Abstract
Objectives
This study aimed to 1) Examine factors associated with cessation of exclusive breastfeeding in Israel and 2) Develop predictive models to identify women at risk for early exclusive breastfeeding cessation.
Methods
The study used data from longitudinal national representative infant nutrition survey in Israel (n = 2119 participants). Logistic regression was used to identify risk factors and build predictive models.
Results
The rate of exclusive breastfeeding cessation increased from 45.4% at 2 months to 85.7% at 6 months. Five factors were significantly associated with higher odds of exclusive breastfeeding cessation at 2 months: being a primapara, low educational level, lack of previous breastfeeding experience, negative attitude towards birth, and lack of intention to breastfeed. Six factors were significantly associated with higher odds of exclusive breastfeeding cessation at 6 months: younger age, being in a relationship with a partner, lower religiosity level, cesarean delivery, not taking folic acid during pregnancy, and negative attitude towards birth. Both 2 and 6-months models had good predictive performance (C-statistic of .72 and .68, accordingly).
Conclusions for Practice
This nationwide study successfully identified several predictors of exclusive breastfeeding cessation and created breastfeeding cessation prediction tools for two time periods (2 and 6 months). The resulting tools can be applied to identify women at risk for stopping exclusive breastfeeding in hospitals or at community clinics. Further studies should examine practical aspects of applying these tools in practice and explore whether applying those tools can lead to higher exclusive breastfeeding rates.
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Change history
07 February 2022
A Correction to this paper has been published: https://doi.org/10.1007/s10995-022-03374-w
References
Aakre, I., Lilleengen, A. M., Lerseth Aarsand, M., Strand, T. A., Barikmo, I., & Henjum, S. (2016). Infant feeding practices in the Saharawi refugee camps Algeria, a cross-sectional study among children from birth to six months of age. International Breastfeeding Journal, 12(1), 8. https://doi.org/10.1186/s13006-016-0098-1
Akinbosoye, O. E., Taitel, M. S., Grana, J., Hill, J., & Wade, R. L. (2016). Improving medication adherence and health care outcomes in a commercial population through a community pharmacy. Population Health Management, 19(6), 454–461. https://doi.org/10.1089/pop.2015.0176
Bai, D. L., Fong, D. Y. T., & Tarrant, M. (2015). Previous breastfeeding experience and duration of any and exclusive breastfeeding among multiparous mothers. Birth, 42(1), 70–77. https://doi.org/10.1111/birt.12152
Bergman, R., & Feinberg, D. (1981). Working women and breastfeeding in Israel. Journal of Advanced Nursing, 6(4), 305–309. https://doi.org/10.1111/j.1365-2648.1981.tb03227.x
Birenbaum, E., Fuchs, C., & Reichman, B. (1989). Demographic factors influencing the initiation of breast-feeding in an Israeli urban population. Pediatrics, 83(4), 519–523.
Boccolini, C. S., de Carvalho, M. L., & de Oliveira, M. I. C. (2015). Factors associated with exclusive breastfeeding in the first six months of life in Brazil: a systematic review. Revista De Saúde Pública. https://doi.org/10.1590/S0034-8910.2015049005971
Caetano, S. J., Sonpavde, G., & Pond, G. R. (2018). C-statistic: A brief explanation of its construction, interpretation and limitations. European Journal of Cancer, 90, 130–132. https://doi.org/10.1016/j.ejca.2017.10.027
Chezem, J. C. (2012). Breastfeeding attitudes among couples planning exclusive breastfeeding or mixed feeding. Breastfeeding Medicine, 7(3), 155–162. https://doi.org/10.1089/bfm.2011.0024
Dalili, H., Farsar, A., Barakati, H., Raji, F., Shariat, M., Pourmalek, F., & Fallahi, M. (2014). Frequency of exclusive breastfeeding and its affecting factors in Tehran, 2011. Acta Medica Iranica, 52(7), 552–556.
