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Breastfeeding education, early skin-to-skin contact and other strong determinants of exclusive breastfeeding in an urban population: a prospective study

Objective The current study aims to demonstrate independent associations between social, educational and health practice interventions as determinants of exclusive breastfeeding in an urban Ecuadorian population. - Design Prospective survival analyses. - Setting Ecuadorian mother-child dyads in urba...

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Main Authors: Dueñas-Espín, Iván (Author) , León Cáceres, Ángela (Author) , Álava, Angelica (Author) , Ayala, Juan (Author) , Figueroa, Karina (Author) , Loor, Vanesa (Author) , Loor, Wilmer (Author) , Menéndez, Mónica (Author) , Menéndez, David (Author) , Moreira, Eddy (Author) , Segovia, René (Author) , Vinces, Johanna (Author)
Format: Article (Journal)
Language:English
Published: March 18, 2021
In: BMJ open
Year: 2021, Volume: 11, Issue: 3, Pages: 1-8
ISSN:2044-6055
DOI:10.1136/bmjopen-2020-041625
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1136/bmjopen-2020-041625
Verlag, lizenzpflichtig, Volltext: https://bmjopen.bmj.com/content/11/3/e041625
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Author Notes:Iván Dueñas-Espín, Ángela León Cáceres, Angelica Álava, Juan Ayala, Karina Figueroa, Vanesa Loor, Wilmer Loor, Mónica Menéndez, David Menéndez, Eddy Moreira, René Segovia, Johanna Vinces
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Summary:Objective The current study aims to demonstrate independent associations between social, educational and health practice interventions as determinants of exclusive breastfeeding in an urban Ecuadorian population. - Design Prospective survival analyses. - Setting Ecuadorian mother-child dyads in urban settings. - Participants We followed-up 363 mother-baby dyads who attended healthcare centres in Portoviejo, province of Manabi, for a median time (P25-P75) of 125 days (121-130 days). - Main outcome measures We performed a survival analysis, by setting the time-to-abandonment of exclusive breastfeeding measured in days of life, that is, duration of exclusive breastfeeding, periodically assessed by phone, as the primary outcome. Crude and adjusted mixed-effects Cox proportional hazards model were performed to estimate HRs for each explanatory variable. - Results The incidence rate of abandonment of breastfeeding was 8.9 per 1000 person-days in the whole sample. Multivariate analysis indicated the three most significant protective determinants of exclusive breastfeeding were (a) sessions of prenatal breastfeeding education with an HR of 0.7 (95% CI: 0.5 to 0.9) per each extra session, (b) self-perception of milk production, with an HR of 0.4 (95% CI: 0.3 to 0.6) per each increase in the perceived quantity of milk production and (c) receiving early skin-to-skin contact with an HR of 0.1 (95% CI: <0.1 to 0.3) compared with those not receiving such contact, immediately after birth. - Conclusions Prenatal education on breastfeeding, self-perception of sufficient breast-milk production and early skin-to-skin contact appear to be strong protectors of exclusive breastfeeding among urban Ecuadorian mother-baby dyads.
Item Description:Gesehen am 07.05.2021
Physical Description:Online Resource
ISSN:2044-6055
DOI:10.1136/bmjopen-2020-041625

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