, the successful BF factors, the assessment of assistance in BF and trust in nurses in solving BF-related problems; the second - a test aimed at... [to full text]
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Brown, Catherine. "RATES AND DETERMINANTS OF BREASTFEEDING EXCLUSIVITY AND DURATION IN NOVA SCOTIA WOMEN." Thesis, 2012. http://hdl.handle.net/10222/15236.
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This population-based retrospective cohort study describes breastfeeding patterns and identifies the determinants of longer exclusive breastfeeding among 4,533 mother-infants pairs in two regions of Nova Scotia, Canada between 2006 and 2009. Multivariate logistic and proportional hazard regression analyses were used to model breastfeeding practices. While 64.1% (95% CI=62.7-65.5) of mothers initiated breastfeeding, only 10.4% (9.5-11.4) of mothers exclusively breastfed for the recommended six months; 21% (19.7-22.3) of mothers continued to breastfeed at six months, but not exclusively. Six risk factors are independently associated with poorer breastfeeding practices: lower maternal education, no partner, higher pre-pregnancy body mass index, smoking during pregnancy, no breast contact between dyads within one hour of birth, and no intention of breastfeeding. Rates of exclusive breastfeeding remain lower in these districts than elsewhere in Canada. Understanding determinants of longer exclusive breastfeeding is critical to assist policy makers and health care providers in better supporting mothers and newborns.
Book chapters on the topic "Breastfeeding duration rate"
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Sudhof, Leanna, and Toni Golen. "An Intervention to Promote Breastfeeding." In 50 Studies Every Obstetrician-Gynecologist Should Know, 132–37. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190947088.003.0024.
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This article summarizes the study that aimed to demonstrate the impact of the Baby-Friendly Hospital Initiative on breastfeeding duration and infant health. As it is not possible to randomize mothers to breastfeeding or formula feeding, the study randomized hospitals and their associated clinics to a breastfeeding promotion intervention or no intervention and followed the infants of breastfeeding mothers for1 year. The primary outcome was the rate of infant infections. The article reviews the most important components of the study, its strengths and weaknesses, and the implications for practice and presents a related clinical case at the end.
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Antonakou, Angeliki, and Dimitrios Papoutsis. "Cesarean Section and Breastfeeding Outcomes." In Caesarean Section [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96658.
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The cesarean section rates in the developed countries are well above the 5% to 15% rate of all births as suggested by the World Health Organization (WHO) in 2009 and currently range widely between 25% and 50%. Moreover, the WHO guidance promotes early breastfeeding initiation during the first hour postpartum, exclusive breastfeeding up until the 6th month and maintaining breastfeeding at least up to the second year of the infant’s life. In this review, we discuss the current evidence on whether a cesarean section interferes with the initiation and the long-term duration of breastfeeding practice among new mothers. The literature shows that a cesarean birth does have a detrimental effect on breastfeeding outcomes, however it is not per se a negative factor. It rather seems that infants who have feeding difficulties in the immediate postpartum period may experience long term problems. Therefore, interventions are discussed to promote breastfeeding after cesarean section for health professionals. Emphasis is given on promoting early skin-to-skin contact and on counseling new mothers about the advantages of breastfeeding as well as providing practical support and guidance throughout the early postpartum period.
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McKinney, Chelsea O., Jennifer Hahn-Holbrook, P. Lindsay Chase-Lansdale, Sharon L. Ramey, Julie Krohn, Maxine Reed-Vance, Tonse N. K. Raju, and Madeleine U. Shalowitz. "Racial and Ethnic Differences in Breastfeeding." In Breastfeeding: Support, Challenges, and Benefits, 74–84. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/9781610022873-racial.
