Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months?
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Otros documentos de la autoría: Mena Tudela, Desirée; Soriano-Vidal, Francisco Javier; Vila Candel, Rafael; QUESADA, JOSE ANTONIO; Martínez-Porcar, Cristina; Martin-Moreno, Jose M.
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INVESTIGACIONMetadatos
Título
Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months?Autoría
Fecha de publicación
2023-02-11Editor
MDPICita bibliográfica
Mena-Tudela, D.; Soriano-Vidal, F.J.; Vila-Candel, R.; Quesada, J.A.; Martínez-Porcar, C.; Martin-Moreno, J.M. Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months? Int. J. Environ. Res. Public Health 2023, 20, 3184. https://doi.org/10.3390/ijerph20043184Tipo de documento
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info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Background: The World Health Organization (WHO) recommends early initiation of breastfeeding (EIBF) within the first hour after birth. However, certain perinatal factors, namely caesarean section, may prevent this ... [+]
Background: The World Health Organization (WHO) recommends early initiation of breastfeeding (EIBF) within the first hour after birth. However, certain perinatal factors, namely caesarean section, may prevent this goal from being achieved. The aim of our study was to examine the relationship between EIBF (maternal lactation in the first hours and degree of latching before hospital discharge) and the maintenance of exclusive breastfeeding (MBF) up to the recommended 6 months of age (as advocated by the WHO). Methods: This observational, retrospective cohort study included a random sample of all births between 2018 and 2019, characterising the moment of breastfeeding initiation after birth and the infant’s level of breast latch (measured by LATCH assessment tool) prior to hospital discharge. Data were collected from electronic medical records and from follow-up health checks of infants up to 6 months postpartum. Results: We included 342 women and their newborns. EIBF occurred most often after vaginal (p < 0.001) and spontaneous births with spontaneous amniorrhexis (p = 0.002). LATCH score <9 points was associated with a 1.4-fold relative risk of abandoning MBF (95%CI: 1.2–1.7) compared with a score of 9–10 points. Conclusions: Although we were unable to find a significant association between EIBF in the first 2 h after birth and MBF at 6 months postpartum, low LATCH scores prior to discharge were associated with low MBF, indicating the importance of reinforcing the education and preparation efforts of mothers in the first days after delivery, prior to the establishment of an infant feeding routine upon returning home. [-]
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Int. J. Environ. Res. Public Health 2023, 20(4)Entidad financiadora
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Código del proyecto o subvención
UGP-20-100
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