Abstract
The commencement and maintenance of exclusive breastfeeding (EB) are dependent on several mother–infant factors. To analyse the prevalence of EB during four different periods and to analyse the factors that can affect its maintenance, we performed a prospective, observational, longitudinal study of 236 mothers and their child between 37 and 42 weeks of gestation and weighing more than 2.5 kg. Four interviews were conducted (T1: on discharge, T2: at 15 days, T3: at one month, T4: at three months). The results showed that EB decreased considerably at three months (69.5% vs. 47.46%). The factors that reduced the risk of abandonment were as following: having decided before giving birth that one wants to offer breastfeeding (T2: odds ratio (OR): 0.02, p = 0.001), T3 (OR: 0.04, p = 0.001) and T4 (OR: 0.07, p = 0.01)) and having previous experience with EB (T2 (OR: 0.36, p = 0.01), T3 (OR: 0.42 p = 0.02) and T4 (OR: 0.51, p = 0.03)). The factors that increased the risk of EB abandonment were offering feeding bottles in the hospital (T2 (OR: 11. 06, p = 0.001); T3 (OR: 5.51, p = 0.001) and T4 (OR: 4.43, p = 0.001)) and thinking that the infant is not satisfied (T2 (OR: 2.39, p = 0.01) and T3 (OR: 2.34, p = 0.01)). In conclusion, the abandonment of EB in the first three months is associated with sociodemographic and clinical variables and psychological factors such as insecurity and doubts of the mother during the process and the absence of a favourable close environment.
Highlights
The importance of the practice of maternal breastfeeding is widely recognised throughout the world
The sample was composed of 236 women with an average age of 32.3 (SD: 5.3) years, and more was composed of 236 women with an average age of 32.3 (SD: 5.3) years, and more than The half sample of whom
Newborn children who managed to maintain exclusive breastfeeding (EB) for three months, 112 (47.45%) had received an average of two infant girls achieved EB for three months 43% more than newborn infant boys
Summary
The importance of the practice of maternal breastfeeding is widely recognised throughout the world. Institutions such as the World Health Organisation (WHO) and the United Nations International. Children’s Emergency Fund (UNICEF) recommend that it should be exclusive until the infant is six months old and complemented by another type of food until the infant reaches two years of age. These recommendations are based mainly on the benefits it brings regarding child health and development [1,2,3]. The worldwide level to be reached by 2025 is a minimum of
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