Maintenance of exclusive breastfeeding after three months postpartum: An experience in a health department of a Valencian Community

Aims: To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation. Design: Observational, retrospective study.Location: Health department of La Ribera, Valencia, Spain. Participants: Newborns between December 2012 to January 2017. Methods: Pregnant women we...

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Bibliographic Details
Authors: Vila-Candel R, Soriano-Vidal FJ, Murillo-Llorente M, Pérez-Bermejo M, Castro-Sánchez E
Format: article
Status:Published version
Publication Date:2019
Country:España
Institution:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repository:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p3906
Online Access:https://fisabio.portalinvestigacion.com/publicaciones/3906
Access Level:Open access
Keyword:Breastfeeding
Risk factors
Early weaning
Description
Summary:Aims: To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation. Design: Observational, retrospective study.Location: Health department of La Ribera, Valencia, Spain. Participants: Newborns between December 2012 to January 2017. Methods: Pregnant women were interviewed at postpartum and at 3 months regarding variables associated with breastfeeding initiation and continuation, matched with socio-demographic and obstetric-neonatal information. Main measurements: Prevalence of breastfeeding at discharge and exclusive breastfeeding at 3 months. Reasons for interrupt exclusive breastfeeding. Chi-square determination between qualitative variables. Findings: One thousand three hundred and thirty-eighth women were recruited. EBF at discharge was 68.2% (913) and at 3 months 46.7% (625). EBF duration was 68.7 +/- 32.7 days (95% CI: 66.9-71.2). We found statistically significant differences between the type of breastfeeding and the variables, year of study, country of origin and parity (P<0.001, P=0.005 and P=0.05 respectively). Hypogalactia (21.8%) and lower than recommended increase in newborn weight gain (14.9%) were most frequent factors for discontinuation. Conclusion: The prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding. (C) 2017 Elsevier Espana, S.L.U.