Predictors of Breastfeeding Initiation and Maintenance in an Integrated Healthcare Setting.

Autor:	Henninger ML; 1 Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA., Irving SA; 1 Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA., Kauffman TL; 1 Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA., Kurosky SK; 1 Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.; 2 RTI Health Solutions, Research Triangle Park, NC, USA., Rompala K; 3 Oregon Health and Science University, Portland, OR, USA., Thompson MG; 4 Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA., Sokolow LZ; 4 Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA.; 5 Battelle Memorial Institute, Brookhaven, GA, USA., Avalos LA; 6 Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA., Ball SW; 7 Abt Associates, Inc., Cambridge, MA, USA., Shifflett P; 7 Abt Associates, Inc., Cambridge, MA, USA., Naleway AL; 1 Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Jazyk:	angličtina
Zdroj:	Journal of human lactation : official journal of International Lactation Consultant Association [J Hum Lact] 2017 May; Vol. 33 (2), pp. 256-266. Date of Electronic Publication: 2017 Mar 23.
DOI:	10.1177/0890334417695202
Abstrakt:	Background: The American Academy of Pediatrics recommends exclusive breastfeeding to age 6 months. Although breastfeeding rates in the United States have been increasing over time, further improvements are needed to meet Healthy People 2020 targets. Research aim: This study examined predictors of breastfeeding initiation and maintenance among a population of insured pregnant women. Methods: Participants were 1,149 pregnant women enrolled in the Pregnancy and Influenza Project in two Kaiser Permanente regions in 2010-2011. Data were collected through interviews at enrollment and 1 month and 6 months postpartum and through participants' electronic medical records. Results: Nearly all (99%) women reported initiating breastfeeding. Rates of exclusive breastfeeding were 70% and 54% at 1 month and 6 months, respectively; an additional 22% and 23% of women reported supplementing breastfeeding with formula. Of the women who supplemented, the mean ( SD) infant age at formula introduction was 53 (62) days. Of those who had stopped breastfeeding, the mean ( SD) infant age at cessation was 85 (59) days. Higher maternal education level, better maternal self-rated health, prenatal folic acid use, absence of chronic medical conditions, and infant full-term birth were significantly associated with breastfeeding maintenance. Conclusion: Although rates of breastfeeding in this population were higher than national rates, a significant number of women stopped breastfeeding or introduced formula earlier than recommended. Two to 3 months postpartum may be a critical period warranting additional encouragement or intervention by healthcare providers. Mothers' education attainment, maternal health factors, and gestational age at delivery may predict likelihood of breastfeeding maintenance.
Databáze:	MEDLINE
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