Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital

This study aimed to explore the prevalence of breastfeeding at birth points in Sicily and the relevance of the factors influencing the adoption of exclusive breastfeeding during hospitalization linked to childbirth. A survey was conducted to monitor the prevalence of breastfeeding in seven out of ni...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-04, Vol.18 (9), p.4783
Main Authors: Ragusa, Rosalia, Marranzano, Marina, La Rosa, Valentina Lucia, Giorgianni, Gabriele, Commodari, Elena, Quattrocchi, Rosalba, Cacciola, Salvatore, Guardabasso, Vincenzo
Format: Article
Language:English
Subjects:
Age
Breast Feeding
Breastfeeding & lactation
Cancer
Cesarean Section
Childbirth & labor
Education
Female
Hospitals, Maternity
Humans
Infant, Newborn
Mothers
Multiple births
Pregnancy
Questionnaires
Sicily
Teaching hospitals
Womens health
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Summary:This study aimed to explore the prevalence of breastfeeding at birth points in Sicily and the relevance of the factors influencing the adoption of exclusive breastfeeding during hospitalization linked to childbirth. A survey was conducted to monitor the prevalence of breastfeeding in seven out of nine facilities providing maternity services in the province of Catania (Sicily, Southern Italy) in the years 2016-2018. An online questionnaire was administered using an electronic tablet by the midwife to the mother after discharge. Women who had a higher educational qualification breastfed in a greater proportion (59.6%; odds ratio OR 0.60 for abandoning breastfeeding). Having had a caesarean section moderately impaired breastfeeding uptake, with an almost double chance of declining exclusive breastfeeding (OR = 1.74). Starting breastfeeding within 1 h from delivery showed a significant facilitating effect (OR = 0.58). Rooming-in had a strong facilitating effect on exclusive breastfeeding. A breastfeeding advocacy program was shown to protect from abandoning breastfeeding. It is important to offer in all hospitals the possibility and support for breastfeeding in the first moments after childbirth to increase the number of those who will then continue with exclusive breastfeeding.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18094783