Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2019 Feb;51(2):91-98.
doi: 10.1016/j.aprim.2017.09.002. Epub 2018 Feb 14.

[Maintenance of exclusive breastfeeding after three months postpartum: An experience in a health department of a Valencian Community]

[Article in Spanish]
Rafael Vila-Candel  1 , Francisco J Soriano-Vidal  2 , Mayte Murillo-Llorente  3 , Marcelino Pérez-Bermejo  3 , Enrique Castro-Sánchez  4
Affiliations
Observational Study

[Maintenance of exclusive breastfeeding after three months postpartum: An experience in a health department of a Valencian Community]

[Article in Spanish]
Rafael Vila-Candel et al. Aten Primaria. 2019 Feb.

Abstract
in English, Spanish

Aims: To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation.

Design: Observational, retrospective study.

Location: Health department of La Ribera, Valencia, Spain.

Participants: Newborns between December 2012 to January 2017.

Methods: Pregnant women were interviewed at postpartum and at 3 months regarding variables associated with breastfeeding initiation and continuation, matched with socio-demographic and obstetric-neonatal information.

Main measurements: Prevalence of breastfeeding at discharge and exclusive breastfeeding at 3 months. Reasons for interrupt exclusive breastfeeding. Chi-square determination between qualitative variables.

Findings: One thousand three hundred and thirty-eighth women were recruited. EBF at discharge was 68.2% (913) and at 3 months 46.7% (625). EBF duration was 68.7±32.7 days (95% CI: 66.9-71.2). We found statistically significant differences between the type of breastfeeding and the variables, year of study, country of origin and parity (P<0.001, P=0.005 and P=0.05 respectively). Hypogalactia (21.8%) and lower than recommended increase in newborn weight gain (14.9%) were most frequent factors for discontinuation.

Conclusion: The prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding.

Objetivos: Determinar la prevalencia de la lactancia materna exclusiva (LME) a los 3 meses posparto, y conocer las causas que contribuyen al abandono precoz.

Diseño: Estudio observacional y restrospectivo. Emplazamiento: Departamento de Salud de la Ribera, Valencia, España.

Participantes: Niños nacidos entre diciembre de 2012 y enero de 2017. Mediciones principales: prevalencia de lactancia materna al alta y de LME a los 3 meses. Motivos de abandono de LME. Determinación de Chi-cuadrado entre variables categóricas.

Metodología: Las mujeres fueron entrevistadas en el posparto y a los 3 meses posparto, teniendo en cuenta las variables asociadas al inicio de la lactancia y su continuación. También se recogió información sobre las características socio-demográficas y obstétrico-neonatales.

Resultados: Un total de 1.338 mujeres fueron seleccionadas. La prevalencia de lactancia materna al alta se situó en el 68,2% (913) y a los 3 meses descendió al 46,7% (625). La duración de la LME fue de 68,7 ± 32,7 días (IC 95%: 66,9-71,2). Encontramos diferencias estadísticamente significativas entre el tipo de lactancia al alta y las variables, año del estudio, país de origen y paridad (p < 0,001; p = 0,005 y p = 0,05, respectivamente). La hipogalactia (21,8%) y el aumento de peso del recién nacido inferior al recomendado (14,9%) fueron los factores más frecuentes que motivaron el abandono precoz.

Conclusiones: La prevalencia de la LME a los 3 meses es baja comparada con otros estudios similares, aunque observamos una tendencia al alza. La creencia en la hipogalactia influyó en el mantenimiento de la LME.

Keywords: Breastfeeding; Destete precoz; Early weaning; Factores de riesgo; Lactancia materna; Risk factors.

PubMed Disclaimer

Figures

None
Esquema general del estudio.
Figura 1
Figura 1
Distribución del tipo de lactancia a los 3 meses de las mujeres con lactancia materna exclusiva al alta hospitalaria (n = 913).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Nyqvist K.H., Haggkvist A.P., Hansen M.N., Kylberg E., Frandsen A.L., Maastrup R. Expansion of the ten steps to successful breastfeeding into neonatal intensive care: Expert group recommendations for three guiding principles. J Hum Lact. 2012;28:289–296. - PubMed
    1. Britton C., Renfrew M., Wade A., King S., McCormick F. Apoyo para la lactancia materna. Cochrane Libr. 2007:1–52.
    1. American College of Obstetricians and Gynecologists Women's Health Care Physicians; Committee on Health Care for Underserved Women Committee Opinion No. 570: Breastfeeding in underserved women: Increasing initiation and continuation of breastfeeding. Obstet Gynecol. 2013;122:423–428. - PubMed
    1. Britton C., McCormick F., Renfrew M., Wade A., King S. Support for breastfeeding mothers (Review) Library (Lond) 2009;1:1–101. Recuperado a partir de: http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD00114.... - PubMed
    1. Oribe M., Lertxundi A., Basterrechea M., Begiristain H., Santa Marina L., Villar M. Prevalence of factors associated with the duration of exclusive breastfeeding during the first 6 months of life in the INMA birth cohort in Gipuzkoa. Gac Sanit. 2015;29:4–9. [Article in Spanish] - PubMed

Publication types