Can we identify women who initiate and then prematurely cease breastfeeding? An Australian multicentre cohort study

International Breastfeeding Journal

Maria M Makrides²  Andrew McPhee²  Robert Gibson²  Sonia Kua³  Julie Quinlivan¹ 

[1] Institute for Health Research, University of Notre Dame Australia, Fremantle 6160, WA, Australia;Women’s and Children’s Health Research Institute, Adelaide 5000, SA, Australia;King Edward Memorial Hospital, Subiaco 6008, WA, Australia

关键词: Smoking;    Low birth weight;    Preterm birth;    Education;    Longitudinal study;    Pregnancy;    Breastfeeding;   

Others  :  1210482
DOI  :  10.1186/s13006-015-0040-y

 received in 2014-06-16, accepted in 2015-03-15,  发布年份 2015

【 摘 要 】

Background

Health authorities recommend 6 months of fully breastfeeding and continuation of breastfeeding for at least a year. Many women initiate breastfeeding in hospital but discontinue before the six-month period, and therefore do not optimise the public health benefits. The aim of this study was to determine whether these women could be identified at hospital discharge, to enable targeted interventions.

Methods

A secondary analysis of women who intended to breastfeed and were enrolled in a large randomised trial was undertaken. Women were enrolled in the antenatal period and antenatal, delivery and six month postnatal questionnaires were completed. Univariate and multivariate analyses were undertaken to determine the variables associated with early cessation of breastfeeding within six months, compared to women who continued to breastfeed.

Results

Of 2148 women who initiated breastfeeding in hospital, 877 continued to breastfed either partially (N = 262) or fully (N = 615) until six months postpartum and 1271 ceased breastfeeding early. Median breastfeeding duration in women who ceased early was 3⁺⁶ weeks (IQR 1⁺¹ to 11⁺² weeks). In multivariate analysis, factors that were significantly associated with early cessation of breastfeeding were maternal factors of lower education (less than 12 years of schooling, no completion of further education), smoking (pre-pregnancy or during pregnancy), and newborn factors of preterm birth and low birthweight (all p < 0.01). These variables correctly identify 83% of women.

Conclusion

We can identify women who initiate and then prematurely discontinue breastfeeding prior to hospital discharge. Evaluation of additional interventions to support longer duration of breastfeeding in women at risk of ceasing prematurely is needed.

【 授权许可】

   
2015 Quinlivan et al.; licensee BioMed Central.

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