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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 3/2016

01-09-2016 | Maternal-Fetal Medicine

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Authors: Stephanie Wallwiener, Mitho Müller, Anne Doster, Katharina Plewniok, Christian W. Wallwiener, Herbert Fluhr, Sandra Feller, Sara Y. Brucker, Markus Wallwiener, Corinna Reck

Published in: Archives of Gynecology and Obstetrics | Issue 3/2016

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Abstract

Purpose

This study aimed to investigate socio-demographic, medical and psychological factors that have an impact on breastfeeding.

Methods

Questionnaires were administered to 330 women prenatally (TI third trimester) and postpartum (TII 3–4 days, TIII 4 months). Medical data were collected from the hospital records. Self-reported data on initiation and maintenance of breastfeeding was collected simultaneously. Primary endpoint was breastfeeding initiation and maintenance. Data analyses were performed using Spearman’s ρ correlations between breastfeeding and other study variables and generalized multiple ordinal logistic regression analysis.

Results

Neonatal admission to the NICU, high BMI, cesarean section, difficulties with breastfeeding initiation and high maternal state anxiety were the strongest predictors of impaired breastfeeding initiation, explaining together 50 % of variance. After 4 months, the strongest predictors of impaired maintenance of breastfeeding were maternal smoking, a high BMI and a history of postpartum anxiety disorder, explaining 30 % of variance.

Conclusions

Successful initiation and maintenance of breast feeding is a multifactorial process. Our results underline the need of interdisciplinary approaches to optimise breastfeeding outcomes by demonstrating the equality of medical and psychological variables. Whereas practices on maternity wards are crucial for optimal initiation, continuous lifestyle modifying and supporting approaches are essential for breastfeeding maintenance. Healthcare providers can also significantly influence breastfeeding initiation and maintenance by counselling on the importance of maternal BMI.
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Metadata
Title
Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?
Authors
Stephanie Wallwiener
Mitho Müller
Anne Doster
Katharina Plewniok
Christian W. Wallwiener
Herbert Fluhr
Sandra Feller
Sara Y. Brucker
Markus Wallwiener
Corinna Reck
Publication date
01-09-2016
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 3/2016
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-015-3994-5

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