A Comparison of Factors Associated with Cessation of Exclusive Breastfeeding at 3 and 6 Months
A Comparison of Factors Associated with Cessation of Exclusive Breastfeeding at 3 and 6 Months
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DOI：
10.1089/bfm.2017.0045
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发表时间：
2017-09-01
影响因子：
2.7
通讯作者：
Marin Gabriel, Miguel A.
中科院分区：
文献类型：
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作者：
Fernandez-Canadas Morillo, Aurora;Duran Duque, Modesto;Marin Gabriel, Miguel A.
目的：分析与停止纯母乳喂养（EBF）在3和6个月的life.Materials和方法：前瞻性队列研究（n = 529）的劳动和社会人口因素的关联进行了三级医院与爱婴医院倡议（BFHI）奖。劳动力和社会人口因素进行了调查。纳入了足月新生儿。3个月和6个月后，通过电话确定泌乳类型。采用卡方检验或Fisher精确检验进行单变量分析。多变量Logistic回归模型的开发，以确定与停止母乳喂养在3和6 months.Results：在3个月，523名参与者（98.9%）进行了接触，其中64.4%保持EBF相关的危险因素。与戒烟相关的因素是使用安抚奶嘴（比值比[OR] 3.49; 95%置信区间[95% CI] 2.24-5.43），剖宫产（OR 4.49; 95%CI 2.96-6.83），无大学学历（OR 2.01; 95% CI 1.35-3.01），不参加母乳喂养支持小组（OR 1.96; 95% CI 1.22-3.12）。在6个月时，联系了512名参与者（96.8%），其中31.4%维持EBF。与戒烟相关的因素是重返工作场所（OR 4.49; 95%CI 2.96-6.83），使用奶嘴（OR 3.49; 95%CI 2.24-5.43），和生育（OR 1.61; 95%CI 1.05-2.46）。有必要制定战略，纠正可改变的因素，促进保护性因素，以提高EBF的成功率，达到世界卫生组织的建议。
Aim: To analyze the association of labor and sociodemographic factors with cessation of exclusive breastfeeding (EBF) at 3 and 6 months of life.Materials and Methods: A prospective cohort study (n = 529) was performed in a tertiary hospital with the Baby-Friendly Hospital Initiative (BFHI) award. Labor and sociodemographic factors were investigated. Single-term newborns were included. After 3 and 6 months, telephone calls were made to determine the type of lactation. Univariate analysis was performed with the chi-square test or Fisher's exact test. Multivariable logistic regression models were developed to determine risk factors associated with cessation of breastfeeding at 3 and 6 months.Results: At 3 months, 523 participants (98.9%) were contacted, of whom 64.4% maintained EBF. Factors associated with cessation were pacifier use (odds ratio [OR] 3.49; 95% confidence interval [95% CI] 2.24-5.43), cesarean delivery (OR 4.49; 95% CI 2.96-6.83), no college degree (OR 2.01; 95% CI 1.35-3.01), and not attending breastfeeding support groups (OR 1.96; 95% CI 1.22-3.12). At 6 months, 512 participants (96.8%) were contacted, of whom 31.4% maintained EBF. Factors associated with cessation were reintegration into the workplace (OR 4.49; 95% CI 2.96-6.83), pacifier use (OR 3.49; 95% CI 2.24-5.43), and primiparity (OR 1.61; 95% CI 1.05-2.46).Conclusions: Several risk factors are associated with the premature cessation of EBF. There is a need to define strategies to correct modifiable factors and to promote protective factors with the aim of improving the success rate of EBF to reach the recommendations of the World Health Organization.