• Atencion primaria · Feb 2019

    Observational Study

    [Maintenance of exclusive breastfeeding after three months postpartum: An experience in a health department of a Valencian Community].

    • Rafael Vila-Candel, Francisco J Soriano-Vidal, Mayte Murillo-Llorente, Marcelino Pérez-Bermejo, and Enrique Castro-Sánchez.
    • Departamento de Obstetricia y Ginecología, Hospital Universitario de la Ribera, Alzira, Valencia, España; Facultad de Enfermería Nuestra Señora de los Desamparados, Universidad Católica de Valencia, Valencia, España. Electronic address: rvila@hospital-ribera.com.
    • Aten Primaria. 2019 Feb 1; 51 (2): 919891-98.

    AimsTo investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation.DesignObservational, retrospective study.LocationHealth department of La Ribera, Valencia, Spain.ParticipantsNewborns between December 2012 to January 2017.MethodsPregnant women were interviewed at postpartum and at 3 months regarding variables associated with breastfeeding initiation and continuation, matched with socio-demographic and obstetric-neonatal information.Main MeasurementsPrevalence of breastfeeding at discharge and exclusive breastfeeding at 3 months. Reasons for interrupt exclusive breastfeeding. Chi-square determination between qualitative variables.FindingsOne thousand three hundred and thirty-eighth women were recruited. EBF at discharge was 68.2% (913) and at 3 months 46.7% (625). EBF duration was 68.7±32.7 days (95% CI: 66.9-71.2). We found statistically significant differences between the type of breastfeeding and the variables, year of study, country of origin and parity (P<0.001, P=0.005 and P=0.05 respectively). Hypogalactia (21.8%) and lower than recommended increase in newborn weight gain (14.9%) were most frequent factors for discontinuation.ConclusionThe prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding.Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

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