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Journal of Human Lactation
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0890334408322263v1
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Article

Factors Associated With Exclusive Breastfeeding at 3 Months Postpartum in Valdivia, Chile

R. Mauricio Barría*, Gema Santander, and Tatiana Victoriano

* To whom correspondence should be addressed. E-mail: rbarria{at}uach.cl.


  Abstract
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.

First published on September 10, 2008, doi:10.1177/0890334408322263

Journal of Human Lactation 2008;24:439.

A more recent version of this article appeared on November 1, 2008

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