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OBJECTIVES Breastfeeding rates differ among racial/ethnic groups in the United States. Our aim was to test whether racial/ethnic disparities in demographic characteristics, hospital use of infant formula, and family history of breastfeeding mediated racial/ethnic gaps in breastfeeding outcomes. METHODS We analyzed data from the Community and Child Health Network study (N = 1636). Breastfeeding initiation, postnatal intent to breastfeed, and breastfeeding duration were assessed postpartum. Hierarchical linear modeling was used to estimate relative odds of breastfeeding initiation, postnatal intent, and duration among racial/ethnic groups and to test the candidate mediators of maternal age, income, household composition, employment, marital status, postpartum depression, preterm birth, smoking, belief that “breast is best, ” family history of breastfeeding, in-hospital formula introduction, and WIC participation. RESULTS Spanish-speaking Hispanic mothers were most likely to initiate (91%), intend (92%), and maintain (mean duration, 17.1 weeks) breastfeeding, followed by English-speaking Hispanic mothers (initiation 90%, intent 88%; mean duration, 10.4 weeks) and white mothers (initiation 78%, intent 77%; mean duration, 16.5 weeks); black mothers were least likely to initiate (61%), intend (57%), and maintain breastfeeding (mean duration, 6.4 weeks). Demographic variables fully mediated disparities between black and white mothers in intent and initiation, whereas demographic characteristics and in-hospital formula feeding fully mediated breastfeeding duration. Family breastfeeding history and demographic characteristics helped explain the higher breastfeeding rates of Hispanic mothers relative to white and black mothers. CONCLUSIONS Hospitals and policy makers should limit in-hospital formula feeding and consider family history of breastfeeding and demographic characteristics to reduce racial/ethnic breastfeeding disparities.
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Ayton, Jennifer, and Emily Hansen. "Breastfeeding Multiples." In Multiple Pregnancy - New Insights [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.108916.
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How do women experience breastfeeding multiples? Given the rising rate of multiple births and the global public health target of increasing the number of women exclusively breastfeeding up to the first 6 months, it is imperative that we understand why women who give birth to multiple babies breastfeed for shorter durations compared to those who have one baby. This chapter will explore the qualitative experiences of mothers who breastfeed twins/triplets and the social and physical capital women use to support multiple breastfeeding. Paying close attention to the mothers’ personal accounts this chapter will detail the many resources women draw on to meet the challenges of breastfeeding twins and triplets.
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Logan, Chad, Tatjana Zittel, Stefanie Striebel, Frank Reister, Hermann Brenner, Dietrich Rothenbacher, and Jon Genuneit. "Changing Societal and Lifestyle Factors and Breastfeeding Patterns Over Time." In Breastfeeding: Support, Challenges, and Benefits, 85–95. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/9781610022873-changing.
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BACKGROUND Breastfeeding is an important determinant of early infant immune function and potentially future health. Although numerous studies have reported rising breastfeeding initiation rates and duration, few longitudinally investigated the impact of shifting societal and lifestyle factors on breastfeeding patterns in developed nations. METHODS The Ulm Birth Cohort Study (UBCS) and Ulm SPATZ Health Study (SPATZ) cohorts consist of newborns and their mothers recruited, respectively, from 2000 to 2001 and 2012 to 2013 at the University Medical Center Ulm, Germany. Cox proportional hazards models were used to estimate crude and mutually adjusted hazard ratios for study effect (time trend) and individual risk factors on noninitiation and duration of predominant and total breastfeeding. RESULTS Compared with UBCS mothers, SPATZ mothers had lower cessation rates of both predominant breastfeeding by 4 months and total breastfeeding by 6 months: hazard ratio (95% confidence interval) 0.79 (0.67–0.93) and 0.71 (0.60–0.82), respectively. However, this crude time trend was limited to mothers with higher educational achievement. Similar time trend effects were observed among less educated mothers only after adjustment for early cessation risk factors. Mutually adjusted hazard ratios for individual risk factors were similar in both studies: low education, high BMI, smoking within 6 weeks of delivery, and cesarean delivery were associated with early breastfeeding cessation beginning at 6 weeks. In addition, actively abstaining from drinking alcohol was associated with lower rates of early cessation. CONCLUSIONS Our results suggest widening socioeconomic disparity in breastfeeding and potentially subsequent child health, which may require new targeted interventions.
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Meek, Joan Younger, and Lawrence Noble. "Breastfeeding and the Use of Human Milk." In Breastfeeding Handbook for Physicians. 3rd ed. American Academy of PediatricsItasca, IL, 2022. http://dx.doi.org/10.1542/9781610024433-appa.
