Exclusive breastfeeding in hospital predicts longer breastfeeding duration in Canada: Implications for health equity.
Birth
; 45(4): 440-449, 2018 12.
Article
em En
| MEDLINE
| ID: mdl-29498088
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
10_ODS3_salud_sexual_reprodutiva
/
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Aleitamento Materno
/
Assistência Perinatal
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Equidade em Saúde
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
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Newborn
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Birth
Ano de publicação:
2018
Tipo de documento:
Article