Successful breastfeeding among women with intention to breastfeed: From physiology to socio-cultural factors

[EN] Background: Even if women have intention to breastfeed, they do not always achieve a successful breastfeeding. Aim: This study aims to analyse factors affecting breastfeeding prevalence among mothers that intended to breastfeed. Methods: This is a prospective observational study involving 401 pregnant women that intended to breastfeed (asked at the 20th week). Breastfeeding prevalence was evaluated in reference to health-related, socio-cultural factors and healthcare professionals' interventions at 1 month, 6 months and 12 months after birth. Data were analysed using descriptive statistical methods, bivariate logistic regression and multivariate logistic regression modelling. Results: Independent factors negatively affecting breastfeeding prevalence related to mothers' and newborns' health parameters and birth characteristics included smoking during pregnancy, anaemia and use of analgesia during labour. Regarding sociocultural parameters, being an immigrant, higher education level, intention to breastfeed before pregnancy, comfort with public breastfeeding and bedsharing were positively linked to breastfeeding, while teat or pacifier use in the first week was negatively linked. Regarding healthcare professionals' practices, mother and father/partner antenatal education course attendance and exclusive breastfeeding at the hospital were positively associated with breastfeeding. Conclusion: Breastfeeding is a very complex phenomenon affected by multiple and diverse variables. Physiological factors only affect the short term (1st month), while middle and long term BF affecting variables are mainly identical and include mostly socio-cultural factors and also BF related practices, especially in the first days after birth. These data should help to develop more effective breastfeeding promotion strategies.Funding GGTM has received the grant OSIBB18/024 from BIOEF (Fundacion Vasca de Innovacion e Investigacion Sanitarias) . Open Access funding provided by University of Basque Country

Smoking_dataset

No. Actualmente en fase de revisión

Despite intention to breastfeed, smoking during pregnancy is associated with shorter breastfeeding duration

While maternal smoking is associated with lower breastfeeding rates, the intention to breastfeed is simultaneously related to higher breastfeeding success. This study aimed to i) analyse the association between maternal smoking and breastfeeding success in a cohort of women who intended to breastfeed and ii) characterise smokers according to a set of diverse variables in order to define efficient breastfeeding promotion interventions. This prospective observational study involved 401 pregnant women who intended to breastfeed. Breastfeeding success was evaluated in relation to maternal smoking status during pregnancy from birth to the first year, along with physiological and socio-cultural variables. Those who smoked during pregnancy had shorter breastfeeding durations when compared to non-smoking mothers. However, smoking cessation during breastfeeding was associated with longer breastfeeding duration. Mothers who smoked during pregnancy were significantly younger, had a lower level of education, gained more weight during pregnancy, used more oxytocin during labour, used a teat or pacifier more often and exclusively breastfed less during the first week. Knowledge of the characteristics of smoking mothers and their breastfeeding practices should help to improve the effectiveness of breastfeeding promotion strategies.G Gutierrez-de-Terán-Moreno has received the grant OSIBB18/024 from BIOEF (Fundación Vasca de Innovación e Investigación Sanitarias) for the writing of this article