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Determinants of exclusive breastfeeding cessation: identifying an “at risk population” for special support

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An Erratum to this article was published on 03 December 2014

Abstract

A study was conducted with 542 women, who gave birth in the hospital G.B. Grassi in Rome, to investigate risk factors for exclusive breastfeeding. Clinical data was collected from clinical records at delivery. Information on psycho-socio-demographic characteristics was obtained by standardized questionnaires at delivery. Data on breastfeeding practice and the use of pacifier were collected at delivery and for 24 weeks’ postpartum. The outcome of the study was exclusive breastfeeding for at least 4 months (yes/no). In the multivariate analysis, planned caesarean (OR 2.40, 95 % CI 1.06–5.43) and women with two or more psychological distress conditions (past episodes of depression, insomnia, perceive birth as a traumatic event) versus none were at a greater odds of stopping exclusive breastfeeding before 4 months (OR 3.42, 95 % CI 1.15–10.2). The use of pacifiers within the first 2 weeks postpartum (OR 2.38, 95 % CI 1.35–4.20) but not after 2 weeks (OR 0.86, 95 % CI 0.43–1.72) versus no use was also associated with an increased odds. A protective effect was found for antenatal classes (OR 0.57, 95 % CI 0.35–0.95).

Conclusion: This study suggests that the type of delivery, antenatal classes, psychological distress conditions and the use of pacifiers in the first 2 weeks of a baby’s life are independent factors associated with exclusive breastfeeding.

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Abbreviations

AAP:

American Academy of Pediatrics

BMI:

Body mass index

CI:

Confidence intervals

G.B.:

Giovan Battista

OR:

Odds ratio

WHO:

World Health Organization

UNICEF:

United Nations Children’s Fund

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Acknowledgments

We are grateful to Judy Hudson for English revision.

Conflict of interest

The authors have no conflicts of interest to disclose.

Funding

This work was supported by the Agency of Public Health, Lazio, and by the Italian Ministry of Health within the project of breastfeeding and atopic dermatitis (Ricerca Corrente 5.1).

Author information

Authors and Affiliations

  1. NESMOS Department (Neurosciences, Mental Health and Sensory Functions), 2nd Medical School, Sant’Andrea Hospital, Sapienza University, Rome, Italy

    Juliana F. Lindau & Paolo Girardi

  2. Clinical Epidemiology Unit, Istituto Dermopatico dell’Immacolata, IDI-IRCCS, Via dei Monti di Creta, 104, 00167, Rome, Italy

    Simona Mastroeni & Cristina Fortes

  3. Public Health Agency, Rome, Lazio Regium, Italy

    Andrea Gaddini & Domenico Di Lallo

  4. Department of Neurology and Psychiatry, 1st University School of Medicine, Sapienza University, Rome, Italy

    Paolo Fiori Nastro & Martina Patanè

Authors
  1. Juliana F. Lindau
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  2. Simona Mastroeni
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  3. Andrea Gaddini
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  4. Domenico Di Lallo
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  5. Paolo Fiori Nastro
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  7. Paolo Girardi
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  8. Cristina Fortes
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Corresponding author

Correspondence to Cristina Fortes.

Additional information

Communicated by Peter de Winter

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Lindau, J.F., Mastroeni, S., Gaddini, A. et al. Determinants of exclusive breastfeeding cessation: identifying an “at risk population” for special support. Eur J Pediatr 174, 533–540 (2015). https://doi.org/10.1007/s00431-014-2428-x

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  • DOI: https://doi.org/10.1007/s00431-014-2428-x

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