Understanding Breastfeeding Behavior: Rates and Shifts in Patterns in Québec

Haiek, Laura N.; Gauthier, Dany; Brosseau, Dominique; Rocheleau, Lydia

doi:10.1177/0890334406297278

Cited by 28 publications

(27 citation statements)

References 29 publications

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“…Reports from Moncton, New Brunswick [11] and the Monteregie region of Quebec [8] show higher breastfeeding initiation rates (83% and 80%, respectively) than those identified in this study (73%). In 1983, Yeung [14] reported initiation rates of 71% for Canadian mothers, whereas the results from the 2003 Canadian Community Health Survey [20] indicated national initiation rates of 85%.…”

Section: Breast Milkcontrasting

confidence: 48%

“…The relatively low response rate provided sufficient data for a market assessment and dietary information about Canadian infants that is not available nor been reported elsewhere. The sample size is also considerably larger than followed in other Canadian studies [6][7][8][9][10][11]14]. Heinz Canada agreed to share this information in order to provide data on feeding patterns of Canadian infants.…”

Section: Discussionmentioning

confidence: 99%

“…This affects the introduction of complementary feeding, defined as "the period during which other foods or liquids are provided along with breast milk" [5]. Within Canada, there have been reports published on food intake patterns for infants in Vancouver [6], Ottawa [7], Quebec [8,9], Newfoundland [10] and New Brunswick [11], but a national survey is lacking.…”

Section: Introductionmentioning

confidence: 99%

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Complementary Food Consumption of Canadian Infants

Friel¹,

Isaak²,

Hanning³

et al. 2009

TONUTRJ

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In July, 2003, a cross-sectional survey was conducted by Heinz Canada, on a nationally representative sample of mothers with infants aged three to 12 months. The surveys mailed to new mothers consisted of 1) a questionnaire to assess demographic information and 2) a four day food diary, providing dietary data for nearly 2,951 infants. The initiation rate of breastfeeding was 73% for study infants. At three months, 81% of the infants received complementary foods (mostly cereal, fruits, and vegetables, but some had also been introduced to meats, dairy products, and mixed dishes). These data suggest a current pattern for the early introduction of complementary foods, some by three months and the majority by six months of age. The World Health Organization (WHO) and Health Canada now recommend exclusive breastfeeding until six months of age. The impact this recommendation may have on the feeding pattern of Canadian infants remains to be seen.

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Section: Breast Milkcontrasting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complementary Food Consumption of Canadian Infants

Friel¹,

Isaak²,

Hanning³

et al. 2009

TONUTRJ

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“…6 We excluded breast feeding because fidelity was expected to be poor over time owing to low breast-feeding rates. 28 Our study had several strengths. First, the double-dummy design and blinding of outcome assessors minimized performance and detection bias.…”

Section: Limitationsmentioning

confidence: 99%

Relative effectiveness of additive pain interventions during vaccination in infants

