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01-03-2017

Paternal Pregnancy Intention and Breastfeeding Duration: Findings from the National Survey of Family Growth

Authors: Jordyn T. Wallenborn, Saba W. Masho, Scott Ratliff

Published in: Maternal and Child Health Journal | Issue 3/2017

Abstract

Objectives Despite the benefits of breastfeeding, less than a fifth of American mothers breastfeed for the recommended duration. Paternal support plays a major role in maternal and child health outcomes; however, the influence of paternal pregnancy intention on breastfeeding duration is under investigated. This study examines the relationship between fathers’ pregnancy intention and breastfeeding duration. Methods Data from the 2011–2013 National Survey of Family Growth were analyzed using cross-sectional methodology. Women who were pregnant, never received medical help to become pregnant, whose partner was aged 18–49 years, and who responded to questions related to paternal pregnancy intention and breastfeeding were included in the analysis (N = 2089). Multinomial logistic regression, odds ratios and 95 % confidence intervals were calculated. There was a statistically significant interaction between father’s age and father’s pregnancy intention (P = 0.0385) and all models were stratified by paternal age. Results Fathers aged 18–24 years with a mistimed pregnancy were 2.3 times more likely to have a child who was never breastfed, (AOR 2.27, 95 % CI 1.39–3.70) and 1.7 times more likely to have a child who was breastfed 6 months or less (AOR 1.69, 95 % CI 1.28–2.23) compared to fathers with an intended pregnancy. No statistically significant association was observed among fathers aged 25–49 years. Conclusion Findings from this study show a relationship between mistimed pregnancies and breastfeeding duration among younger fathers. Healthcare professionals should develop breastfeeding interventions targeting fathers and young families.

About the national survey of family growth. (2015). Retrieved from http://www.cdc.gov/nchs/nsfg/about_nsfg.htm.

Ahluwalia, I. B., Morrow, B., & Hsia, J. (2005). Why do women stop breastfeeding? Findings from the pregnancy risk assessment and monitoring system. Pediatrics, 116(6), 1408–1412. doi:10.1542/peds.2005-0013.CrossRefPubMed

Arora, S., McJunkin, C., Wehrer, J., & Kuhn, P. (2000). Major factors influencing breastfeeding rates: Mother’s perception of father’s attitude and milk supply. Pediatrics, 106(5), E67.CrossRefPubMed

Bar-Yam, N. B., & Darby, L. (1997). Fathers and breastfeeding: A review of the literature. Journal of Human Lactation: Official Journal of International Lactation Consultant Association, 13(1), 45–50.CrossRef

Blaymore Bier, J. A., Oliver, T., Ferguson, A., & Vohr, B. R. (2002). Human milk reduces outpatient upper respiratory symptoms in premature infants during their first year of life. Journal of Perinatology: Official Journal of the California Perinatal Association, 22(5), 354–359. doi:10.1038/sj.jp.7210742.CrossRef

Bray, I., Gunnell, D., & Davey Smith, G. (2006). Advanced paternal age: How old is too old? Journal of Epidemiology and Community Health, 60(10), 851–853. doi:10.1136/jech.2005.045179.CrossRefPubMedPubMedCentral

Bronte-Tinkew, J., Ryan, S., Carrano, J., & Moore, K. A. (2007). Resident fathers’ pregnancy intentions, prenatal behaviors, and links to involvement with infants. Journal of Marriage and Family, 69(4), 977–990. Retrieved from http://www.jstor.org/stable/4622502.

Carlson, M. J. (2006). Family structure, father involvement, and adolescent behavioral outcomes. Journal of Marriage and Family, 68(1), 137–154.CrossRef

Celi, A. C., Rich-Edwards, J. W., Richardson, M. K., Kleinman, K. P., & Gillman, M. W. (2005). Immigration, race/ethnicity, and social and economic factors as predictors of breastfeeding initiation. Archives of Pediatrics and Adolescent Medicine, 159(3), 255–260.CrossRefPubMed

Centers for Disease Control and Prevention (CDC). (2014). Breastfeeding report card 2014. United States: Outcome Indicators at http://www.Cdc.Gov/Breastfeeding/Data/Reportcard.Htm.

