Clinician Support and Psychosocial Risk Factors Associated With Breastfeeding Discontinuation

Taveras, Elsie M.; Capra, Angela M.; Braveman, Paula; Jensvold, Nancy G.; Escobar, Gabriel J.; Lieu, Tracy A.

doi:10.1542/peds.112.1.108

Cited by 415 publications

(373 citation statements)

References 26 publications

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“…Obstetric providers, for instance, tend to be least confident counseling mothers about breast milk production, which also happens to be one of the most prevalent and influential concerns of women who stop breastfeeding. [27][28][29][30][31] Pediatricians on the other hand are least confident with breast or nipple complaints, which are common but less likely to discourage mothers from breastfeeding. Data on potential biases among other provider types is sparse.…”

Section: Weaknessesmentioning

confidence: 99%

Evaluating the impact of provider breastfeeding encouragement timing: Evidence from a large population-based study

Chao

Goldfinger

Gozalians

et al. 2016

JER

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Background: Exclusive breastfeeding is the healthiest and most economical form of infant nutrition. Although research has indicated that professional support increases the length of time women breastfeed, the optimal timing of provider encouragement to sustain mothers' breastfeeding is unknown. We evaluated the impact of the timing of provider encouragement on breastfeeding initiation and three-month duration, especially among racial/ethnic minority mothers who have been underrepresented in breastfeeding outcomes research. Methods:We used data from the 2010 Los Angeles Mommy and Baby (LAMB) Survey. LAMB is a population-based mail survey, distributed to women in Los Angeles County who recently gave birth to a live infant. Participants were asked about their perceptions of provider encouragement of breastfeeding at three specific time points: during prenatal care visits, during the birth hospital stay after the baby was born, and during early well-baby checkups. Mothers were asked whether they breastfed or pumped breast milk to feed their baby after delivery and if they were still breastfeeding at the time of the survey.Results: Overall, 87.6% of LA County mothers initiated breastfeeding after delivery. At 3 months, 60% were still breastfeeding. Adjusted logistic regression analysis showed a positive association between provider encouragement at the delivery hospital and breastfeeding initiation (aOR = 2.7, 95% CI = 1.60-3.96) that was significant across all races/ethnicity. Encouragement during well-baby checkups was positively associated with breastfeeding at 3 months (aOR = 1.5, 95% CI = 1.22-1.93). This latter association was found among all races and ethnicities, except for Black mothers. There was no association between encouragement provided during prenatal care and breastfeeding practices. Conclusions:The optimal timing of provider encouragement on breastfeeding initiation is likely during the birth hospitalization, while sustained breastfeeding likely requires professional support after discharge. Culturally appropriate interventions to maintain positive breastfeeding practices must be identified, especially for black mothers.

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Section: Weaknessesmentioning

confidence: 99%

Evaluating the impact of provider breastfeeding encouragement timing: Evidence from a large population-based study

Chao

Goldfinger

Gozalians

et al. 2016

JER

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“…While it is evident that breastfeeding is the best choice for infant feeding, there is also evidence that various barriers may inhibit or even prevent this choice. Mothers have identified lack of support, fatigue, lack of confidence, early breastfeeding problems such as latching and sucking, and returning to work or school as obstructions to breastfeeding or continuation thereof [16,17,18]. Conversely, support from clinicians, nurses and spouses/partners has been shown to facilitate continuation of breastfeeding [16].…”

Section: Breast Milkmentioning

confidence: 99%

Complementary Food Consumption of Canadian Infants

Friel¹,

Isaak²,

Hanning³

et al. 2009

TONUTRJ

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In July, 2003, a cross-sectional survey was conducted by Heinz Canada, on a nationally representative sample of mothers with infants aged three to 12 months. The surveys mailed to new mothers consisted of 1) a questionnaire to assess demographic information and 2) a four day food diary, providing dietary data for nearly 2,951 infants. The initiation rate of breastfeeding was 73% for study infants. At three months, 81% of the infants received complementary foods (mostly cereal, fruits, and vegetables, but some had also been introduced to meats, dairy products, and mixed dishes). These data suggest a current pattern for the early introduction of complementary foods, some by three months and the majority by six months of age. The World Health Organization (WHO) and Health Canada now recommend exclusive breastfeeding until six months of age. The impact this recommendation may have on the feeding pattern of Canadian infants remains to be seen.

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“…Among maternal factors, the repercussions of intimate partner violence (IPV) on the onset and duration of EBF have been increasingly debated in the literature (5,6) .…”

mentioning

confidence: 99%

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Moraes

Oliveira

Reichenheim

et al. 2011

Public Health Nutr.

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Objective: To investigate the role of severe physical violence during pregnancy (SPVP) between intimate partners in early cessation of exclusive breast-feeding (EBF). Design: A health services survey. The revised Conflict Tactics Scale was used to characterize SPVP; premature breast-feeding cessation was identified using a current status data approach, which was based on the information reported from food recall during the preceding 7 d. The cumulative hazard function was estimated by complementary log-log transformation models, which allowed the ensuing estimation of early breast-feeding cessation rates in different age groups and the ratio of rates of weaning between women exposed and not exposed to violence. Setting: Five large public primary health-care facilities of Rio de Janeiro, Brazil. Subjects: The sample comprised 811 randomly selected mothers of children under 5 months of age who were waiting to be consulted. Results: SPVP is an independent risk factor of cessation of EBF since, after controlling for socio-economic, demographic, reproductive and lifestyle variables, women exposed to violence presented an incidence density that was 31 % higher than those who were not exposed (hazard ratio 5 1?30, 95 % CI 1?01, 1?69). Conclusions: The findings corroborate the hypothesis that SPVP is an important risk factor for EBF. This indicates the need for incentives to adequately train healthcare personnel in dealing with lactating women in order to gain a broader view of breast-feeding beyond the biological aspects of lactation, including the maternal psychological dimension.

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Clinician Support and Psychosocial Risk Factors Associated With Breastfeeding Discontinuation

Cited by 415 publications

References 26 publications

Evaluating the impact of provider breastfeeding encouragement timing: Evidence from a large population-based study

Evaluating the impact of provider breastfeeding encouragement timing: Evidence from a large population-based study

Complementary Food Consumption of Canadian Infants

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

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