This study was carried out at the Maternity Unit at Hospital de Clínicas de Porto Alegre (HCPA), in Porto Alegre, Brazil, with financial support from the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasília, Federal District, Brazil.
Factors Associated with Low Incidence of Exclusive Breastfeeding for the First 6 Months
Article first published online: 17 AUG 2007
2007, Blackwell Publishing, Inc.
Volume 34, Issue 3, pages 212–219, September 2007
How to Cite
Santo, L. C. d. E., De Oliveira, L. D. and Giugliani, E. R. J. (2007), Factors Associated with Low Incidence of Exclusive Breastfeeding for the First 6 Months. Birth, 34: 212–219. doi: 10.1111/j.1523-536X.2007.00173.x
- Issue published online: 17 AUG 2007
- Article first published online: 17 AUG 2007
- Accepted November 8, 2006
- exclusive breastfeeding;
- epidemiological determinants;
ABSTRACT: Background: The identification of factors that are associated with early cessation of exclusive breastfeeding is important for defining strategies for the promotion of exclusive breastfeeding. The objective of this study was to identify the determinants of exclusive breastfeeding cessation before 6 months, including variables that generally receive little attention, such as the influence of grandmothers, breastfeeding technique, and sore nipples. Methods: This prospective study follows a cohort of 220 healthy mother-baby pairs from birth to 6 months, living in Porto Alegre, Brazil. Data were collected at the maternity unit, during a home visit at 30 days, and by telephone interview at 60, 120, and 180 days. Breastfeeding technique was assessed and breasts examined at the maternity unit and during home visits. Cox regression was employed to estimate the degree of association between the variables and the outcome. Results: The following factors were associated with cessation of exclusive breastfeeding before 6 months: adolescent mother (hazard ratio [HR] = 1.48, 95% CI 1.01–2.17), fewer than six prenatal visits (HR = 1.60, 95% CI 1.10–2.33), use of a pacifier within the first month (HR = 1.53, 95% CI 1.12–2.11), and poor latch-on (HR = 1.29, 95% CI 1.06–1.58 for each unfavorable parameter). Conclusions: Activities to promote exclusive breastfeeding should be intensified for adolescent mothers and for those whose prenatal care was less than ideal. These activities should reinforce the ill effects of pacifiers and should also include appropriate instruction for these mothers in correct breastfeeding technique. (BIRTH 34:3 September 2007)