Journal
RESEARCH IN NURSING & HEALTH
Volume 31, Issue 5, Pages 428-441Publisher
WILEY
DOI: 10.1002/nur.20275
Keywords
exclusive breastfeeding; breastfeeding duration; self-efficacy; formula supplementation; Cox regression
Categories
Funding
- Canadian Institutes of Health Research
- McGill University Faculty of Graduate Studies
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Few women currently meet revised WHO recommendations to breastfeed exclusively for 6 months Postpartum. In this Prospective study we aimed to determine the influence of socio-demographic, psychosocial, and perinatal factors on the length of exclusive breastfeeding among 189 Canadian primiparous mothers. A majority of the participants did not meet their exclusive breastfeeding goals, and only 5% breastfed exclusively for a full 6 months. Breastfeeding self-efficacy, in-hospital formula supplementation, prenatal class attendance, and type of delivery independently predicted exclusive breastfeeding duration. Findings underscore the complex interplay of factors influencing breastfeeding, highlight the early Postpartum weeks as a critical Period for the establishment of exclusive breastfeeding, and suggest the need for a continuum of pre- and postnatal strategies for prolonging the exclusive breastfeeding period. (C) 2008 Wiley Periodicals, Inc.
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