Factors Associated With Exclusive Breastfeeding at 3 Months Postpartum in Valdivia, Chile

Sep 12, 2008Journal of human lactation : official journal of International Lactation Consultant Association

Factors linked to exclusive breastfeeding at 3 months after birth in Valdivia, Chile

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Abstract

In a cohort of 315 mother-newborn pairs, 69.5% of mothers reported exclusive breastfeeding at 3 months postpartum.

A high rate of breastfeeding, at 98.1%, was observed overall among mothers.
Single marital status is associated with a higher likelihood of discontinuing exclusive breastfeeding.
Smoking during pregnancy is linked to an increased risk of withdrawing from exclusive breastfeeding.
Maternal education exceeding 8 years is associated with a lower likelihood of stopping exclusive breastfeeding.
Targeted breastfeeding education for high-risk pregnant women may be necessary to improve exclusive breastfeeding rates.

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A prospective cohort study was conducted in 315 mother-newborn dyads from Valdivia, Chile. A questionnaire was administered to mothers before 48 hours postpartum, and sociodemographic, obstetric, and neonatal data were collected. At 3 months postpartum, a follow-up by telephone interview or home visit was made, determining the proportion of mothers providing exclusive breastfeeding. Multivariate logistic regression was carried out to identify variables significantly associated with exclusive breastfeeding. Follow-up data showed 98.1% were breastfeeding, and exclusive breastfeeding reached 69.5%. Withdrawal of exclusive breastfeeding was positively associated with single marital status (odds ratio, 2.49; 95% confidence interval: 1.48-4.20) and smoking during pregnancy (odds ratio, 2.61; 95% confidence interval: 1.48-4.60), while maternal education greater than 8 years was associated with continuation of exclusive breastfeeding (odds ratio, 0.45; 95% confidence interval: 0.24-0.84). Breastfeeding education strategies addressed to high-risk pregnant women (single with a low education level) must be emphasized in addition to prevention of nonhealthy habits, such as tobacco and alcohol consumption during gestation.

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Factors Associated With Exclusive Breastfeeding at 3 Months Postpartum in Valdivia, Chile

Abstract

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