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Article

Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months

1
FACSALUD (Facultad de Ciencias de la Salud), University of Castile-La Mancha, Avenida Real Fábrica de la Seda, s/n., Talavera de la Reina, 45600 Toledo, Spain
2
Grupo de Investigación Multidisciplinar en Cuidados (IMCU), UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain
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Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
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Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla la Mancha, UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain
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Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
*
Author to whom correspondence should be addressed.
Received: 17 November 2020 / Revised: 1 December 2020 / Accepted: 11 December 2020 / Published: 16 December 2020
(This article belongs to the Special Issue Research Progress in Breastfeeding)
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. View Full-Text
Keywords: breastfeeding; exclusive breastfeeding; prevalence; Spain; predictors; breastfeeding initiation; supplementary feeding; abandonment of breastfeeding breastfeeding; exclusive breastfeeding; prevalence; Spain; predictors; breastfeeding initiation; supplementary feeding; abandonment of breastfeeding
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MDPI and ACS Style

Santacruz-Salas, E.; Segura-Fragoso, A.; Cobo-Cuenca, A.I.; Carmona-Torres, J.M.; Pozuelo-Carrascosa, D.P.; Laredo-Aguilera, J.A. Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months. Children 2020, 7, 298. https://0-doi-org.brum.beds.ac.uk/10.3390/children7120298

AMA Style

Santacruz-Salas E, Segura-Fragoso A, Cobo-Cuenca AI, Carmona-Torres JM, Pozuelo-Carrascosa DP, Laredo-Aguilera JA. Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months. Children. 2020; 7(12):298. https://0-doi-org.brum.beds.ac.uk/10.3390/children7120298

Chicago/Turabian Style

Santacruz-Salas, Esmeralda, Antonio Segura-Fragoso, Ana I. Cobo-Cuenca, Juan M. Carmona-Torres, Diana P. Pozuelo-Carrascosa, and José A. Laredo-Aguilera 2020. "Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months" Children 7, no. 12: 298. https://0-doi-org.brum.beds.ac.uk/10.3390/children7120298

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