Unintended pregnancy and breast-feeding behavior.

Dye, Timothy D.; Wojtowycz, Martha A.; Aubry, Richard H.; Quade, Jay; Kilburn, Harold

doi:10.2105/ajph.87.10.1709

Cited by 67 publications

(52 citation statements)

References 4 publications

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“…This finding was consistent in the entire sample and the subsample of older children where only a small proportion of cases were censored. Although this relationship has previously been reported in the USA 27 , to our knowledge this is the first report documenting it in a developing country setting. About 40% of pregnancies occurring in developing countries happen at a time when they are not planned.…”

Section: Discussionmentioning

confidence: 47%

“…Because crosssectional surveys usually do not collect data on breastfeeding intentions, we used the variable 'planned pregnancy' as a proxy for breast-feeding intentions. The implicit assumption was that women who got pregnant while not planning to have a child would be less motivated to start breast-feeding soon after delivery and more likely to breast-feed for shorter periods of time 27 .…”

Section: Variablesmentioning

confidence: 99%

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Specifying the antecedents of breast-feeding duration in Peru through a structural equation model

Pérez‐Escamilla

Cobas

Balcázar

et al. 1999

Public Health Nutr.

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Objective: To examine the effects of socioeconomic status and biocultural variables (planned pregnancy, prenatal care, timing of initiation of breast-feeding and caesarean section delivery) on breast-feeding duration in Peru using structural equation models. Design and setting: Structural equation models were analysed with LISREL using data from the 1991-92 Peruvian Demographic and Health Survey. Subjects: Models were tested among 6020 women whose last child was born within 5 years of the survey and among 2711 women whose last child was born 2-5 years preceding the survey. Results: Unplanned pregnancy and socioeconomic status had a negative influence on breast-feeding duration. Prenatal care was positively associated with the timing of breast-feeding initiation in both samples and with breast-feeding duration in the whole sample. The timing of breast-feeding initiation was inversely associated with breast-feeding duration only in the sample of older children. Conclusions: These results imply that an unplanned pregnancy, a delayed breastfeeding initiation, and higher socioeconomic status are risk factors for an earlier discontinuation of breast-feeding through complex mechanisms involving direct and indirect effects.

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Section: Discussionmentioning

confidence: 47%

Section: Variablesmentioning

confidence: 99%

Specifying the antecedents of breast-feeding duration in Peru through a structural equation model

Pérez‐Escamilla

Cobas

Balcázar

et al. 1999

Public Health Nutr.

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“…[25,26] Postpartum, adolescent mothers are less likely to breastfeed and put the infant to sleep on its back and more likely to smoke and suffer from depression. [23,27,28] Their children are more likely to have growth retardation and be unable to breastfeed. [28,29] They are also at greater risk of abuse and neglect, poorer academic achievement and social development, mental illness and substance abuse.…”

Section: Global Challengesmentioning

confidence: 99%

Targeting factors for change: contraceptive counselling and care of female adolescents

Bitzer

Abalos²,

Apter

et al. 2016

The European Journal of Contraception & Reproductive Health

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Introduction: Sexual and reproductive health care should empower and enable all individuals to have a sex life that is as safe and pleasurable as possible. Achievement of this goal for adolescents is often impeded by regional and sociocultural barriers. Objectives: To review global barriers to provision of effective counselling and care of adolescents seeking advice on contraception and sexual and reproductive health and identify elements of best practice that can be adapted to meet their needs at regional level. Methods: Experts with clinical experience and a scholarly background in the provision of contraceptive services to adolescents participated in a stepwise process of literature review and discussion according to the agreed objectives. Results: The Global CARE (Contraception: Access, Resources, Education) group identified barriers to the access, availability and acceptance of contraception by adolescents, not only at the political and sociocultural level but also within health care practice. The group collected and summarized successful local strategies and tools suitable for adaptation in other regions. Elements of best practice for providing contraception regardless of setting or regional constraints, including required skills, knowledge, and attitudes, were also proposed. Conclusion: Sharing of evidence-based best practice in delivering contraceptive services, improvements in health care provider education, and sharing of experience between countries will hopefully help to overcome the barriers to appropriate and effective counselling and care of adolescents.

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“…Após leitura minuciosa dos resumos, selecionaram-se 10 artigos que discorriam sobre gravidez indesejada e amamentação. Em seguida, excluíram-se os estudos que se repetiam, restando seis (18)(19)(20)(21)(22)(23) , os quais foram analisados na íntegra (Figura 1).…”

Section: Resultsunclassified