The Influence of Perinatal Education on Breastfeeding Decision and Duration

Abstract

Objectives: to evaluate factors influencing breastfeeding duration in an integrative model, considering both the organization of medical care and the perinatal education. Methods: We conducted a cross sectional study with data collected in a face to face interview of 1,008 mothers with children aged between 9 and 14 months The questionnaire focused on the main characteristics of a Mother-Baby Friendly Hospital initiative and the type of perinatal education received by pregnant women. Correlation and partial correlation tests, non-parametric tests and classification tests were applied. Data were processed in SPSS 12.0 software. Results: The positive effects of Mother Baby Friendly Hospitals Organization initiative organization were confirmed. However, the main differentiator for breastfeeding duration was the level of formal education of pregnant mothers and the active seeking of perinatal education (r = 0.22, p< 0.001). The perinatal counseling was correlated with breastfeeding duration only for the subgroup participating to structured, dedicated time slot apart from the regular medical consultation (r = 0.079; p = 0.014), independently of mother’s age, education, residence, time to first breastfeeding contact, type of birth delivery and rooming in. Our results support a broader approach to perinatal education than medical counseling during pregnancy to increase the voluntary participation of future mothers to the perinatal educational programs. Conclusion: As mothers’ motivation to maintain the optimum duration of breastfeeding is a determinant factor, an earlier and sustained educational process, before pregnancy and after birth delivery, is necessary in order to create a general favorability for exclusive breastfeeding.

Womenʼs assessment of the quality of hospital‐based perinatal care by mode of birth in Romania during the COVID‐19 pandemic: Results from the IMAgiNE EURO study

“…This calls for immediate action to promote better essential care in Romania for babies born by cesarean. 9,18 Despite that previous studies have reported higher scores in the experience of care domain, our study calculated lower scores for women who had an emergency cesarean compared with women with SVB and elective cesarean (in this order). [19][20][21][22] Additionally, when comparing other European countries, quality measures in this domain, even for elective cesarean, were far beyond the European average.…”

“…Importantly, while women who had an emergency cesarean may have needed postpartum medical treatments that in some cases may have delayed skin‐to‐skin contact, early breastfeeding, and rooming‐in, for both SVB and elective cesarean there is no justification for the lack of these practices, which benefit both maternal and newborn health. This calls for immediate action to promote better essential care in Romania for babies born by cesarean 9,18 …”

“…This calls for immediate action to promote better essential care in Romania for babies born by cesarean. 9 , 18 …”

Fetal Growth Restriction and Clinical Parameters of Newborns from HIV-Infected Romanian Women

“…The staff at our clinic continues to improve the healthcare provided to HIV-infected patients, especially the women of childbearing age, to allow them the chance to have a healthy child [ 13 , 14 , 15 , 16 , 17 , 18 ]. Our study shows that there were no differences in the sex of the newborns between the Constanta and Craiova RCs, with more than 50% being boys.…”

Nutritional Management in Child Diarrhea: An Evaluation of Awareness in General Population from Dobrogea Region

“…Eutrophic infants, aged under 6 months, can rely on a breast milk only diet since it is suitable for them and can correct by itself all nutritional deficiencies that appear in diarrhea. Certain additions to this diet are recommended for infants aged over 6 months, using foods that are well tolerated by them (8,9).…”