Previous Breastfeeding Experience and Duration of Any and Exclusive Breastfeeding among Multiparous Mothers

Bai, Dorothy Li; Fong, Daniel Yee Tak; Tarrant, Marie

doi:10.1111/birt.12152

Cited by 85 publications

(81 citation statements)

References 33 publications

(55 reference statements)

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“…Findings of other studies also emphasized that social supports regarding working conditions (such as delivery leave for parents and flexible working hours) increasing the breastfeeding rate. [2829]…”

Section: Discussionmentioning

confidence: 99%

Empowerment in breastfeeding as viewed by women: A qualitative study

Heidari

Kohan

Keshvari

2017

J Edu Health Promot

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BACKGROUND:The positive effect of breastfeeding on health is globally accepted. However, breastfeeding has not yet practiced at a favorite level. Empowerment of mothers is an important factor for continuing breastfeeding. This study was conducted to explore women's perception of empowerment in breastfeeding.METHODS:The present qualitative study was conducted in conventional content analysis method. Thirty-four semi-structured deep interviews were conducted with 18 mothers, four key family members, and 12 other personnel involved in breastfeeding counseling services.RESULTS:Analysis of participants’ descriptions led to the emergence of five main categories: Enough knowledge and skill for breastfeeding, feeling adequacy in breastfeeding, overcoming breastfeeding problems, informed belief in the value of breastfeeding, and perceiving comprehensive support for breastfeeding.CONCLUSION:In participants’ point of view, empowerment in breastfeeding can be formed through an acquisition of “Enough knowledge and skill for breastfeeding” as well as assurance about the proper quality and quantity of mother's milk. As well as overcoming breastfeeding problems will lead to stabilization empowerment in breastfeeding. In addition, data analysis showed that informed belief in the value of breastfeeding strengthens the empowerment in breastfeeding and presence of perceived comprehensive support for breastfeeding facilitates empowerment in breastfeeding continuance. Thus, comprehensive plans should be designing for promoting breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Empowerment in breastfeeding as viewed by women: A qualitative study

Heidari

Kohan

Keshvari

2017

J Edu Health Promot

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“…Higher rates of breast-feeding have been found in Europe and Australia, compared with the USA and Canada (8) , which encourages us to consider the importance of social/political contexts in shaping features of the home, work and community environments that may support breast-feeding. This includes not returning to employment early (10,14) , parental leave policies and flexible working conditions (12) ; as well as social support, positive cultural norms surrounding breast-feeding and the Rural 1·19 0·99, 1·43 1·14 0·95, 1·37 0·97 0·80, 1·18 0·93 0·77, 1·14 0·77 0·57, 1·06 0·72 0·53, 1·00 Remote 0·93 0·74, 1·18 0·88 0·69, 1·12 0·99 0·79, 1·26 0·94 0·74, 1·20 0·93 0·65, 1·33 0·88 0·61, 0·88, 1·26 1·02 0·85, 1·23 1·16 0·96, 1·40 1·13 0·94, 1·36 1·36 1·01, 1·82 1·33 0·99, 1·79 Always difficult 1·16 0·91, 1·48 1·13 0·88, 1·45 1·14 0·88, 1·48 1·11 0·85, 1·44 1·34 0·91, 1·99 1·31 0·88, 1·95 SEIFA ed/occ quintile 0·92 0·87, 0·98 0·95 0·89, 1·01 0·95 0·89, 1·01 0·97 0·91, 1·03 1·05 0·95, 1·16 1·09 0·98, 1·21 OR1, minimally adjusted for baseline age and birth year of the index child; OR2, minimally adjusted + parent's education; SEIFA, Socio-Economic Indexes for Areas (education and occupation); Ref., reference category. Significant results are indicated in bold font.…”

Section: Discussionmentioning

confidence: 99%

“…Maternal attributes positively associated with breastfeeding initiation and duration include: higher maternal age (6,(8)(9)(10)(11) ; higher maternal education (6,(8)(9)(10)(11)(12)(13) , although not in all studies (10) ; higher family income (8) ; being married (9,11) , although not in all studies (10) ; living with a partner (13) ; history of prior breast-feeding (13)(14)(15) ; and having a healthy pre-pregnancy BMI (16)(17)(18) . Higher parity has also been positively associated with breast-feeding initiation (11) and more frequently with breast-feeding duration (10,19,20) ; while difficulties with infant feeding in the first month postpartum are negatively associated with breast-feeding duration (10) .…”

mentioning

confidence: 99%

High education and increased parity are associated with breast-feeding initiation and duration among Australian women

Holowko

Jones

Koupil

et al. 2016

Public Health Nutr.

