Relationships Among Factors Related to Childbirth and Breastfeeding Outcomes in Primiparous Women

Bryanton, Janet; Montelpare, William; Drake, P. H.; Drake, Rosemary; Walsh, Donna; Larter, Kathy

doi:10.1016/j.jogn.2020.05.008

Cited by 8 publications

(3 citation statements)

References 44 publications

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“…Bryanton et al 27 found maternal weight at hospital admission, gestational age at delivery and the five minutes Apgar score as factors significantly associated with the effective initiation of breastfeeding up to approximately 36 hours after birth. Boakye-Yiadom et al 28 found that advancing maternal age, first-born neonates, rooming-in of the newborn with the mother, administration of infant formulas and higher five minutes Apgar scores were determinants of the time of breastfeeding initiation.…”

Section: Discussionmentioning

confidence: 99%

Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association?

Araujo

Carvalhães

Gomes

2023

Rev. Bras. Saude Mater. Infant.

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Objectives: to identify variables associated with the presence of a companion in the delivery room and its association with breastfeeding (BF) in the first hour of life. Methods: cross-sectional analysis of data from a cohort study (n=344). To investigate the factors associated with the presence of a companion during childbirth and breastfeeding in the first hour; we performed Poisson regression analyses, considering p<0.05 as the level of statistical significance. Results: 93.9% of the pregnant women had a companion in the delivery room, and no association was found between socioeconomic, obstetric and neonatal characteristics of the mother-child binomial and the presence of a companion. In a univariate analysis, the absence of a companion reduced the frequency of breastfeeding in the first hour (PR=0.64; CI95%=0.42-0.96), a result that was not confirmed in the adjusted analyses (PR=0.79; CI95%=0.54-1.15). Secondly, it was identified that the five minutes Apgar score was associated with first hour breastfeeding (PR=1.27; CI95%=1.14-1.40) regardless of the other factors. Conclusions: most women in the cohort had a companion in the delivery room, with no differences according to socioeconomic, obstetric and neonatal variables. The frequency of first hour breastfeeding was high; however, it was lower in the absence of a companion but this association was not independent of other factors.

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Section: Discussionmentioning

confidence: 99%

Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association?

Araujo

Carvalhães

Gomes

2023

Rev. Bras. Saude Mater. Infant.

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“…Breast milk is a normal special food for infants which provides all the nutrients for the first 6 months of life 1 , 2 . Breast milk is the best nutrition for infants which can improve health across the life span and bring enormous benefits to society and families 3 , 4 . Promoting breastfeeding can increase family income by protecting the growth and development of infants and promoting women's postpartum recovery, which can bring more labor and demographic dividends to society 5 – 7 .…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding competency and its influencing factors among pregnant women in third trimester pregnancy: a cross-sectional study

Liu

et al. 2023

Sci Rep

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Competency is closely related to the occurrence of the behavior. Breastfeeding competence is the mastery of different breastfeeding factors which intervene in breastfeeding behavior. Breastfeeding competence could improve the breastfeeding behavior. However, few studies have paid attention to the status and the influencing factors of breastfeeding competency. The breastfeeding competency of pregnant women in third trimester pregnancy has the greatest impact on breastfeeding behavior after childbirth. Therefore, the objective of this study were to investigate the breastfeeding competency level and independent risk factors for breastfeeding competency among pregnant women in third trimester pregnancy. A cross-sectional survey method and convenience sampling method was used in the study. The general information questionnaire including age, gestational week, educational background, and so on were used to investigate the general information of pregnant women and their husbands. A breastfeeding competency scale (BCS) was used to investigate the breastfeeding competency of pregnant women. The total score of the BCS ranges from 38 to 190, with higher scores indicating greater breastfeeding competency. Lower level, medium level and higher level are 38–89, 90–140 and 141–190 respectively. Type-D Scale-14 (DS14) was used to investigate the type D personality of pregnant women. A multivariable linear regression was used to examine the independent predictors of breastfeeding competency. A total of 550 questionnaires were collected and finally 525 effective questionnaires were collected. The age of 525 pregnant women is (30.24 ± 3.954) years old. The breastfeeding competency score of pregnant women was (134 ± 19.741). Multivariable linear regression analysis showed that higher breastfeeding competency in pregnant women were reported among pregnant women who gestational age ≥ 256 days (37 weeks) (B = 8.494, p < 0.001), the previous breastfeeding experience were exclusive breastfeeding (B = 17.384, p < 0.001) and partial breastfeeding (B = 16.878, p < 0.001), participating in pregnant women school 2–3 times (B = 10.968, p = 0.013) and ≥ 5 times (B = 13.731, p = 0.034). Pregnant women with lower breastfeeding competency were found in women who were judged to have type D personality (B = − 6.358, p < 0.001). The result can explain 25.8% of the variation in the total breastfeeding competency score. This should be considered an important issue by maternal and child health care in the medical system that the moderate level of breastfeeding capacity among pregnant women. Differentiated and targeted breastfeeding support and services for pregnant women should be carried out based on influencing factors of breastfeeding competency.

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“…Nipple depression refers to a nipple that does not protrude from the areola plane, or one that is pointing inwardly, like a crater. Nipple depression is a clinically high incidence of nipple malformations, which has a greater negative impact on breastfeeding (2). Previous…”

Section: Introductionmentioning

confidence: 99%

The effect of multi-dimensional postpartum visits on increasing the breastfeeding rate of parturients with inverted nipple: a randomised study

2021

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Background: Postpartum breastfeeding is an effective guarantee for the healthy growth of newborns.Vigorously promoting breastfeeding has substantial benefits for the physical and mental health of mothers and babies, and can also benefit the entire society. The purpose of this study was to explore the effect of multi-dimensional postpartum visits (MDPV) applied to parturients with inverted nipple on improving breastfeeding rates.Methods: A total of 114 parturients with inverted nipples who gave birth in the Drum Tower Hospital Affiliated to Nanjing University School of Medicine from October 2018 to October 2019 and successfully breastfed in the hospital were selected. The patients were divided into two groups according to the random number table method, with 57 cases in each group. The control group received routine postpartum visits, while the observation group received MDPV. Breastfeeding knowledge, rate of exclusive breastfeeding, incidence of maternal mastitis, rate of infant hospitalization, and level of self-efficacy were compared between the two groups.Results: Breastfeeding knowledge and the rate of exclusive breastfeeding at 1, 3, and 6 months after discharge in the observation group were higher than those in the control group (P<0.05). The incidence of maternal mastitis and the rate of infant hospitalization in the observation group were lower than those in the control group (P<0.05). The self-efficacy scores of the observation group at 1 and 6 months after discharge were higher than those of the control group (P<0.05). Conclusions:The application of MDPV to parturients with inverted nipples can improve the breastfeeding rate, enhance breastfeeding knowledge, reduce the incidence of maternal mastitis and infant hospitalization rate, and improve breastfeeding self-efficacy. Thus, it is worthy of promotion.

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Relationships Among Factors Related to Childbirth and Breastfeeding Outcomes in Primiparous Women

Cited by 8 publications

References 44 publications

Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association?

Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association?

Breastfeeding competency and its influencing factors among pregnant women in third trimester pregnancy: a cross-sectional study

The effect of multi-dimensional postpartum visits on increasing the breastfeeding rate of parturients with inverted nipple: a randomised study

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