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Risk Factors for Early Discontinuation of Breastfeeding in Iranian Mothers

Open Journal of Obstetrics and Gynecology 2016年第10期6卷 606-614页

作者： Fatemeh Ghotbi Ali Naseh Eznollah Azargashb shahrbano hajimola ahmad naraghi Azadeh Akbari Sene Infertility and Reproductive Health Research Center (IRHRC) Shahid Beheshti University of Medical Sciences Tehran Iran Neonatal Intensive Care Unit Taleghani Hospital Shahid Beheshti University of Medical Sciences Tehran Iran Department of Social Medicine Shahid Beheshti University of Medical Sciences Tehran Iran Department of Obstetrics and Gynecology Taleghani Hospital Shahid Beheshti University of Medical Sciences Tehran Iran OBGYN/IVF Fellowship Iran University of Medical Sciences Shahid Akbar-Abadi Hospital IVF Center Tehran Iran

Objective: The present study was conducted to evaluate the risk factors that reduce the rate of breastfeeding among Iranian women in the first six months after delivery. Materials and Methods: This cross sectional study was performed on 542 mothers with infants less than six months old who came to Taleghani Hospital, Tehran, Iran, for vaccination follow up, from 2012 to 2014. Trained examiners filled a predesigned questionnaire including information about breastfeeding and factors that may affect the mode of infant feeding. The results were analyzed using SPSS software. Results: Out of 542 breastfeeding infants 53.2% were female;the average birth weight was 3217 ± 40 gr and 57.7% were first born. The age of mothers was from 17 to 43 years with the average of 27.7 ± 4.9. Among mothers 58.1% had a high school diploma or less education and 41.9% had higher education. The rate of cesarean section was 62.2%. The rate of breastfeeding showed a reducing trend from the first month after birth to the sixth month: 91.7% of mothers reported breastfeeding in the first month which was reduced to 70.1% in the sixth month. Multivariate analysis using logistic regression analysis showed the risk factors reducing the rate of breastfeeding as follow: use of pacifier (P 0.000, OR = 3.695, CI95% = 2.460 - 5.553), cesarean section delivery (p 0.000, OR = 2.717, CI95% = 1.690 - 4.369), lack of breastfeeding training (P = 0.004, OR = 2.347, CI95% = 1.354 - 4.063), and mothers’ higher education (P = 0.029, OR = 1.614, CI95% = 1.014 - 2.569). Conclusion: Use of pacifiers, cesarean section, lack of breastfeeding training, and mothers’ higher education were the risk factors for reduced breastfeeding among Iranian mothers.

关键词： Infant Breastfeeding Pacifier Risk Factor Cesarean Section

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