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- Title
Breastfeeding avoidance following psychological intimate partner violence during pregnancy: a cohort study and multivariate analysis.
- Authors
Martin‐de‐las‐Heras, S; Velasco, C; Luna‐del‐Castillo, JD; Khan, KS; Martin-de-Las-Heras, S; Luna-Del-Castillo, J D; Khan, K S
- Abstract
<bold>Objective: </bold>To evaluate if the experience of psychological intimate partner violence (IPV) adversely affects breastfeeding rates.<bold>Design: </bold>A cohort study.<bold>Setting: </bold>Maternities in 15 public hospitals, drawn using cluster sampling of obstetric services in Andalusia, Spain.<bold>Population: </bold>A total of 779 consecutive mothers receiving antenatal care including ultrasound and giving birth during February-June 2010.<bold>Methods: </bold>Trained midwives gathered IPV data using the Index of Spouse Abuse validated in the Spanish language (score ranges: 0-100, higher scores reflect more severe IPV; cut-off: psychological IPV = 25). Sociodemographic data including lack of kin support, and obstetric and neonatal outcomes were collected. Multivariate logistic regression estimated adjusted odds ratios (aOR), with 95% confidence intervals (CI), of the relationship between psychological IPV and breastfeeding, controlling for sociodemographic characteristics and obstetric complications.<bold>Main Outcome Measure: </bold>Breastfeeding avoidance defined as lack of breastfeeding or pumping of breast milk to feed the new baby in the immediate post-partum period.<bold>Results: </bold>Response rate was 92.2%. A total of 70% (n = 545) of women initiated breastfeeding. Psychological IPV, reported by 21.0% (n = 151), increased the odds of breastfeeding avoidance (aOR = 2.0; 95% CI = 1.2-3.3) adjusting for the presence of obstetric complications (aOR = 1.6; 95% CI = 1.0-2.4).<bold>Conclusions: </bold>Mothers with psychological IPV avoid breastfeeding. Clinicians should be aware of the risks to infant arising from this deficiency due to IPV in pregnancy.<bold>Tweetable Abstract: </bold>Psychological intimate partner violence, reported by one in five mothers in this study, on average doubles the avoidance of breastfeeding.
- Subjects
ANDALUSIA (Spain); SPAIN; INTIMATE partner violence; MULTIVARIATE analysis; COHORT analysis; PRENATAL care; PRENATAL bonding; PREGNANCY &; psychology; PSYCHOLOGY of puerperium; BREASTFEEDING &; psychology; BREASTFEEDING; DEMOGRAPHY; LONGITUDINAL method; EVALUATION of medical care; PREGNANCY; RISK assessment; SOCIOECONOMIC factors
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2019, Vol 126, Issue 6, p778
- ISSN
1470-0328
- Publication type
journal article
- DOI
10.1111/1471-0528.15592