Madalen Oribe1, Aitana Lertxundi2, Mikel Basterrechea3, Haizea Begiristain1, Loreto Santa Marina3, María Villar1, Miren Dorronsoro4, Pilar Amiano3, Jesús Ibarluzea5. 1. Instituto de investigación Sanitaria, BIODONOSTIA, San Sebastián, Guipúzcoa, España. 2. Instituto de investigación Sanitaria, BIODONOSTIA, San Sebastián, Guipúzcoa, España; Departamento de Medicina Preventiva y Salud Pública, UPV/EHU, Leioa, Vizcaya, España. 3. Instituto de investigación Sanitaria, BIODONOSTIA, San Sebastián, Guipúzcoa, España; Subdirección de Salud Pública de Gipuzkoa, Gobierno Vasco, San Sebastián, Guipúzcoa, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España. 4. Instituto de investigación Sanitaria, BIODONOSTIA, San Sebastián, Guipúzcoa, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Dirección de Salud Pública y Adicciones, Departamento de Salud del Gobierno Vasco, Vitoria-Gasteiz, Álava, España. 5. Instituto de investigación Sanitaria, BIODONOSTIA, San Sebastián, Guipúzcoa, España; Subdirección de Salud Pública de Gipuzkoa, Gobierno Vasco, San Sebastián, Guipúzcoa, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Dirección de Salud Pública y Adicciones, Departamento de Salud del Gobierno Vasco, Vitoria-Gasteiz, Álava, España. Electronic address: mambien3-san@ej-gv.es.
Abstract
OBJECTIVE: To estimate the prevalence of exclusive breastfeeding (EB) during the first 6 months of life in the Gipuzkoa birth cohort, identify the reasons for abandonment of EB, and establish the associated factors. METHODS: The study population consisted of 638 pregnant women from the INMA-Gipuzkoa (Infancia y Medio Ambiente, www.proyectoinma.org) birth cohort, who were followed up from the third trimester of pregnancy until the child was aged 14 months. To determine the factors related to abandonment of EB, logistic regression models were used in two different stages (4 months or early stage and 6 months or late stage). RESULTS: The prevalence of EB within the Gipuzkoa cohort was 84.8% after hospital discharge, 53.7% at 4 months of life and 15.4% at 6 months of life. The reasons given by the mothers for early EB cessation were: breastfeeding problems, low weight gain and hypogalactia. Other factors influencing the early phase were the intention to provide EB, parity, area of residence and social class. Abandonment in the late stage was influenced by the length of maternity leave. CONCLUSIONS: From a public health perspective, the results of this study could help health professionals to develop strategies to support breastfeeding mothers, taking into account the main reasons for early and late abandonment.
OBJECTIVE: To estimate the prevalence of exclusive breastfeeding (EB) during the first 6 months of life in the Gipuzkoa birth cohort, identify the reasons for abandonment of EB, and establish the associated factors. METHODS: The study population consisted of 638 pregnant women from the INMA-Gipuzkoa (Infancia y Medio Ambiente, www.proyectoinma.org) birth cohort, who were followed up from the third trimester of pregnancy until the child was aged 14 months. To determine the factors related to abandonment of EB, logistic regression models were used in two different stages (4 months or early stage and 6 months or late stage). RESULTS: The prevalence of EB within the Gipuzkoa cohort was 84.8% after hospital discharge, 53.7% at 4 months of life and 15.4% at 6 months of life. The reasons given by the mothers for early EB cessation were: breastfeeding problems, low weight gain and hypogalactia. Other factors influencing the early phase were the intention to provide EB, parity, area of residence and social class. Abandonment in the late stage was influenced by the length of maternity leave. CONCLUSIONS: From a public health perspective, the results of this study could help health professionals to develop strategies to support breastfeeding mothers, taking into account the main reasons for early and late abandonment.
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