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Journal of Human Lactation
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24/4/439    most recent
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Factors Associated With Exclusive Breastfeeding at 3 Months Postpartum in Valdivia, Chile

RM Barría, RN, MSc, DrPH C

Instituto de Enfermería, Facultad de Medicina, Universidad Austral de Chile

Gema Santander, RN, MPH

Instituto de Enfermería, Facultad de Medicina, Universidad Austral de Chile

Tatiana Victoriano, RN

Instituto de Enfermería, Facultad de Medicina, Universidad Austral de Chile

A prospective cohort study was conducted in 315 mother-newborn dyads from Valdivia, Chile. A questionnaire was administered to mothers before 48 hours postpartum, and sociodemographic, obstetric, and neonatal data were collected. At 3 months postpartum, a follow-up by telephone interview or home visit was made, determining the proportion of mothers providing exclusive breastfeeding. Multivariate logistic regression was carried out to identify variables significantly associated with exclusive breastfeeding. Follow-up data showed 98.1% were breastfeeding, and exclusive breastfeeding reached 69.5%. Withdrawal of exclusive breastfeeding was positively associated with single marital status (odds ratio, 2.49; 95% confidence interval: 1.48-4.20) and smoking during pregnancy (odds ratio, 2.61; 95% confidence interval: 1.48-4.60), while maternal education greater than 8 years was associated with continuation of exclusive breastfeeding (odds ratio, 0.45; 95% confidence interval: 0.24-0.84). Breastfeeding education strategies addressed to high-risk pregnant women (single with a low education level) must be emphasized in addition to prevention of nonhealthy habits, such as tobacco and alcohol consumption during gestation. J Hum Lact. 24(4):439-445.

Key Words: exclusive breastfeeding • breastfeeding • newborn • infant • cohort studies

This version was published on November 1, 2008

Journal of Human Lactation, Vol. 24, No. 4, 439-445 (2008)
DOI: 10.1177/0890334408322263
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