De Jager, E., Broadbent, J., Fuller-Tyszkiewicz, M., & Skouteris, H. (2014). The role of psychosocial factors in exclusive breastfeeding to six months postpartum. Midwifery, 30(6), 657–666. https://doi.org/10.1016/j.midw.2013.07.008
Evans, M. L., Dick, M. J., Lewallen, L. P., & Jeffrey, C. (2004). Modified breastfeeding attrition prediction tool: Prenatal and postpartum tests. The Journal of Perinatal Education, 13(1), 1–8. https://doi.org/10.1624/105812404X109348
Fu, I. C. Y., Fong, D. Y. T., Heys, M., Lee, I. L. Y., Sham, A., & Tarrant, M. (2014). Professional breastfeeding support for first-time mothers: A multicentre cluster randomised controlled trial. BJOG: an International Journal of Obstetrics and Gynaecology, 121(13), 1673–1683. https://doi.org/10.1111/1471-0528.12884
Halvorsen, M.-K., Langeland, E., Almenning, G., Haugland, S., Irgens, L. M., Markestad, T., & Sollesnes, R. (2015). Amming kartlagt ved rutinedata. Tidsskrift for Den Norske Legeforening, 135(3), 236–241. https://doi.org/10.4045/tidsskr.14.0133
Hamade, H., Naja, F., Keyrouz, S., Hwalla, N., Karam, J., Al-Rustom, L., & Nasreddine, L. (2014). Breastfeeding knowledge, attitude, perceived behavior, and intention among female undergraduate university students in the Middle East: The case of Lebanon and Syria. Food and Nutrition Bulletin, 35(2), 179–190. https://doi.org/10.1177/156482651403500204
Henninger, M. L., Irving, S. A., Kauffman, T. L., Kurosky, S. K., Rompala, K., Thompson, M. G., Pregnancy and Influenza Project Workgroup. (2017). Predictors of breastfeeding initiation and maintenance in an integrated healthcare setting. Journal of Human Lactation, 33(2), 256–266. https://doi.org/10.1177/0890334417695202
Hobbs, A. J., Mannion, C. A., McDonald, S. W., Brockway, M., & Tough, S. C. (2016). The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy and Childbirth, 16(1), 90. https://doi.org/10.1186/s12884-016-0876-1
Israel Center for Disease Control. (2014). National Health and Nutrition Survey- birth to age 2 years. Retrieved May 16, 2017, from https://www.health.gov.il/PublicationsFiles/mabat_352.pdf.
Julsgaard, M., Nørgaard, M., Hvas, C. L., Grosen, A., Hasseriis, S., & Christensen, L. A. (2014). Self-reported adherence to medical treatment, breastfeeding behaviour, and disease activity during the postpartum period in women with Crohn’s disease. Scandinavian Journal of Gastroenterology, 49(8), 958–966. https://doi.org/10.3109/00365521.2014.920913
Karim, F., Khan, A. N. S., Tasnim, F., Chowdhury, M. A. K., Billah, S. M., Karim, T., & Garnett, S. P. (2019). Prevalence and determinants of initiation of breastfeeding within one hour of birth: An analysis of the Bangladesh Demographic and Health Survey, 2014. PLoS ONE, 14(7), e0220224. https://doi.org/10.1371/journal.pone.0220224
Kazaura, M. (2016). Exclusive breastfeeding practices in the Coast region, Tanzania. African Health Sciences, 16(1), 44. https://doi.org/10.4314/ahs.v16i1.6
Koçtürk, T. (2007). Foetal development and breastfeeding in early texts of the Islamic tradition. Acta Paediatrica, 92(5), 617–620. https://doi.org/10.1111/j.1651-2227.2003.tb02516.x
Lewallen, L. P. (2006). A review of instruments used to predict early breastfeeding attrition. The Journal of Perinatal Education, 15(1), 26–41. https://doi.org/10.1624/105812406X92967
Lok, K. Y. W., Bai, D. L., Chan, N. P. T., Wong, J. Y. H., & Tarrant, M. (2018). The impact of immigration on the breastfeeding practices of Mainland Chinese immigrants in Hong Kong. Birth, 45(1), 94–102. https://doi.org/10.1111/birt.12314
Mirowsky, J., & Ross, C. E. (2003). Education, social status, and health. A. de Gruyter.
