Predictors of breastfeeding duration for rural women in a high‐income country: evidence from a cohort study

Cox, Kylee; Binns, Colin; Giglia, Roslyn

doi:10.1111/apa.12999

Cited by 28 publications

(34 citation statements)

References 21 publications

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“…In our study, consistent with previous findings in other cohorts [8][9][10], ABF longer than 4 months was associated with a RTW 2 months later than for no ABF. It is difficult to determine whether women continued ABF because they were given the opportunity not to return to work before 4 months, or whether they chose to return to work later because they wished to breastfeed longer [37].…”

Section: Discussionsupporting

confidence: 93%

“…Among several determinants, increasing attention has been paid to return to work (RTW) as a major constraint to initiate and continue BF [2][3][4]. Numerous previous studies consistently concluded that RTW before 12-16 weeks, compared with later or not at all, was associated with shorter BF duration [5][6][7][8][9][10][11][12][13][14][15]. Indeed, women themselves mentioned RTW as a reason for stopping BF [16][17][18][19][20], though not in all settings [21,22], probably due to cultural norms and work support backgrounds.…”

Section: Introductionmentioning

confidence: 99%

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Combining breastfeeding and work: findings from the Epifane population-based birth cohort

Castetbon

Boudet-Berquier

Salanave

2020

BMC Pregnancy Childbirth

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Background: Return to work is often cited as a reason for early cessation of breastfeeding (BF). Our objectives were to study the time span during which women employed prior to pregnancy returned to work according to BF duration category, and to identify sociodemographic, behavioral and pregnancy characteristics of women who continued BF after returning to work. Methods: Information on BF mode and work status was prospectively collected in a French nationwide birth cohort up to 1 year after delivery. Time of return to work according to BF category was addressed using Kaplan-Meier curves and Poisson regression adjusted on co-variates. Multiple logistic regression enabled to identify characteristics associated with the combination of BF with work. Results: Among 2480 women holding jobs prior to pregnancy, 82.0% returned to work within a year postpartum. Women who breastfed > 4 months returned at median of 6.5 months, whereas those who did not breastfeed at all returned to their jobs at 4.0 months, those who had breastfed for less than 1 month returned at 4.5 months, and those who had breastfed for 1 to 4 months returned at 4.0 months. Around one-third of women (34.5%) combined BF and work, and breastfed for a longer duration (median: 213 days, vs. 61 days for women who stopped BF before returning to work). Women born outside of France or who were self-employed were more likely to combine BF and work, while intermediate employees, manual workers, women who quitted smoking during pregnancy, who had smoked before and during pregnancy, or who had given birth by cesarean section were less likely to combine BF and work. Conclusion: Women who had breastfed for less than 4 months, or not at all, returned to their jobs at comparable times. This suggests that working women should be encouraged to breastfeed, even for a short duration. Moreover, only one-third of working women succeeded in combining BF and work, highlighting the need for a support system that would encourage flexibility.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Combining breastfeeding and work: findings from the Epifane population-based birth cohort

Castetbon

Boudet-Berquier

Salanave

2020

BMC Pregnancy Childbirth

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“…Whilst findings from the RIFS related to factors associated with breastfeeding at discharge from hospital and breastfeeding duration have been reported previously [ 36 , 37 ], this paper provides a more detailed analysis of maternal feeding attitude as an independent influence on breastfeeding behaviour in the rural cohort under study.…”

Section: Methodsmentioning

confidence: 90%

The influence of infant feeding attitudes on breastfeeding duration: evidence from a cohort study in rural Western Australia

2015

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BackgroundBreast milk is the optimal source of nutrition for infants in the first six months of life. Promoting and protecting breastfeeding is reflected in public health policy across the globe, but breastfeeding rates in both developing and industrialised countries continue to demonstrate that few mothers meet these recommendations. In addition to sociodemographic factors such as age, education and income, modifiable factors such as maternal infant feeding attitudes have been shown to influence breastfeeding duration. The objective of this paper was to describe the influence of infant feeding attitudes on breastfeeding duration in rural Western Australia.MethodsA cohort of 427 women and their infants were recruited from hospitals in rural Western Australia and followed for a period of 12 months. Information about feeding methods was gathered in hospital and at a further seven follow-up contacts. Infant feeding attitude was measured using the Iowa Infant Feeding Attitude Scale (IIFAS), and a score of > 65 was considered positive towards breastfeeding.ResultsMothers with an IIFAS score of > 65 were approximately twice as likely to be exclusively breastfeeding at six months, and breastfeeding at any intensity to 12 months. The median duration of exclusive breastfeeding for mothers with an IIFAS score of > 65 was 16 weeks (95 % CI 13.5, 18.5) compared with 5 weeks for those with a score < 65 (95 % CI 3.2, 6.8) (p < 0.0001). The median duration of any breastfeeding to 12 months was more than twice as long for mothers with an IIFAS score > 65 (48 vs. 22 weeks, p < 0.001).ConclusionsWomen in this rural cohort who had a more positive attitude towards breastfeeding had a longer duration of both exclusive breastfeeding to six months and any breastfeeding to 12 months. Further research examining the breastfeeding attitudes of specific subgroups such as men, grandparents and adolescents in rural areas will contribute to the evidence base and help to ensure that breastfeeding is seen as the normal method of infant feeding.

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“…18 The Rural Infant Feeding Study (RIFS) aimed to determine the factors associated with breastfeeding practices from birth to 12 months of age in regional and rural Western Australia (WA), the results of which have been reported previously. [19][20][21][22] The aim of this paper was to describe the sources of breastfeeding advice and support and the influence of these sources on breastfeeding practice for women in the first 6 months of their infants' lives.…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding beyond the big smoke: Who provides support for mothers in rural Western Australia?

Cox

Giglia

Binns

2017

Australian J Rural Health

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Antenatal group education is effective in supporting breastfeeding duration for rural women and should be a key priority for rural health service providers. Health professionals are common sources of breastfeeding support postnatally, however creating and maintaining positive and supportive social networks for mothers might also contribute to increasing the proportion of rural infants who meet the World Health Organization guidelines for exclusive breastfeeding.

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Predictors of breastfeeding duration for rural women in a high‐income country: evidence from a cohort study

Abstract: Breastfeeding duration in rural Western Australia is influenced by modifiable factors such as smoking during pregnancy and prepregnancy obesity, therefore strategies to address these risk factors in rural women prior to delivery may contribute to improved breastfeeding rates.

Cited by 28 publications

References 21 publications

Combining breastfeeding and work: findings from the Epifane population-based birth cohort

Combining breastfeeding and work: findings from the Epifane population-based birth cohort

The influence of infant feeding attitudes on breastfeeding duration: evidence from a cohort study in rural Western Australia

Breastfeeding beyond the big smoke: Who provides support for mothers in rural Western Australia?

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