Breastfeeding education, early skin-to-skin contact and other strong determinants of exclusive breastfeeding in an urban population

• Verfasst von: Dueñas-Espín, Iván [VerfasserIn]
• Verfasst von: León Cáceres, Ángela [VerfasserIn]
• Verfasst von: Álava, Angelica [VerfasserIn]
• Verfasst von: Ayala, Juan [VerfasserIn]
• Verfasst von: Figueroa, Karina [VerfasserIn]
• Verfasst von: Loor, Vanesa [VerfasserIn]
• Verfasst von: Loor, Wilmer [VerfasserIn]
• Verfasst von: Menéndez, Mónica [VerfasserIn]
• Verfasst von: Menéndez, David [VerfasserIn]
• Verfasst von: Moreira, Eddy [VerfasserIn]
• Verfasst von: Segovia, René [VerfasserIn]
• Verfasst von: Vinces, Johanna [VerfasserIn]
• Titel: Breastfeeding education, early skin-to-skin contact and other strong determinants of exclusive breastfeeding in an urban population
• Titelzusatz: a prospective study
• Verf.angabe: Iván Dueñas-Espín, Ángela León Cáceres, Angelica Álava, Juan Ayala, Karina Figueroa, Vanesa Loor, Wilmer Loor, Mónica Menéndez, David Menéndez, Eddy Moreira, René Segovia, Johanna Vinces
• E-Jahr: 2021
• Jahr: March 18, 2021
• Umfang: 8 S.
• Begleitmaterial: 1 online supplementary material
• Teil: volume:11
• Teil: year:2021
• Teil: number:3
• Teil: elocationid:e041625
• Teil: pages:1-8
• Teil: extent:8
• Fussnoten: Gesehen am 07.05.2021
• Titel Quelle: Enthalten in: BMJ open
• Ort Quelle: London : BMJ Publishing Group, 2011
• Jahr Quelle: 2021
• Band/Heft Quelle: 11(2021), 3, Artikel-ID e041625, Seite 1-8
• ISSN Quelle: 2044-6055
• DOI: doi:10.1136/bmjopen-2020-041625
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: epidemiology
• Sach-SW: general medicine (see internal medicine)
• Sach-SW: preventive medicine
• Sach-SW: public health
• K10plus-PPN: 1757478213

Abstract

Objective The current study aims to demonstrate independent associations between social, educational and health practice interventions as determinants of exclusive breastfeeding in an urban Ecuadorian population. - Design Prospective survival analyses. - Setting Ecuadorian mother-child dyads in urban settings. - Participants We followed-up 363 mother-baby dyads who attended healthcare centres in Portoviejo, province of Manabi, for a median time (P25-P75) of 125 days (121-130 days). - Main outcome measures We performed a survival analysis, by setting the time-to-abandonment of exclusive breastfeeding measured in days of life, that is, duration of exclusive breastfeeding, periodically assessed by phone, as the primary outcome. Crude and adjusted mixed-effects Cox proportional hazards model were performed to estimate HRs for each explanatory variable. - Results The incidence rate of abandonment of breastfeeding was 8.9 per 1000 person-days in the whole sample. Multivariate analysis indicated the three most significant protective determinants of exclusive breastfeeding were (a) sessions of prenatal breastfeeding education with an HR of 0.7 (95% CI: 0.5 to 0.9) per each extra session, (b) self-perception of milk production, with an HR of 0.4 (95% CI: 0.3 to 0.6) per each increase in the perceived quantity of milk production and (c) receiving early skin-to-skin contact with an HR of 0.1 (95% CI: <0.1 to 0.3) compared with those not receiving such contact, immediately after birth. - Conclusions Prenatal education on breastfeeding, self-perception of sufficient breast-milk production and early skin-to-skin contact appear to be strong protectors of exclusive breastfeeding among urban Ecuadorian mother-baby dyads.