Association Between Method of Delivery and Exclusive Breastfeeding at Hospital Discharge
Autor: | John Francescon, Ilana R. Azulay Chertok, David Kling, Zelalem T. Haile |
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Rok vydání: | 2016 |
Předmět: |
Complementary and Manual Therapy
Adult medicine.medical_specialty Adolescent Cross-sectional study Breastfeeding Context (language use) 03 medical and health sciences Young Adult 0302 clinical medicine Health care Prevalence Medicine Humans 030212 general & internal medicine 030219 obstetrics & reproductive medicine business.industry Vaginal delivery Obstetrics Cesarean Section Secondary data Anthropometry Delivery Obstetric Breast Feeding Cross-Sectional Studies Complementary and alternative medicine Socioeconomic Factors Female business Breast feeding |
Zdroj: | The Journal of the American Osteopathic Association. 116(7) |
ISSN: | 1945-1997 |
Popis: | Context: Studies have shown that exclusive breastfeeding at hospital discharge is associated with longer duration of breastfeeding. Method of delivery (MOD) is a barrier that may hinder breastfeeding practices. However, research examining the association between MOD and exclusive breastfeeding at hospital discharge is lacking. Objective: To examine the association between MOD and exclusive breastfeeding at hospital discharge. Methods: We used a cross-sectional study design to conduct a secondary data analysis of 1494 women who participated in the Infant Feeding Practices Study II between 2005 and 2007. Multiple logistic regression was conducted to estimate the OR and 95% CI for the association between MOD and exclusive breastfeeding at hospital discharge, after adjusting for potential confounding variables. Results: The crude prevalence rates of vaginal delivery and cesarean delivery were 74.8% and 25.2%, respectively. The prevalence of exclusive breastfeeding at hospital discharge was 70.6% among respondents who gave birth by cesarean delivery compared with 79.9% of women who gave birth vaginally (P=.001). After adjusting for sociodemographic, behavioral, and anthropometric factors, the odds of exclusive breastfeeding at hospital discharge were lower among women who gave birth by cesarean delivery compared with women who gave birth vaginally (OR, 0.41; 95% CI, 0.24-0.71). Conclusion: Women who give birth by cesarean delivery may require additional attention, assistance, and encouragement during their hospital stay to improve rates of exclusive breastfeeding at discharge. Health care professionals should address the issue of MOD when promoting exclusive breastfeeding to maximize the potential for longer-term breastfeeding success. |
Databáze: | OpenAIRE |
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