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Intragroup Differences in Risk Factors for Breastfeeding Outcomes in a Multicultural Community
Ghada K. Al Tajir, PhD, IBCLC
Drug Information Department, Al Qassimi Hospital, Sharjah, United Arab Emirates
Hana Sulieman, PhD
Department of Mathematics and Statistics, American University of Sharjah, United Arab Emirates
Padmanabhan Badrinath, PhD, MFPH
Suffolk West Primary Care Trust and University of Cambridge, United Kingdom
A sample of 221 women who delivered at Al Qassimi Hospital, Sharjah, United Arab Emirates, were included in this prospective study to identify breastfeeding patterns at day 1, 1 month, and 6 months postpartum. The exclusive breastfeeding rate was 76.5% on day 1, 48.4% at 1 month, and 13.3% at 6 months. At 6 months, 16.1% had stopped breastfeeding. Simple and multivariable binary logistic regression analyses were used to identify factors associated with better breastfeeding outcomes. Nationality significantly affected exclusive breastfeeding at day 1 and 1 month. Pethidine use was associated with lower levels of exclusive breastfeeding at 1 month. Education was the most significant determinant of breastfeeding behavior at 6 months. Effects of the interrelationships between factors were examined and shown to influence breastfeeding outcomes in different population subgroups. The findings of this study suggest that strategies to improve breastfeeding should focus on risk factors specific to the population subgroup.
Key Words: breastfeeding nationality analgesia education
References
- The Global Strategy on Infant and Young Child Feeding. A joint WHO/UNICEF statement. Geneva, Switzerland: World Health Organization,2003.
- Awang H, Salleh AL. Determinants of breastfeeding duration in Peninsular Malaysia. Asia Pac J Public Health. 2000;12:102-106.[Abstract/Free Full Text]
- Alika Yifo Ylu M, Erginoz E, Gur ET, Baltas Z, Beker B, Arvas A. Factors influencing the duration of exclusive breastfeeding in a group of Turkish women. J Hum Lact. 2001;17:220-226.[Abstract/Free Full Text]
- Renfrew MJ, Lang S, Martin L, Woolridge MW. Feeding schedules in hospitals for newborn infants. Cochrane Database Syst Rev 2000; RF-(2): CD000090.
- Langar A, Campero L, Garcia C, Reynoso S. Effects of psychosocial support during labour and childbirth on breastfeeding, medical interventions and mothers wellbeing in a Mexican public hospital: a randomized clinical trial. Br J Obstet Gynaecol. 1998;105:105-163.
- Losch M, Dungy CI, Russell D, Dusdiker LB. Impact of attitudes on maternal decisions regarding infant feeding. J Pedtr. 1995;126:507-514.
- Ertem IO, Votto N, Leventhal JM. The timing and predictors of early termination of breastfeeding. Pediatrics. 2001;107:543-548.[Abstract/Free Full Text]
- World Health Organization. The Optimal Duration of Exclusive Breastfeeding. Note for the press No. 7 (April 2, 2001). Available at: http://www.who.int/inf-pr-2001/en/note2001-07.html.