Cheng, D., Schwarz, E. B., Douglas, E., & Horon, I. (2009). Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors. Contraception, 79(3), 194–198. doi:10.1016/j.contraception.2008.09.009.CrossRefPubMed

Colen, C. G., & Ramey, D. M. (2014). Is breast truly best? Estimating the effects of breastfeeding on long-term child health and wellbeing in the United States using sibling comparisons. Social Science and Medicine, 109, 55–65.CrossRefPubMedPubMedCentral

Dahlhamer, J. M., Galinsky, A. M., Joestl, S. S., & Ward, B. W. (2014). Sexual orientation in the 2013 national health interview survey: A quality assessment. Vital and Health Statistics Series 2, Data Evaluation and Methods Research, 169, 1–32.

Dewey, K. G., Heinig, M. J., & Nommsen, L. A. (1993). Maternal weight-loss patterns during prolonged lactation. The American Journal of Clinical Nutrition, 58(2), 162–166.PubMed

Dodgson, J. E., Henly, S. J., Duckett, L., & Tarrant, M. (2003). Theory of planned behavior-based models for breastfeeding duration among Hong Kong mothers. Nursing Research, 52(3), 148–158.CrossRefPubMed

Ekström, A., Widström, A., & Nissen, E. (2003). Breastfeeding support from partners and grandmothers: Perceptions of Swedish women. Birth, 30(4), 261–266.CrossRefPubMed

Gerstein, H. C. (1994). Cow’s milk exposure and type I diabetes mellitus. A critical overview of the clinical literature. Diabetes Care, 17(1), 13–19.CrossRefPubMed

Giglia, R., Binns, C. W., & Alfonso, H. (2006). Maternal cigarette smoking and breastfeeding duration. Acta Paediatrica, 95(11), 1370–1374. doi:10.1080/08035250600771474.CrossRefPubMed

Guelinckx, I., Devlieger, R., Bogaerts, A., Pauwels, S., & Vansant, G. (2012). The effect of pre-pregnancy BMI on intention, initiation and duration of breast-feeding. Public Health Nutrition, 15(05), 840–848.CrossRefPubMed

Heinig, M. J. (2001). Host defense benefits of breastfeeding for the infant: Effect of breastfeeding duration and exclusivity. Pediatric Clinics of North America, 48(1), 105–123.CrossRefPubMed

Joyce, T. J., Kaestner, R., & Korenman, S. (2000). The effect of pregnancy intention on child development. Demography, 37(1), 83–94.CrossRefPubMed

McDowell, M. M., Wang, C., & Kennedy-Stephenson, J. (2008). Breastfeeding in the United States: Findings from the national health and nutrition examination surveys, 1999–2006. NewYork: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.

Meedya, S., Fahy, K., & Kable, A. (2010). Factors that positively influence breastfeeding duration to 6 months: A literature review. Women and Birth, 23(4), 135–145.CrossRefPubMed

Mohllajee, A. P., Curtis, K. M., Morrow, B., & Marchbanks, P. A. (2007). Pregnancy intention and its relationship to birth and maternal outcomes. Obstetrics and Gynecology, 109(3), 678–686. doi:10.1097/01.AOG.0000255666.78427.c5.CrossRefPubMed

Newcomb, P. A., Storer, B. E., Longnecker, M. P., Mittendorf, R., Greenberg, E. R., Clapp, R. W., et al. (1994). Lactation and a reduced risk of premenopausal breast cancer. New England Journal of Medicine, 330(2), 81–87.CrossRefPubMed

Office of the Surgeon General (US, & Centers for Disease Control and Prevention. (2011). Barriers to breastfeeding in the United States.

Office of the Surgeon General (US), Centers for Disease Control and Prevention (US), & Office on Women’s Health (US). (2011). doi:NBK52682 [bookaccession].