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Breastfeeding and human milk are the normative standards for infant feeding and nutrition. The short- and long-term medical and neurodevelopmental advantages of breastfeeding make breastfeeding, or the provision of human milk, a public health imperative. The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for approximately 6 months after birth. Furthermore, the AAP supports continued breastfeeding, along with appropriate complementary foods introduced at about 6 months, as long as mutually desired by mother and child for 2 years or beyond. These recommendations are consistent with those of the World Health Organization (WHO). Medical contraindications to breastfeeding are rare. The AAP recommends that birth hospitals or centers implement maternity care practices shown to improve breastfeeding initiation, duration, and exclusivity. The Centers for Disease Control and Prevention (CDC) and The Joint Commission monitor breastfeeding practices in US hospitals. Pediatricians play a critical role in hospitals, their practices, and communities as advocates of breastfeeding and, thus, need to be trained about the benefits of breastfeeding for mothers and children and in managing breastfeeding.
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Nguyen, Trang, Barbara A. Dennison, Wei Fan, Changning Xu, and Guthrie S. Birkhead. "Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals." In Breastfeeding: Support, Challenges, and Benefits, 50–60. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/9781610022873-variation.
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OBJECTIVES We examined the variation between 126 New York hospitals in formula supplementation among breastfed infants after adjusting for socioeconomic, maternal, and infant factors and stratifying by level of perinatal care. METHODS We used 2014 birth certificate data for 160 911 breastfed infants to calculate hospital-specific formula supplementation percentages by using multivariable hierarchical logistic regression models. RESULTS Formula supplementation percentages varied widely among hospitals, from 2.3% to 98.3%, and was lower among level 1 hospitals (18.2%) than higher-level hospitals (50.6%–57.0%). Significant disparities in supplementation were noted for race and ethnicity (adjusted odds ratios [aORs] were 1.54–2.05 for African Americans, 1.85–2.74 for Asian Americans, and 1.25–2.16 for Hispanics, compared with whites), maternal education (aORs were 2.01–2.95 for ≤12th grade, 1.74–1.85 for high school or general education development, and 1.18–1.28 for some college or a college degree, compared with a Master’s degree), and insurance coverage (aOR was 1.27–1.60 for Medicaid insurance versus other). Formula supplementation was higher among mothers who smoked, had a cesarean delivery, or diabetes. At all 4 levels of perinatal care, there were exemplar hospitals that met the HealthyPeople 2020 supplementation goal of ≤14.2%. After adjusting for individual risk factors, the hospital-specific, risk-adjusted supplemental formula percentages still revealed a wide variation. CONCLUSIONS A better understanding of the exemplar hospitals could inform future efforts to improve maternity care practices and breastfeeding support to reduce unnecessary formula supplementation, reduce disparities, increase exclusive breastfeeding and breastfeeding duration, and improve maternal and child health outcomes.
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van Mens, Thijs E., and Saskia Middeldorp. "Management of pulmonary embolism in pregnancy." In ESC CardioMed, 2786–90. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198784906.003.0665.
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Pulmonary embolism, although rare, is a leading cause of maternal mortality. There is no strong evidence base for the diagnosis and management of pregnancy-related pulmonary embolism, hampering firm recommendations. In women with a suspicion of pulmonary embolism, the diagnosis is confirmed in 1 in 25–30 women only. However, imaging is always necessary to exclude pulmonary embolism, as no clinical decision rules or D-dimer-based strategies have been validated in pregnancy. Computed tomography pulmonary angiography and pulmonary scintigraphy are both suitable modalities, unless deep vein thrombosis is confirmed by compression ultrasonography of lower limb veins. Low-molecular-weight heparin (LMWH) in therapeutic doses is the treatment of choice during pregnancy, and anticoagulation should be continued until 6 weeks after delivery with a minimum total duration of 3 months. Use of LMWH or vitamin K antagonists does not preclude breastfeeding. Whether dosing should be based on weight or anti-Xa levels is unknown, and practices differ between centres. Management of delivery, including the type of anaesthesia if deemed necessary, requires a multidisciplinary approach, and several options are possible, depending on local preferences and patient-specific conditions. Prevention of pulmonary embolism with LMWH is indicated in all postpartum women with a history of venous thromboembolism, and in most women also during pregnancy.