Taddio

Riddell

Ipp

et al. 2016

CMAJ

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MethodsWe conducted a multicentre, longitudinal, double-blind, doubledummy, add-on, randomized controlled trial. Healthy infants receiving vaccinations in 3 pediatric outpatient clinics, including 7 physician practices in Toronto were eligible. We excluded infants born before 36 weeks' gestation, infants who had stayed in hospital outside of postnatal care, and infants who were allergic to amide ABSTRACT BACKGROUND: Vaccine injections can cause acute pain and distress in infants, which can contribute to dissatisfaction with the vaccination experience and vaccine hesitancy. We sought to compare the effectiveness of additive pain interventions administered consistently during vaccine injections in the first year of life. RESEARCH Relative effectiveness of additive pain interventions during vaccination in infantsAnna METHODS:We conducted a multicentre, longitudinal, double-blind, add-on, randomized controlled trial. Healthy infants were randomly assigned to 1 of 4 levels of pain management for all vaccine injections at 2, 4, 6 and 12 months: (i) placebo control; (ii) parent-directed video education about infant soothing; (iii) the video plus sucrose administered orally or (iv) the video plus sucrose plus liposomal lidocaine applied topically. All infants benefit from injection techniques that minimize pain. We used a doubledummy design; hence all parents watched a video (active psychological intervention or placebo) and all infants received oral solution (sucrose or placebo) and topical cream (lidocaine or placebo). We assessed infant distress during 3 phases -preinjection (baseline), vaccine injection (needle), and 1 minute postinjection (recovery) -using the Modified Behavioural Pain Scale (range 0-10). We compared scores between groups and across infant ages using a mixed-model repeated-measures analysis. RESULTS:A total of 352 infants participated in the study, from Jan. 17, 2012, to Feb. 2, 2016. Demographics did not differ among intervention groups (p > 0.05). Baseline pain scores did not differ among intervention groups (p = 0.4), but did differ across ages (p < 0.001). Needle pain scores differed among groups (p = 0.003) and across ages (p < 0.001). The mean (± standard deviation) needle score was 6.3 (± 0.8) in the video-sucrose-lidocaine group compared with 6.7 (± 0.8) in each of the other groups. There were no other between-group differences. Recovery scores did not differ among groups (p = 0.98), but did differ across ages (p < 0.001). INTERPRETATION:Only liposomal lidocaine provided consistent analgesia within an additive pain intervention regimen during vaccinations in infants. Trial registration: ClinicalTrials.gov, no. NCT01503060 RESEARCH E228CMAJ | FEBRUARY 13, 2017 | VOLUME 189 | ISSUE 6anesthetics or vaccines and for whom mothers planned to use topical anesthetics, sucrose or breast feeding during vaccinations. Infants were randomly assigned to 1 of 4 pain-relieving regimens for all vaccine injections in their first year of life: (i) placebo control; (ii) parent-directed video education about i...

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“…The initiation of breastfeeding ranges from 91.1% in Ontario [9] to 85.6% in Alberta [10] and 72% in Quebec [11]. Breastfeeding continuation up to 6 months was reported to be 22.8% in Southwestern Ontario [12], 37.2% in Alberta [10] and 32% in Montérégie, Quebec [13]. The prevalence of exclusive breastfeeding at 6 month, however, is much lower.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey

et al. 2010

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BackgroundIn spite of the evidence supporting the importance of breastfeeding during the first year of life, data on breastfeeding practices remain limited in Canada. The study aimed to examine the prevalence and predictors of 6-month exclusive breastfeeding among Canadian women.MethodsThe analysis was based on the Maternity Experience Survey targeting women aged ≥ 15 years who had singleton live births between February 2006 - May 2006 in the Canadian provinces and November 2005 - February 2006 in the territories. The main outcome was exclusive breastfeeding based on the World Health Organization definition. Socioeconomic, demographic, maternal, pregnancy and delivery related variables were considered for a multivariate logistic regression using stepwise modeling. Bootstrapping was performed to account for the complex sampling design.ResultsThe sample size in this study was 5,615 weighted to represent 66,810 Canadian women. While ever breastfeeding was 90.3%, the 6-month exclusive breastfeeding rate was 13.8%. Based on the regression model, having higher years of education, residing in the Northern territories and Western provinces, living with a partner, having had previous pregnancies, having lower pre-pregnancy body mass index and giving birth at older age were associated with increased likelihood of 6-month exclusive breastfeeding. Moreover, smoking during pregnancy, Caesarean birth, infant's admission to the intensive care unit and maternal employment status before 6 months of infant's age were negatively associated with exclusive breastfeeding. Mothers choosing to deliver at home were more likely to remain exclusively breastfeeding for 6 months (Odds Ratio: 5.29, 95% Confidence Interval: 2.95-9.46).ConclusionsThe 6-month exclusive breastfeeding rate is low in Canada. The study results constitute the basis for designing interventions that aim to bridge the gap between the current practices of breastfeeding and the World Health Organization recommendation.

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Understanding Breastfeeding Behavior: Rates and Shifts in Patterns in Québec

Cited by 28 publications

References 29 publications

Complementary Food Consumption of Canadian Infants

Complementary Food Consumption of Canadian Infants

Relative effectiveness of additive pain interventions during vaccination in infants

Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey

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