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- Title
Determinants of successful breastfeeding initiation in healthy term singletons: a Swiss university hospital observational study.
- Authors
Gubler, Tabea; Krähenmann, Franziska; Roos, Malgorzata; Zimmermann, Roland; Ochsenbein-Kölble, Nicole
- Abstract
Aims: Breastfeeding significantly benefits mothers and infants. We aimed to identify the determinants of its successful initiation. Methods: A retrospective study of 1893 mothers delivering healthy term singletons at a Swiss university hospital from 1/2008 to 3/2009 determined the associations between multiple breastfeeding and early postpartum parameters by univariate and multiple regression analysis. Results: Multiparity was associated with nursing exclusively at the breast at discharge (P<0.001), less use of maltodextrin supplement (P<0.05), bottle/cup (both P<0.001), but more pacifier use (P<0.05). Among obese mothers, nursing exclusively at the breast at discharge was less frequent, and use of all feeding aids more frequent, than among normal-weight women (both P<0.001). Neuraxial anesthesia was associated with use of maltodextrin and bottle (both P<0.05) compared to no anesthesia. Delayed first skin-to-skin contact and rooming-in for <24 h/day were each associated with maltodextrin and cup (P<0.05). Nursing exclusively at the breast at discharge was less frequent (P<0.001), and bottle use more frequent (P<0.05), in women with sore nipples than in those without. Conclusions: Obesity is a potent inhibitor of breastfeeding initiation. Delivery without anesthesia by a multiparous normal-weight mother, followed by immediate skin-to-skin contact, rooming-in for 24 h/day, and dedicated nipple care, provides the best conditions for successful early postpartum breastfeeding without the need for feeding aids or nutritional supplements.
- Subjects
SWITZERLAND; ACADEMIC medical centers; BREASTFEEDING; REGRESSION analysis; STATISTICS; MULTIPLE regression analysis; RETROSPECTIVE studies; PARITY (Obstetrics); DATA analysis software
- Publication
Journal of Perinatal Medicine, 2013, Vol 41, Issue 3, p331
- ISSN
0300-5577
- Publication type
Article
- DOI
10.1515/jpm-2012-0102