Reichman, N. E., & Teitler, J. O. (2006). Paternal age as a risk factor for low birthweight. American Journal of Public Health, 96(5), 862–866. doi:10.2105/AJPH.2005.066324.CrossRefPubMedPubMedCentral

Rogers, J. E., & Speizer, I. S. (2007). Pregnancy intention and father involvement in guatemala. Journal of Comparative Family Studies, 38(1), 71–85.

Rosenblatt, K. A., & Thomas, D. B. (1993). Lactation and the risk of epithelial ovarian cancer. The WHO collaborative study of neoplasia and steroid contraceptives. International Journal of Epidemiology, 22(2), 192–197.CrossRefPubMed

Rubin, V., & East, P. L. (1999). Adolescents’ pregnancy intentions: Relations to life situations and caretaking behaviors prenatally and 2 years postpartum. Journal of Adolescent Health, 24(5), 313–320. doi:10.1016/S1054-139X(98)00082-2.CrossRefPubMedPubMedCentral

Saha, S., Barnett, A. G., Foldi, C., Burne, T. H., Eyles, D. W., Buka, S. L., et al. (2009). Advanced paternal age is associated with impaired neurocognitive outcomes during infancy and childhood. PLoS Medicine, 6(3), 303.CrossRef

Sarkadi, A., Kristiansson, R., Oberklaid, F., & Bremberg, S. (2008). Fathers’ involvement and children’s developmental outcomes: A systematic review of longitudinal studies. Acta Paediatrica, 97(2), 153–158.CrossRefPubMed

Scott, J., Aitkin, I., Binns, C., & Aroni, R. (1999). Factors associated with the duration of breastfeeding amongst women in perth, australia. Acta Paediatrica, 88(4), 416–421. doi:10.1111/j.1651-2227.1999.tb01133.x.CrossRefPubMed

Scott, J. A., Binns, C. W., Oddy, W. H., & Graham, K. I. (2006). Predictors of breastfeeding duration: Evidence from a cohort study. Pediatrics, 117(4), e646–e655. doi:10.1542/peds.2005-1991.CrossRefPubMed

Scott, J., Landers, M., Hughes, R. M., & Binns, C. (2001). Factors associated with breastfeeding at discharge and duration of breastfeeding. Journal of Paediatrics and Child Health, 37(3), 254–261.CrossRefPubMed

Stene, L. C., Magnus, P., Lie, R. T., Sovik, O., & Joner, G. (2001). Maternal and paternal age at delivery, birth order, and risk of childhood onset type 1 diabetes: Population based cohort study. BMJ (Clinical Research Ed.), 323(7309), 369.CrossRef

Taylor, J. S., & Cabral, H. J. (2002). Are women with an unintended pregnancy less likely to breastfeed? The Journal of Family Practice, 51(5), 431–436.PubMed

Thulier, D., & Mercer, J. (2009). Variables associated with breastfeeding duration. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(3), 259–268.CrossRefPubMed

Tohotoa, J., Maycock, B., Hauck, Y. L., Howat, P., Burns, S., & Binns, C. W. (2009). Dads make a difference: An exploratory study of paternal support for breastfeeding in Perth, Western Australia. International Breastfeeding Journal, 4(1), 15.CrossRefPubMedPubMedCentral

US Department of Health and Human Services, & US Department of Health and Human Services. (2000). HHS blueprint for action on breastfeeding.

Van Wagenen, S. A., Magnusson, B. M., & Neiger, B. L. (2015). Attitudes toward breastfeeding among an internet panel of US males aged 21–44. Maternal and Child Health Journal. 19(9), 2020–2028. doi:10.1007/s10995-015-1714-1.CrossRef

World Health Organization. (2015). Breastfeeding. Retrieved from http://www.who.int/topics/breastfeeding/en/.

Title: Paternal Pregnancy Intention and Breastfeeding Duration: Findings from the National Survey of Family Growth
Authors: Jordyn T. Wallenborn
Saba W. Masho
Scott Ratliff
Publication date: 01-03-2017
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 3/2017
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-016-2139-1

2024 ASCO Annual Meeting

Springer Medicine

Paternal Pregnancy Intention and Breastfeeding Duration: Findings from the National Survey of Family Growth

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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