The Factors Affecting Exclusive Breastfeeding in 6 Month-Old Infants: A Population-Based Case-Control Study

Abstract

Background: Exclusive breastfeeding contributes to the health and survival of the newborn. Many factors influence this behavior. Objectives: This study aimed to identify the related determinant factors. Methods: In this case-control study 8130 cases that did not have exclusive breastfeeding at 6 months of age were matched with 53266 people from control group. The two groups were compared in terms of risk factors such as sex, birth rank, weight, height and head circumference, type of delivery, maternal age, hypothyroidism in the infant, mother's disease, mother's educational level, job and breastfeeding at night. Bivariate and multivariate logistic regression was applied to determine the association between independent variables and non-exclusive breastfeeding. Results: Ninety % of mothers had exclusive breastfeeding their infants. In multivariate analysis low birth weight (AOR = 2.37; 95% CI: 1.45-3.86), head circumferences < 32.5 cm (AOR = 1.84; 95% CI: 1.11-3.06), cesarean section (AOR = 2; 95% CI: 1.45-2.75), older age (AOR = 1.59; 95% CI: 1.44-1.75), being employed (AOR = 1.31; 95% CI: 1.12-1.46) and no breastfeeding at night (AOR = 199; 95% CI: 1.48-2.69) remained in the final model after adjusting for confounding variables. Conclusions: planning interventions aimed at knowledge promotion, encouraging vaginal delivery, paying attention to employed mothers and mothers without breastfeeding at night could be beneficial in improving exclusive breastfeeding among mothers.

The Relationship Between Perinatal and Postnatal Factors and Cognitive Development of Healthy Toddlers

“…This study, which found no correlation between breastfeeding and children's cognitive abilities, differs markedly from much of the existing literature showing positive effects (15,16). There are some possible reasons for this discrepancy, such as the timing of the study (most studies show effects occurring later, such as at school-going age).…”

Factors Associated with Exclusive Breastfeeding on Infants Aged 6-12 Months in Harapan Baru Public Health Center, Samarinda

“…In addition, to the mother who work usually only has a period of maternity leave or short maternity leave, so that the period of exclusive breastfeeding is not achieved because job demands that require mothers to return to work. The main cause for failure and formula initiation was themother's return to work (Aghaee et al, 2020).…”

Determinantes em saúde associados ao aleitamento materno exclusivo: uma revisão de escopo

“…A amamentação exclusiva até os 6 meses de idade e complementada com alimentos saudáveis até os 2 anos ou mais é altamente defendida. O AME é sabidamente benéfico para o binômio mãe-bebê, protege os bebês contra todas as formas de desnutrição, além de proteger as mães contra doenças, como diabetes e câncer de mama 3 .…”