- Heinig MJ. Special issue: cross-cultural determinants of infant feeding practices, part 1. J Hum Lact. 2001;17:201.[Free Full Text]
- Al-Mazroui MJ, Oyejide CO, Bener A, Cheema MY. Breastfeeding and supplemental feeding for neonates in Al-Ain, United Arab Emirates. J Trop Pediatr. 1997:43:304-306.[Abstract/Free Full Text]
- Osman NA, El-Sabban FF. Infant practices in Al-Ain, United Arab Emirates. East Mediterr Health J. 1999;5:103-110.[Medline]
[Order article via Infotrieve]
- Sharief NM, Margolis S, Townsend T. Breastfeeding patterns in Fujairah, United Arab Emirates. J Trop Pediatr. 2001;47:304-306.[Abstract/Free Full Text]
- Cattaneo A, Davanzo R, Ronfani L. Are data on the prevalence and duration of breastfeeding reliable? The case of Italy. Acta Paediatr. 2000;89:88-93.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Huttly SR, Barros F, Victora CG, Beria JU, Vaughan JP. Do mothers overestimate breast feeding duration? An example of recall bias from a study in southern Brazil. Am J Epidemiol. 1990;132:572-575.[Abstract/Free Full Text]
- Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999;7:5-16.[Medline]
[Order article via Infotrieve]
- Labbok M, Krasovec K. Toward consistency in breastfeeding definitions. Stud Fam Plann. 1990;21:226-230.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Victoria CG, Smith PG, Vaughan JP, et al. Evidence for protection by breastfeeding against infant deaths from infectious diseases in Brazil, Lancet. 1987:2:319-332.[Web of Science][Medline]
[Order article via Infotrieve]
- Popkin BM, Adair L, Akin JS, Black R, Briscoe J, Flieger W. Breast-feeding and diarrheal morbidity. Pediatrics. 1990;86:874-882.[Abstract/Free Full Text]
- Forste R, Weiss J, Lippincott E. The decision to breastfeed in the United States: does race matter? Pediatrics. 2001;108:291-296.[Abstract/Free Full Text]
- Ryan AS. The resurgence of breastfeeding in the United States. Pediatrics. 1997;99. Available at: http://www.pediatrics.org/cgi/content/full/99/4/e12.
- Homer CS, Sheehan A, Cooke M. Initial feeding decisions and duration of breastfeeding in women from English, Arabic and Chinese-speaking backgrounds in Australia. Breastfeed Rev. 2002;10:27-32.[Medline]
[Order article via Infotrieve]
- De Amici D, Gasparoni A, Guala A, Klersy C. Does ethnicity predict lactation? A study of four ethnic communities. Eur J Epidemiol. 2001;17:357-362.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Waldenstrom U, Sundelin C, Lindmark G. Early and Late discharge after hospital birth: breastfeeding. Acta Paediatr Scand. 1987;76:727-732.[Web of Science][Medline]
[Order article via Infotrieve]
- Margolis LH, Schwartz JB. The relationship between timing of postpartum hospital discharge and breastfeeding. J Hum Lact. 2000;16:121-128.[Abstract/Free Full Text]
- Ransjo-Arvidson AB, Matthiesen AS, Lilja G, Nissen E, Widstrom AM, Uvnas-Moberg K. Maternal analgesia during labour disturbs newborn behavior: effects on breastfeeding, temperature and crying. Birth. 2001;28:5-12.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Riordan J, Gross A, Angeron J, Krumwiede B, Melin J. The effect of labor pain relief medication on neonatal suckling and breastfeeding duration. J Hum Lact. 2000;16:7-12.[Abstract/Free Full Text]
- Weiner PC, Hogg MI, Rosen M. Effects of naloxone on pethidine-induced neonatal depression, part 1: intravenous naloxone. Br Med J. 1977;2:228-229.[Abstract/Free Full Text]
- Hodgkinson R, Bhatt M, Grewal G, Marx GF. Neonatal neurobehavior in the first 48 hours of life: effect of administration of meperidine with and without nalaxone in the mother. Pediatrics. 1978;62:294-298.[Abstract/Free Full Text]
- Rajan L. The impact of obstetric procedures and analgesia/anaesthesia during labour and delivery on breastfeeding. Midwifery. 1994;10:87-103.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Halpern SH, Levine T, Wilson DB, MacDonell J, Katsiris SE, Leighton BL. Effect of labor analgesia on breastfeeding success. Birth. 1999;26:83-88.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Musaiger AO, Abdulkhalek N. Breastfeeding and weaning practices in Bahrain: the role of education. Nutr Health. 2000;14:257-263.[Medline]
[Order article via Infotrieve]
- Al Shehri SN, Farag MK, Baldo MH, Am Mazrou YY, Aziz KM. Overview on breastfeeding patterns in Saudi Arabia. J Trop Pediatr. 1995;41(suppl 1):38-44.[Medline]
[Order article via Infotrieve]
Journal of Human Lactation, Vol. 22, No. 1,
39-47 (2006)
DOI: 10.1177/0890334405283626

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