Lorena Vehling1,2,3, Deborah Chan2,4, Jon McGavock1,2, Allan B Becker1,2, Padmaja Subbarao5, Theo J Moraes5, Piushkumar J Mandhane6, Stuart E Turvey7, Diana L Lefebvre8, Malcolm R Sears8, Meghan B Azad1,2. 1. Department of Pediatrics and Child Health, Health Sciences Centre, CE-208 Children's Hospital, University of Manitoba, Winnipeg, MB, Canada. 2. Developmental Origins of Chronic Diseases in Children Network (DEVOTION), Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada. 3. Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada. 4. College of Nursing, University of Manitoba, Winnipeg, MB, Canada. 5. Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada. 6. Department of Pediatrics, University of Alberta, Edmonton, AB, Canada. 7. Department of Pediatrics, Child & Family Research Institute and BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada. 8. Department of Medicine, McMaster University, Hamilton, ON, Canada.
Abstract
BACKGROUND: Breastfeeding has many established health benefits for women and children. We examined the association between maternal education, newborn feeding in hospital, and long-term breastfeeding duration. METHODS: We studied 3195 Canadian mother-infant dyads in the CHILD pregnancy cohort. Newborn feeding was documented from hospital records. Caregivers reported sociodemographic factors and infant feeding at 3, 6, 12, 18, and 24 months. RESULTS: Overall, 97% of newborns initiated breastfeeding and 74% were exclusively breastfed in hospital. Exclusively breastfed newborns were ultimately breastfed longer compared with those who received formula supplementation during their hospital stay (median 11.0 vs 7.0 months, P < .001). After controlling for maternal age, ethnicity, birth mode, and gestational age, exclusively breastfed newborns had a 21% reduced risk of breastfeeding cessation (HR = 0.79, 0.71-0.87). This effect was strongest among women without a postsecondary education (HR = 0.65, 0.53-0.79). DISCUSSION: Exclusive breastfeeding in hospital is associated with longer breastfeeding duration, particularly among women of lower socioeconomic status. Initiatives that support exclusive breastfeeding of newborns in hospital could improve long-term breastfeeding rates and help reduce health inequities arising in early life.
BACKGROUND: Breastfeeding has many established health benefits for women and children. We examined the association between maternal education, newborn feeding in hospital, and long-term breastfeeding duration. METHODS: We studied 3195 Canadian mother-infant dyads in the CHILD pregnancy cohort. Newborn feeding was documented from hospital records. Caregivers reported sociodemographic factors and infant feeding at 3, 6, 12, 18, and 24 months. RESULTS: Overall, 97% of newborns initiated breastfeeding and 74% were exclusively breastfed in hospital. Exclusively breastfed newborns were ultimately breastfed longer compared with those who received formula supplementation during their hospital stay (median 11.0 vs 7.0 months, P < .001). After controlling for maternal age, ethnicity, birth mode, and gestational age, exclusively breastfed newborns had a 21% reduced risk of breastfeeding cessation (HR = 0.79, 0.71-0.87). This effect was strongest among women without a postsecondary education (HR = 0.65, 0.53-0.79). DISCUSSION: Exclusive breastfeeding in hospital is associated with longer breastfeeding duration, particularly among women of lower socioeconomic status. Initiatives that support exclusive breastfeeding of newborns in hospital could improve long-term breastfeeding rates and help reduce health inequities arising in early life.
Authors: Agnes Meire Branco Leria Bizon; Camila Giugliani; Juliana Castro de Avilla Lago; Andrea Francis Kroll de Senna; Ana Cláudia Magnus Martins; Stela Maris de Jezus Castro; Elsa Regina Justo Giugliani Journal: Matern Child Nutr Date: 2019-05-30 Impact factor: 3.092
Authors: Hoang Thi Nam Giang; Do Thi Thuy Duy; Nguyen Lam Vuong; Nguyen Thi Tu Ngoc; Thu Thi Pham; Le Quang Tuan; Le Oai; Pham Do Thuc Anh; Ton That Khanh; Nguyen Thi Anh Thi; Mai Ngoc Luu; Tran Thi Tuyet Nga; Le Tho Minh Hieu; Nguyen Tien Huy Journal: BMC Pediatr Date: 2022-07-07 Impact factor: 2.567
Authors: Daniel W Sellen; Deborah L O'Connor; Jane Francis; Alison Mildon; Stacia Stewart; Bronwyn Underhill; Samantha Ismail; Erica Di Ruggiero; Valerie Tarasuk Journal: Int J Equity Health Date: 2021-03-03