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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| Hauptverfasser: | , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
March 18, 2021
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| In: |
BMJ open
Year: 2021, Jahrgang: 11, Heft: 3, Pages: 1-8 |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2020-041625 |
| Online-Zugang: | 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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| Verfasserangaben: | 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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| 245 | 1 | 0 | |a Breastfeeding education, early skin-to-skin contact and other strong determinants of exclusive breastfeeding in an urban population |b a prospective study |c 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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| 520 | |a 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. | ||
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a general medicine (see internal medicine) | |
| 650 | 4 | |a preventive medicine | |
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| 700 | 1 | |a Vinces, Johanna |e VerfasserIn |4 aut | |
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