Τίτλος:
Smoking and caesarean deliveries: major negative predictors for
breastfeeding in the mother-child cohort in Crete, Greece (Rhea study)
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Although benefits of breastfeeding have been widely promoted and
accepted, exclusive breastfeeding for the first 6 months of life is far
from the norm in many countries. In a prospective mother-child cohort
study in Crete, Greece (Rhea’ study), we assessed the frequency of
breastfeeding and its socio-demographic predictors. Information on
breastfeeding was available for a period of 18 months post-partum for a
cohort of 1181 mothers and their 1208 infants. The frequency of
exclusive and predominant breastfeeding in the first month post-partum
was 17.8% and 3.4%, respectively, with almost three-quarters of women
(73.6%) ceasing any breastfeeding after 4 months post-partum. Women
were less likely to initiate breastfeeding if they had a caesarean
delivery (CD), whereas they were more likely to initiate breastfeeding
if they had a higher education or gave birth to a private clinic. Among
women breastfeeding, those who had a CD, were ex-smokers or smokers
during pregnancy had a statistically significant shorter duration of
breastfeeding, whereas higher education and being on leave from work
were associated with a longer duration of breastfeeding. Study findings
suggest suboptimal levels of exclusive and any breastfeeding and
difficulty maintaining longer breastfeeding duration. CD and smoking are
common in Greece and are strong negative predictors for breastfeeding
initiation and/or duration, necessitating targeting women at risk early
in the prenatal period so as to have a meaningful increase of
breastfeeding practices in future cohorts of mothers.
Συγγραφείς:
Vassilaki, Maria
Chatzi, Leda
Bagkeris, Emmanouil and
Papadopoulou, Eleni
Karachaliou, Marianna
Koutis, Antonis and
Philalithis, Anastas
Kogevinas, Manolis
Περιοδικό:
Maternal and Child Nutrition
Λέξεις-κλειδιά:
breastfeeding; breastfeeding frequency; breastfeeding initiation;
breastfeeding duration; breastfeeding predictors; lactation score
DOI:
10.1111/j.1740-8709.2012.00420.x
