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      Assessing Infant Feeding Attitudes of Expectant Women in a Provincial Population in Canada : Validation of the Iowa Infant Feeding Attitude Scale

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          Abstract

          Maternal attitudes to infant feeding are predictive of intent and initiation of breastfeeding.

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          Predictors of breastfeeding duration: evidence from a cohort study.

          Jane A. Scott, Colin Binns, Wendy H. Oddy … (2006)
          To report the duration of breastfeeding among a population of Australian women and to identify factors that are associated with the duration of full breastfeeding to 6 months and any breastfeeding to 12 months. Participants were 587 women who were recruited from 2 maternity hospitals in Perth and completed a baseline questionnaire just before or shortly after discharge from the hospital. Women were followed up by telephone interview at 4, 10, 16, 22, 32, 40, and 52 weeks postpartum. Data collected included sociodemographic, biomedical, hospital-related, and psychosocial factors associated with the initiation and the duration of breastfeeding. Cox's proportional hazards model was used to identify factors that were associated with the risk for discontinuing full breastfeeding before 6 months and any breastfeeding before 12 months. At 6 months of age, fewer than one half of infants were receiving any breast milk (45.9%), and only 12% were being fully breastfed. By 12 months, only 19.2% of infants were still receiving any breast milk. Breastfeeding duration was independently, positively associated with maternal infant feeding attitudes and negatively associated with breastfeeding difficulties in the first 4 weeks, maternal smoking, introduction of a pacifier, and early return to work. Relatively few women achieved the international recommendations for duration of full and overall breastfeeding. Women should receive anticipatory guidance while still in the hospital on how to prevent or manage common breastfeeding difficulties and should be discouraged from introducing a pacifier before 10 weeks, if at all. Improved maternity leave provisions and more flexible working conditions may help women to remain at home with their infants longer and/or to combine successfully breastfeeding with employment outside the home.
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            The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity1

            Arlene de la Mora, Daniel Russell, Claibourne I. Dungy … (1999)
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              Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey

              Ban Al-Sahab, Andrea Lanes, Mark Feldman … (2010)
              Background In spite of the evidence supporting the importance of breastfeeding during the first year of life, data on breastfeeding practices remain limited in Canada. The study aimed to examine the prevalence and predictors of 6-month exclusive breastfeeding among Canadian women. Methods The analysis was based on the Maternity Experience Survey targeting women aged ≥ 15 years who had singleton live births between February 2006 - May 2006 in the Canadian provinces and November 2005 - February 2006 in the territories. The main outcome was exclusive breastfeeding based on the World Health Organization definition. Socioeconomic, demographic, maternal, pregnancy and delivery related variables were considered for a multivariate logistic regression using stepwise modeling. Bootstrapping was performed to account for the complex sampling design. Results The sample size in this study was 5,615 weighted to represent 66,810 Canadian women. While ever breastfeeding was 90.3%, the 6-month exclusive breastfeeding rate was 13.8%. Based on the regression model, having higher years of education, residing in the Northern territories and Western provinces, living with a partner, having had previous pregnancies, having lower pre-pregnancy body mass index and giving birth at older age were associated with increased likelihood of 6-month exclusive breastfeeding. Moreover, smoking during pregnancy, Caesarean birth, infant's admission to the intensive care unit and maternal employment status before 6 months of infant's age were negatively associated with exclusive breastfeeding. Mothers choosing to deliver at home were more likely to remain exclusively breastfeeding for 6 months (Odds Ratio: 5.29, 95% Confidence Interval: 2.95-9.46). Conclusions The 6-month exclusive breastfeeding rate is low in Canada. The study results constitute the basis for designing interventions that aim to bridge the gap between the current practices of breastfeeding and the World Health Organization recommendation.
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                Author and article information

                Journal
                Title: Journal of Human Lactation
                Abbreviated Title: J Hum Lact
                Publisher: SAGE Publications
                ISSN (Print): 0890-3344
                ISSN (Electronic): 1552-5732
                Publication date Created: July 07 2016
                Publication date (Electronic): November 25 2014
                Publication date (Print): August 2016
                Volume: 32
                Issue: 3
                Pages: NP9-NP18
                Affiliations
                [1 ]School of Pharmacy and Faculty of Medicine, Memorial University of Newfoundland, St John’s, Newfoundland and Labrador, Canada
                [2 ]Faculty of Medicine, Memorial University of Newfoundland, St John’s, Newfoundland and Labrador, Canada
                [3 ]Perinatal Program NL, Janeway Children’s Health & Rehabilitation Centre, St John’s, Newfoundland and Labrador, Canada
                [4 ]Research and Evaluation, Newfoundland and Labrador Centre for Health Information, St John’s, Newfoundland and Labrador, Canada
                [5 ]Janeway Pediatric Research Unit, Discipline of Pediatrics, Memorial University of Newfoundland, St John’s, Newfoundland and Labrador, Canada
                Article
                DOI: 10.1177/0890334414559647
                PubMed ID: 25425631
                SO-VID: 4a00224b-c0ee-4f9d-a8a6-b6fa23e12273
                Copyright © © 2016
                License:

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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