BREAST-FEEDING AT 6 WEEKS AND PREDICTIVE FACTORS

Citation
Jk. Chye et al., BREAST-FEEDING AT 6 WEEKS AND PREDICTIVE FACTORS, Journal of tropical pediatrics, 43(5), 1997, pp. 287-292
Citations number
24
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Tropical Medicine",Pediatrics
ISSN journal
0142-6338
Volume
43
Issue
5
Year of publication
1997
Pages
287 - 292
Database
ISI
SICI code
0142-6338(1997)43:5<287:BA6WAP>2.0.ZU;2-8
Abstract
Despite the numerous changes made in accordance with the Baby Friendly Hospital Initiative at the University Hospital, Kuala Lumpur, the low rates of breastfeeding have persisted. This study aims to examine the current trend in infant feeding, and the influences of some perinatal and sociodemographic factors on breastfeeding. Five-hundred mothers w ith singleton pregnancies and healthy infants were interviewed at 6 we eks post-partum. Only 124 (25 per cent) mothers were practising exclus ive breastfeeding (EBF), and 132 (26 per cent) mothers were using excl usive infant formula feeding (EIF). On logistic regression analyses, m others who followed EBF were more likely to have had antenatal. plans to breastfeed (Odds ratio 2.44, 95 per cent confidence interval 1.75-3 .45), not in paid employment post-natally (OR 1.76, 95 per cent CI 1.3 1-2.36), of older age group (>27 years) (OR 1.48, 95 per cent CI 1.13- 1.93), had female infants (OR 1.38, 95 per cent CI 1.05-1.80) and of I ndian ethnicity (compared to Chinese) (OR 3.87, 95 per cent CI 2.16-6. 89). Breastfeeding difficulties were associated with decreased odds of EBF (OR 0.21, 95 per cent CI 0.13-0.34), Parental education, fathers' ages and incomes, primigravida status, Caesarean section, present of episiotomy, late first breastfeed, phototherapy, and length of hospita l stay were not significant predictors of failure of EBF. In compariso n, predictive factors for increased use of EIF were mothers who have h ad breastfeeding difficulties, less than or equal to 9 years of school ing, and of Chinese descent. In conclusions, the overall rate of EBF b y 6 weeks of age in infants born in this urban hospital had remained p oor, The adverse factors for EBF identified in this study warrant furt her in-depth studies to determine effective ways of improving EBF rate s.