Prevalence and Predictors of Exclusive Breastfeeding at Hospital Discharge

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dc.contributor.authorMcDonald, Sarah D.
dc.contributor.authorPullenayegum, Eleanor
dc.contributor.authorChapman, Barbara
dc.contributor.authorVera, Claudio
dc.contributor.authorGiglia, Lucia
dc.contributor.authorFusch, Christoph
dc.contributor.authorFoster, Gary
dc.date.accessioned2024-01-10T13:52:29Z
dc.date.available2024-01-10T13:52:29Z
dc.date.issued2012
dc.description.abstractOBJECTIVE: To estimate the population-based prevalence and predictors of exclusive breastfeeding at hospital discharge in singleton and twin term newborns.
dc.description.abstractMETHODS: We studied all hospital births in the province of Ontario, Canada, between April 1, 2009, and March 31, 2010, to perform a retrospective cohort study. We included live singleton and twin births, at term (37 0/7 weeks of gestation to 41 6/7 weeks of gestation), with information about feeding at maternal-newborn discharge. Descriptive statistics were performed and logistic regression was used to identify factors related to exclusive breastfeeding.
dc.description.abstractRESULTS: Our study population consisted of 92,364 newborns, of whom 56,865 (61.6%) were exclusively breastfed at discharge. Older, nonsmoking, higher-income mothers with no pregnancy complications or reproductive assistance were more likely to breastfeed. Mothers of twins were less likely to exclusively breastfeed (adjusted odds ratio [OR] 0.30, 95% confidence interval [CI] 0.25-0.36) as were women who did not attend prenatal classes (adjusted OR 0.80, 95% CI 0.76-0.83). Compared with patients of obstetricians (57%), women cared for by midwives (87%, adjusted OR 4.49, 95% CI 4.16-4.85) and family physicians (67%, adjusted OR 1.54, 95% CI 1.47-1.61) were more likely to exclusively breastfeed. Breastfeeding after a planned (50%, adjusted OR 0.56, 95% CI 0.52-0.60) or unplanned (48%, adjusted OR 0.48, 95% CI 0.44-0.51) cesarean delivery was less common than after a spontaneous vaginal birth (68%). Neonates born at 39, 38, and 37 weeks of gestation (compared with 41 weeks of gestation) were increasingly less likely to breastfeed (adjusted ORs 0.93, 95% CI 0.89-0.98; 0.84, 95% CI 0.80-0.88; and 0.71, 95% CI 0.67-0.76).
dc.description.abstractCONCLUSION: This large population-based study found that fewer than two thirds of term newborns are exclusively breastfed at hospital discharge, substantially lower than previously reported. (Obstet Gynecol 2012;119:1171-9) DOI: 10.1097/AOG.0b013e318256194b
dc.description.funderCanadian Institute of Health Research (CIHR)
dc.fechaingreso.objetodigital2024-05-02
dc.format.extent9 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1097/AOG.0b013e318256194b
dc.identifier.issn0029-7844
dc.identifier.pubmedidMEDLINE:22617582
dc.identifier.urihttps://doi.org/10.1097/AOG.0b013e318256194b
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79666
dc.identifier.wosidWOS:000304360700015
dc.information.autorucMedicina;Vera C;S/I;687
dc.issue.numero6
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final1179
dc.pagina.inicio1171
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.revistaOBSTETRICS AND GYNECOLOGY
dc.rightsacceso restringido
dc.subjectDURATION
dc.subjectINITIATION
dc.subjectCANADA
dc.subjectRATES
dc.subject.ods05 Gender Equality
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa05 Igualdad de género
dc.subject.odspa03 Salud y bienestar
dc.titlePrevalence and Predictors of Exclusive Breastfeeding at Hospital Discharge
dc.typeartículo
dc.volumen119
sipa.codpersvinculados687
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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