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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.

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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

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