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Objective: Breast-feeding is associated with positive maternal and infant health and development outcomes. To assist identifying women less likely to meet infant nutritional guidelines, we investigated the role of socio-economic position and parity on initiation of and sustaining breast-feeding for at least 6 months. Design: Prospective cohort study. Setting: Australia. Subjects: Parous women from the Australian Longitudinal Study on Women's Health (born 1973-78), with self-reported reproductive and breast-feeding history (N 4777). Results: While 89 % of women (83 % of infants) had ever breast-fed, only 60 % of infants were breast-fed for at least 6 months. Multiparous women were more likely to breast-feed their first child (~90 % v.~71 % of primiparous women), and women who breast-fed their first child were more likely to breast-feed subsequent children. Women with a low education (adjusted OR (95 % CI): 2·09 (1·67, 2·62)) or a very low-educated parent (1·47 (1·16, 1·88)) had increased odds of not initiating breast-feeding with their first or subsequent children. While fewer women initiated breast-feeding with their youngest child, this was most pronounced among high-educated women. While~60 % of women breast-fed their first, second and third child for at least 6 months, low-educated women (first child, adjusted OR (95 % CI): 2·19 (1·79, 2·68)) and women with a very low (1·82 (1·49, 2·22)) or low-educated parent (1·69 (1·33, 2·14)) had increased odds of not breast-feeding for at least 6 months. Conclusions: A greater understanding of barriers to initiating and sustaining breastfeeding, some of which are socio-economic-specific, may assist in reducing inequalities in infant breast-feeding. KeywordsBreast-feeding initiation Breast-feeding duration Social inequalities Socio-economic position Infant feeding guidelinesThe Australian Dietary Guidelines recommend exclusive breast-feeding of infants up to at least 6 months, with further continued breast-feeding up to 12 months and beyond (1) . These recommendations are based on the numerous positive and protective short-/long-term effects of breast-feeding for both the infant and mother (2)(3)(4)(5)(6)(7) and are in accordance with the WHO recommendation of exclusive breast-feeding up to 6 months, followed by an introduction of complementary foods and continued breast-feeding thereafter (2) .In 2010, it was estimated that breast-feeding was initiated with 96 % of Australian infants; however, only 15 % of infants were exclusively breast-fed up to the recommended 6 months (21 % predominantly breast-fed) (6) . With 60 % of infants breast-fed at all (be it exclusive, full/predominant or complementary) at 6 months, information about breast-feeding duration based on birth order is scarce.Maternal attributes positively associated with breastfeeding initiation and duration include: higher maternal age (6,(8)(9)(10)(11) ; higher maternal education (6,(8)(9)(10)(11)(12)(13) , although not in all studies (10) ; higher family income (8) ; being married (9,11) , although no...

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“…This lack of a protective association among multiparous mothers is not surprising in Iran and other Middle‐Eastern countries; where breastfeeding initiation is near universal, the majority of children are breastfed well into their first year of life (Abuidhail, ; Al‐Kohji, Said, & Selim, ; Musaiger & Abdulkhalek, ; Olang et al, ) and breastfeeding duration has been reported to be positively associated with multiparty (Al‐Hreashy et al, ; Al‐Sahab et al, ; Batal, Boulghourjian, Abdallah, & Afifi, ; Dashti, Scott, Edwards, & Al‐Sughayer, ). However, this finding is not necessarily generalisable to other countries with lower breastfeeding initiation rates, shorter breastfeeding duration rates, and/or where multiparity has not been found to be associated with breastfeeding outcomes (Bai, Fong, & Tarrant, ; Donnan et al, ; Lok, Bai, & Tarrant, ; Pang et al, ).…”

Section: Discussionmentioning

confidence: 80%

“…Step 6 Step 7 Step 8 Step 9 has not been found to be associated with breastfeeding outcomes (Bai, Fong, & Tarrant, 2015;Donnan et al, 2013;Lok, Bai, & Tarrant, 2015;Pang et al, 2016). Step 5.…”

Section: Characteristicmentioning

confidence: 99%

Baby‐friendly hospital practices are associated with duration of full breastfeeding in primiparous but not multiparous Iranian women

Zarshenas

Zhao

Binns

et al. 2018

Maternal & Child Nutrition

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There is evidence that the Baby-Friendly Hospital Initiative (BFHI) results in improved breastfeeding outcomes in Western countries, but little is known of its impact in Middle-Eastern countries. This study investigated the impact of BFHI practices on duration of full breastfeeding in a cohort of 700 Iranian mothers recruited between June 2014 and March 2015 from maternity hospitals in Shiraz and followed-up prospectively for 6 months. At baseline, mothers self-reported exposure to 7 of the BFHI Ten Steps to Successful Breastfeeding (Steps 3 to 9). Data on breastfeeding outcomes were collected at baseline, 1, 3, 4, and 6 months postpartum. Cox regression analysis was conducted to determine the impact of individual and cumulative BFHI Steps on the duration of full breastfeeding, defined as the number of weeks since discharge that an infant received only breast milk and no complementary formula or food. Mothers reported experiencing on average 3.9 (SD 1.13, range 1 to 7) Steps, and only 28% of infants were fully breastfed at 6 months. There was a protective inverse relationship for primiparous (p for trend = .022) but not multiparous mothers (p for trend = .069), between the number of Steps a woman was exposed to and the likelihood of her discontinuing full breastfeeding within 6 months postpartum. Greater exposure to BFHI practices potentially could increase primiparous mothers' chances of fully breastfeeding to 6 months. Continual monitoring of the BFHI Steps and repeated education of healthcare staff are required to ensure that Iranian mothers receive adequate breastfeeding support.

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Previous Breastfeeding Experience and Duration of Any and Exclusive Breastfeeding among Multiparous Mothers

Cited by 85 publications

References 33 publications

Empowerment in breastfeeding as viewed by women: A qualitative study

Empowerment in breastfeeding as viewed by women: A qualitative study

High education and increased parity are associated with breast-feeding initiation and duration among Australian women

Baby‐friendly hospital practices are associated with duration of full breastfeeding in primiparous but not multiparous Iranian women

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