The Relationship Between Vulnerability Factors and Breastfeeding Outcome
Article first published online: 7 FEB 2006
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 35, Issue 1, pages 87–97, January 2006
How to Cite
Dunn, S., Davies, B., McCleary, L., Edwards, N. and Gaboury, I. (2006), The Relationship Between Vulnerability Factors and Breastfeeding Outcome. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 35: 87–97. doi: 10.1111/j.1552-6909.2006.00005.x
- Issue published online: 7 FEB 2006
- Article first published online: 7 FEB 2006
- Accepted: April 2005
- Perceived adequacy of support;
- Postpartum depression;
Objective: To determine whether vulnerability factors (confidence with breastfeeding, postpartum depression, supplementation, and perceived adequacy of support) are associated with breastfeeding outcome at 6 weeks postpartum after controlling for age and education.
Design: Secondary analysis of a cross-sectional telephone survey at 6 weeks postpartum.
Setting: Ottawa-Carleton, Ontario, Canada.
Participants: A proportionate, consecutive sample of breastfeeding women from each of four hospitals in the region (526/554, 95% response rate).
Methods: Stratified bivariate analyses were used to examine the relationship between each factor and breastfeeding outcome. Multivariate logistic regression analyses examined relationships between all factors and breastfeeding outcome.
Results: In the logistic regression analyses, confidence with breastfeeding (odds ratio: 1.85, 95% confidence interval: 1.50-2.27, p < .001) and postpartum depression (odds ratio: 0.28, 95% confidence interval: 0.11-0.71, p= .007) were related to breastfeeding after controlling for age and education.
Conclusions: Support for breastfeeding should include assessment of maternal confidence with breastfeeding and postpartum depression. Evaluation of intervention strategies to address these vulnerability factors is a priority. JOGNN, 35, 87-97; 2006. DOI: 10.1111/J.1552-6909.2006.00005.x