Exclusive breastfeeding abandonment in adolescent mothers: a cohort study within health primary services

Abstract

Objective: to analyze the factors associated with the abandonment of exclusive breastfeeding in adolescent mothers during the first 6 months of the infant’s life. Method: this is a cohort study of 105 adolescent mothers followed at the child’s 2-, 4- and 6-months of age. The epidemiological approach was adopted, supported by the positivism paradigm. Exposure variables were those directly related to breastfeeding and sociodemographic, family, maternal and child conditions. Data were collected by interview and analyzed by bivariate and multivariate statistics. The Hazard Ratio (HR) was calculated with a 95% confidence interval (95%CI). The tests were performed, admitting an error type I of 5%. The confidentiality of data was ensured. Results: the cumulative incidences of exclusive breastfeeding abandonment were 33.3%, 52.2% and 63.8%, at 2, 4 and 6 months, respectively. The variables that remain in the final multivariate model were maternal perception of milk quality (HR=11.6; 95%CI 3.6-37.5), pacifier use (HR=1.9; 95%CI 1.2-3.3), and time of first breastfeeding session (HR=1.4; 95%CI 0.5-12.9). Conclusion: the highest abandonment rate occurs before the fourth month. A perception of having poor-quality milk by the adolescent mother and pacifier use are factors that favor the abandonment of exclusive breastfeeding. Determining the factors associated with breastfeeding abandonment may allow their timely management, especially in more vulnerable populations.

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“…Within the elements of care and as an early stimulus is the kangaroo position, with positive scientific evidence for the mother and the newborn (23) such as better thermal regulation and physiological stability of the child, promotion of breastfeeding (BF), with expansion of milk production and its duration, positive stimulus to neurobehavioral development and effects on pain conditions (23)(24)(25)(26) .…”

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“…A posição canguru está dentro dos elementos de cuidado e enquanto estímulo precoce, com evidências científicas positivas para a mãe e o recém-nascido (23) a exemplo da melhor regulação térmica e estabilidade fisiológica da criança, promoção do aleitamento materno (AM), com ampliação da produção de leite e de seu tempo, estímulo positivo ao desenvolvimento neurocomportamental e efeitos sobre quadros álgicos (23)(24)(25)(26) .…”

Factors Associated with Exclusive Breastfeeding during Admission to a Baby-Friendly Hospital Initiative Hospital: A Cross-Sectional Study in Spain

“…This trend is associated with various sociodemographic, clinical, and psychological factors, including maternal insecurity and doubts during the breastfeeding process, as well as the absence of a supportive environment [ 10 , 11 ]. The sociolaboral and cultural shifts of recent decades have negatively impacted breastfeeding rates, with maternal return to work being a primary cause of breastfeeding cessation [ 10 , 12 , 13 , 14 ]. Insufficient maternal knowledge about breastfeeding is also a contributing factor to early breastfeeding discontinuation [ 13 , 14 ].…”

“…The sociolaboral and cultural shifts of recent decades have negatively impacted breastfeeding rates, with maternal return to work being a primary cause of breastfeeding cessation [ 10 , 12 , 13 , 14 ]. Insufficient maternal knowledge about breastfeeding is also a contributing factor to early breastfeeding discontinuation [ 13 , 14 ]. This may partly stem from the lack of or inadequate dissemination of information by health professionals, which in turn can lead to premature breastfeeding cessation [ 15 , 16 , 17 ].…”