Breastfeeding Twins: Factors Related to Weaning

Mikami, Fernanda Cristina Ferreira; Francisco, Rossana Pulcineli Vieira; Rodrigues, Agatha Sacramento; Hernandez, Wagner Rodrigues; Zugaib, Marcelo; Brizot, Maria de Lourdes

doi:10.1177/0890334418767382

Cited by 18 publications

(20 citation statements)

References 25 publications

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“…Also, because breastfeeding duration with a first child is a strong predictor of breastfeeding duration with subsequent children [26], providing adequate breastfeeding support to first time mothers can be beneficial beyond that pregnancy. In contrast to other studies [27,28] we found that returning to work was not associated with participants achieving their individual goals. In this population, with high rates of maternal employment and only 10 weeks of mandated maternity leave, returning to work has been shown to be strongly associated with overall breastfeeding duration [22].…”

Section: Discussioncontrasting

confidence: 99%

Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

Lok

Chow

Fan

et al. 2019

Preprint

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Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices have been associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers' achievement of their planned duration of breastfeeding.Methods: A total of 1011 mother-newborn pairs from the postpartum units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postpartum, or until participants were no longer breastfeeding.Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding.Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants' achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced 0 -1 baby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 -23.6).Conclusions: Nearly half of participants did not achieve their planned breastfeeding duration.Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals. Significance StatementWhat is already known on this subject? Both breastfeeding intentions and exposure to baby-friendly hospital practices have been associated with a longer duration of breastfeeding. The effect of baby-K.L. conducted data analysis and wrote the first draft of the manuscript, critically reviewed and revised the manuscript. C.C, H.F and V.C actively contributed to data collection and analysis. M.T.contributed to the study design, obtained the funding of the study, assisted with the data analysis, critically reviewed and revised the manuscript, and approved the final manuscript as submitted. All authors contributed to the interpretation of data and critically review its content and the final version

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Section: Discussioncontrasting

confidence: 99%

Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

Lok

Chow

Fan

et al. 2019

Preprint

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“…One proposed explanation for the association of duration of breastfeeding and a lower education is that high self-esteem and breastfeeding are highly connected, so a lower education could mean that the person has less status, less control, and less power, which in turn may produce stress and lower self-esteem [ 24 , 25 , 26 , 27 ].…”

Section: Analysis Of the Resultsmentioning

confidence: 99%

“…The Swedish study [ 19 ] indicated that term infants had longer breastfeeding duration if the mother was multiparous, in agreement with other studies on the impact of parity on breastfeeding duration [ 22 , 33 ]. However, there is an opposite outcome [ 23 , 26 ] if the infants are born preterm; then, being multiparous may not be as beneficial.…”

Section: Discussionmentioning

confidence: 99%

Feeding Twins with Human Milk and Factors Associated with Its Duration: A Qualitative and Quantitative Study in Southern Italy

et al. 2021

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Background: Over the past year, there has been a rise in twin births. The current scientific consensus recommended breast-feed milk for all newborns for at least 6 months. They stated that it is possible to meet the nutritional needs of two or more newborns with only one mother’s milk. More information would be desirable about the factors that influence or lead to the initiation and interruption of breastfeeding. The quality of the evidence available from multiple studies has been inconclusive and therefore led to controversial interpretations and practices. Aims: The first aim of this study was to analyze the extent of the feeding of multiples with breast milk in the experience of our clinical unit in terms of incidence and duration. The second objective was to evaluate the correlation between maternal, perinatal and neonatal variables with breast milk feeding rates and duration. Methods: The study was conducted between 2015 and 2020, in a NICU in Southern Italy (San Giovanni Rotondo, Foggia). Sixty-one women who have given birth to multiples were enrolled into the study. Newborn data were retrospectively collected by informatic database and breastfeeding information were collected by a questionnaire. Results: In our centre, the percentage of twins out of the total number of births over the years has almost doubled from 1.28% in 2015 to 2.48% in 2020 and the 88% of twins are premature. 18.1% received breast milk for more than 6 months and 6.3% received it for more than 12 months. Infants of lower gestational age and weight, born to multiparous, more mature and medium-high schooling mothers received breast milk for a longer period. 35% of women explained that the interruption of breastfeeding was due to the insufficient milk production and 41% to the stress and difficulties in managing the twins. Qualitative analysis of maternal narrative revealed, for many of them, the awareness of the importance of breastfeeding and the efforts made to try to give breast milk, but also fears about the quantity of milk and satiety of their children. Conclusions: It is important to identify the factors both favoring and obstructing maternal milk feeding of multiples and it would be desirable the activation of a network of training and support for mothers after discharge, with particular regard to the categories found to be less inclined.

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“…In this sample however, even among participants who achieved their planned duration of breastfeeding, only 36% exclusively breastfed while in the hospital. Unfortunately, in-hospital formula supplementation of healthy breastfeeding infants is all too common [26,27] and rarely medically indicated [28].…”

Section: Discussionmentioning

confidence: 99%

Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

Lok

Chow

Fan

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices have been associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers’ achievement of their planned duration of breastfeeding. Methods: A total of 1011 mother-newborn pairs from the postnatal units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postnatal, or until participants were no longer breastfeeding. Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding. Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants’ achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced one baby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 – 23.6). Conclusions : Nearly half of participants did not achieve their planned breastfeeding duration. Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals.

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Breastfeeding Twins: Factors Related to Weaning

Abstract: We have identified the factors associated with weaning in twin infants during the first 180 days of life. This knowledge can help improve strategies to increase breastfeeding rates in twins.

Cited by 18 publications

References 25 publications

Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

Feeding Twins with Human Milk and Factors Associated with Its Duration: A Qualitative and Quantitative Study in Southern Italy

Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

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