Negin, J., Coffman, J., Vizintin, P., & Raynes-Greenow, C. (2016). The influence of grandmothers on breastfeeding rates: A systematic review. BMC Pregnancy and Childbirth, 16(1), 91. https://doi.org/10.1186/s12884-016-0880-5
Nkoka, O., Ntenda, P. A. M., Kanje, V., Milanzi, E. B., & Arora, A. (2019). Determinants of timely initiation of breast milk and exclusive breastfeeding in Malawi: A population-based cross-sectional study. International Breastfeeding Journal, 14(1), 37. https://doi.org/10.1186/s13006-019-0232-y
Patel, A., Bucher, S., Pusdekar, Y., Esamai, F., Krebs, N. F., Goudar, S. S., & Hibberd, P. L. (2015). Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study. Reproductive Health, 12(S2), S10. https://doi.org/10.1186/1742-4755-12-S2-S10
Perrine, C. G., Scanlon, K. S., Li, R., Odom, E., & Grummer-Strawn, L. M. (2012). Baby-friendly hospital practices and meeting exclusive breastfeeding intention. Pediatrics, 130(1), 54–60. https://doi.org/10.1542/peds.2011-3633
Renfrew, M. J., McCormick, F. M., Wade, A., Quinn, B., & Dowswell, T. (2012). Support for healthy breastfeeding mothers with healthy term babies. The Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001141.pub4
Rosenblum, J. (2016). ”Blessings of the breasts”: Breastfeeding in rabbinic literature. Hebrew Union College Annual, 87, 145.
Saidi, L., & Godbout, P. (2016). Study of two indicators of difficulty in initiating maternal breastfeeding : Maternal fatigue and suboptimal infant breastfeeding behaviour. Recherche En Soins Infirmiers, 125, 32–45.
Santo, L. C., & do E., de Oliveira, L. D., & Giugliani, E. R. J. (2007). Factors associated with low incidence of exclusive breastfeeding for the first 6 months. Birth, 34(3), 212–219. https://doi.org/10.1111/j.1523-536X.2007.00173.x
Shani, M., & Shinwell, E. (2003). Breastfeeding characteristics and reasons to stop breastfeeding. Harefuah, 142(6), 426–486.
Skouteris, H., Bailey, C., Nagle, C., Hauck, Y., Bruce, L., & Morris, H. (2017). Interventions designed to promote exclusive breastfeeding in high-income countries: A systematic review update. Breastfeeding Medicine, 12(10), 604–614. https://doi.org/10.1089/bfm.2017.0065
Tahir, N. M., & Al-Sadat, N. (2013). Does telephone lactation counselling improve breastfeeding practices?: A randomised controlled trial. International Journal of Nursing Studies, 50(1), 16–25. https://doi.org/10.1016/j.ijnurstu.2012.09.006
Vassilaki, M., Chatzi, L., Bagkeris, E., Papadopoulou, E., Karachaliou, M., Koutis, A., & Kogevinas, M. (2014). Smoking and caesarean deliveries: Major negative predictors for breastfeeding in the mother-child cohort in Crete, Greece (Rhea study). Maternal & Child Nutrition, 10(3), 335–346. https://doi.org/10.1111/j.1740-8709.2012.00420.x
World Health Organization. (2018). Global Strategy for Infant and Young Child Feeding. WHO. Geneva, Switzerland : World Health Organization. Retrieved from https://www.who.int/nutrition/topics/global_strategy_iycf/en/.
World Population Review Center. (2019). Israel Population 2019 (Demographics, Maps, Graphs). Retrieved December 10, 2019, from http://worldpopulationreview.com/countries/israel-population/.
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The original online version of this article was revised: In the methods section, under sub-heading "StudyDesign"—the text "XXXX" has been replaced with the affiliation details "University of Haifa, Israel".
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Gabay, Z.P., Gondwe, K.W. & Topaz, M. Predicting Risk for Early Breastfeeding Cessation in Israel. Matern Child Health J 26, 1261–1272 (2022). https://doi.org/10.1007/s10995-021-03292-3
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DOI: https://doi.org/10.1007/s10995-021-03292-3