Analyzing Factors That Impact Breastfeeding Duration in the Postpartum Period: A Secondary Analysis of PRAMS Data

Pounds, Lea; Shostrom, Valerie

doi:10.1089/bfm.2018.0020

Cited by 20 publications

(20 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[11][12][13][14] More recent research has begun to tease apart the modifying effects of age, race, psychosocial and lifestyle factors, and offspring health status on the relationship between hospital practices and breastfeeding duration. 6,[14][15][16][17][18][19] Further research, particularly among population-based samples that include at-risk women, regarding how hospital practices influence breastfeeding success is needed. Such research is particularly needed within states that fall behind BFHI designation, including Utah that makes up only one of the 539 (0.002%) BFHI designated facilities in the United States despite having the highest birthrate in the country (Utah: 16.9 births/1,000 women; United States: 12.4 births/1,000 women).…”

Section: Introductionmentioning

confidence: 99%

Factors in the Hospital Experience Associated with Postpartum Breastfeeding Success

Schliep

Denhalter

Gren

et al. 2019

Breastfeeding Medicine

View full text Add to dashboard Cite

Introduction: Hospitals are in a unique position to promote, protect, and support breastfeeding. However, the association between in-hospital events and breastfeeding success within population-based samples has not been well studied. Materials and Methods: A stratified (by education and birth weight) systematic sample of 5,770 mothers taking part in the Utah Pregnancy Risk Assessment Monitoring System, 2012-2015, were included. Mothers, 2-4 months postpartum, completed the 82-item questionnaire, including if they had ever breastfed their new baby, and if so, current breastfeeding status. Relationships between in-hospital experiences and breastfeeding termination and duration were evaluated via Poisson and Cox proportional hazard regression models, respectively, adjusting for other in-hospital experiences, maternal age, race/ethnicity, maternal education, marital status, smoking, physical activity, delivery method, pregnancy complications, and length of hospital stay. Results: Of all, 94.4% of mothers self-reported breastfeeding initiation, of whom 18.8% had breastfed <2 months, having breastfed on average 3.2 weeks (standard error: 0.07). In fully adjusted models, mothers who reported receiving a pacifier, receiving formula, or had staff help them learn how to breastfeed had a higher prevalence of terminating breastfeeding before 2 months (adjusted prevalence ratio [aPR]

show abstract

Section: Introductionmentioning

confidence: 99%

Factors in the Hospital Experience Associated with Postpartum Breastfeeding Success

Schliep

Denhalter

Gren

et al. 2019

Breastfeeding Medicine

View full text Add to dashboard Cite

show abstract

“…Despite this limitation, cross-sectional data have revealed that breastfeeding in the first hour after birth, avoiding supplementation, rooming-in, avoiding pacifier use, breastfeeding on demand, and postdischarge breastfeeding support are all supportive of short-term breastfeeding duration. [10][11][12][13][14] A dose-response relationship between the Ten Steps and breastfeeding duration is supported in the literature. DiGirolamo and colleagues found that only 3% of women exposed to at least six steps quit breastfeeding before 6 weeks postpartum, whereas 30% of those who had not received any of the Ten Steps quit during this period.…”

Section: Introductionmentioning

confidence: 84%

“…Avoiding inpatient formula supplementation for nonmedical reasons has been associated with longer exclusive and partial breastfeeding duration in the literature. [11][12][13][14][25][26][27] However, others found no effect of formula supplementation on breastfeeding outcomes. [28][29][30] It is hypothesized that formula supplementation may interfere with the physiology of milk production because of an interruption of the natural balance between supply and demand.…”

Section: Discussionmentioning

confidence: 99%

“…This is particularly true when women are asked to recall the initial 1‐2 days postpartum several months later. Despite this limitation, cross‐sectional data have revealed that breastfeeding in the first hour after birth, avoiding supplementation, rooming‐in, avoiding pacifier use, breastfeeding on demand, and postdischarge breastfeeding support are all supportive of short‐term breastfeeding duration …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Improved breastfeeding duration with Baby Friendly Hospital Initiative implementation in a diverse and underserved population

