dc.contributor.author | O'Connor, Michelle | |
dc.contributor.author | Allen, Jyai | |
dc.contributor.author | Kelly, Jennifer | |
dc.contributor.author | Gao, Yu | |
dc.contributor.author | Kildea, Sue | |
dc.date.accessioned | 2019-07-13T12:31:01Z | |
dc.date.available | 2019-07-13T12:31:01Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 1871-5192 | |
dc.identifier.doi | 10.1016/j.wombi.2017.10.013 | |
dc.identifier.uri | http://hdl.handle.net/10072/385950 | |
dc.description.abstract | Aim:
The aim of this study was to investigate the maternity care factors associated with exclusive breastfeeding duration at three months and six months postpartum in a setting without BFHI accrediation.
Methods:
A prospective cohort design. Participants from one tertiary maternity hospital were eligible if they intended to exclusively breastfeed, had birthed a live, term baby; were breastfeeding at recruitment; were rooming-in with their baby; were healthy and well; and understood English. Participants completed an infant feeding survey using 24-h recall questions at three time-points. Data were analysed using descriptive statistics, bivariate analysis and regression modelling.
Findings:
We recruited 424 participants of whom 84% (n = 355) responded to the survey at 3-months and 79% (n = 335) at 6-months. Women who avoided exposure to intrapartum opioid analgesia (e.g. intramuscular, intraveous or epidural) were more likely to be exclusively breastfeeding at 3-months postpartum (adjusted odds ratio (aOR) 2.09, 95% confidence interval (CI) 1.15–3.80, probability value (p) 0.016). The only other modifiable predictor of exclusive breastfeeding at 3-months was non-exposure to artificial formula on the postnatal ward (aOR 2.44, 95% CI 1.43–4.18, p < 0.001). At 6-months postpartum, the rate of exclusive breastfeeding had reduced to 5% (n = 16) which rendered regression modelling untenable.
Discussion:
Strategies to decrease exposure to opioid analgesia in birth settings and the use of infant formula on the postnatal ward may improve exclusive breastfeeding at three months.
Conclusion:
Results suggest that both intrapartum and postpartum maternity care practices can predict long-term breastfeeding success. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier Science | |
dc.relation.ispartofpagefrom | 319 | |
dc.relation.ispartofpageto | 324 | |
dc.relation.ispartofissue | 4 | |
dc.relation.ispartofjournal | WOMEN AND BIRTH | |
dc.relation.ispartofvolume | 31 | |
dc.subject.fieldofresearch | Biomedical and clinical sciences | |
dc.subject.fieldofresearchcode | 32 | |
dc.title | Predictors of breastfeeding exclusivity and duration in a hospital without Baby Friendly Hospital Initiative accreditation: A prospective cohort study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Allen, Jyai D. | |