Kivlighan

Murray‐Krezan

Schwartz

et al. 2019

Birth

View full text Add to dashboard Cite

Background Few studies have evaluated the impact of Baby Friendly Hospital Initiative (BFHI) implementation on underserved populations in the United States. We undertook this study in New Mexico, a large southwestern state with a diverse population and limited health care access. Methods A quasi‐experimental, retrospective cohort design was used to compare short‐term breastfeeding duration between a pre‐BFHI and a post‐BFHI cohort. Among the post‐BFHI cohort, logistic regression models were fitted to predict short‐term breastfeeding duration from both individual and cumulative exposure to inpatient maternity care practices (Steps 4 to 9). Results Implementation of the BFHI and cumulative exposure to the Ten Steps increased short‐term duration of any breastfeeding and exclusive breastfeeding at 2‐6 weeks postpartum. Exposure to all six of the inpatient Ten Steps increased the odds of any breastfeeding by 34 times and exclusive breastfeeding by 24 times. Exposure to Step 9 (“Give no pacifiers or artificial nipples”) uniquely increased the likelihood of any breastfeeding at 2‐6 weeks postpartum by 5.7 times, whereas Step 6 (“Give infants no food or drink other than breastmilk”) increased the rate of exclusive breastfeeding by 4.4 times at 2‐6 weeks postpartum. Conclusion These findings demonstrate that the Baby Friendly Hospital Initiative can have a positive impact on breastfeeding among underserved populations.

show abstract

“…2,8,9 Most data regarding breastfeeding rates in premature infants are limited to observational studies with small cohorts or short-term follow-up. [10][11][12] The limited success of interventions to improve breastfeeding outcomes in premature infants raises the question of whether low rates of breastfeeding initiation and continuation in this group are specifically related to prematurity, or are confounded by socio-economic or cultural characteristics that are challenging to address in the context of a clinic-or hospital-based intervention. The available evidence on the association between prematurity and breastfeeding outcomes is not well equipped to resolve this question, as it relies primarily on cross-sectional data, such as the Pregnancy Risk Assessment Monitoring System, the Infant Feeding Practices Study, and single-centre studies focusing on a particular hospital or neonatal intensive care unit.…”

Section: Introductionmentioning

confidence: 99%

Prematurity and breastfeeding initiation: A sibling analysis

et al. 2020

View full text Add to dashboard Cite

Aim: Studies suggest breastfeeding initiation is less common for premature infants. This association may be confounded by socioeconomic characteristics that correlate with the risk of premature birth. We compared premature and term-born children to determine whether prematurity independently predicted likelihood of breastfeeding continuation and duration. Methods: Data were obtained from women ages 15-44 years reporting at least two live pregnancies on the 2011-2017 National Survey of Family Growth. Participants completed a pregnancy and breastfeeding history. Breastfeeding initiation was defined as breastfeeding for at least 1 week, and duration of exclusive breastfeeding was recorded in months. Sibling fixed effects regression models were used to evaluate the impact of prematurity. Results: Among families with some children who were breastfed and others who were not (n = 2848 children), preterm birth was not associated with breastfeeding initiation (odds ratio = 1.11; P = .468). Among children who were ever breastfed, exclusive breastfeeding lasted 5% fewer months among children born preterm, compared with term-born siblings (incidence rate ratio = 0.95; P = .060). Conclusion: Using sibling-group analysis to control for confounding, we found no independent association between prematurity and likelihood of breastfeeding initiation. This suggests interventions supporting breastfeeding for premature infants may need to address external barriers to breastfeeding not specifically preterm birth.

show abstract

Analyzing Factors That Impact Breastfeeding Duration in the Postpartum Period: A Secondary Analysis of PRAMS Data

Cited by 20 publications

References 12 publications

Factors in the Hospital Experience Associated with Postpartum Breastfeeding Success

Factors in the Hospital Experience Associated with Postpartum Breastfeeding Success

Improved breastfeeding duration with Baby Friendly Hospital Initiative implementation in a diverse and underserved population

Prematurity and breastfeeding initiation: A sibling analysis

Contact Info

Product

Resources

About