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Determinants of the exclusive breastfeeding abandonment: psychosocial factors

Overview of attention for article published in Revista de Saúde Pública, October 2014
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Title
Determinants of the exclusive breastfeeding abandonment: psychosocial factors
Published in
Revista de Saúde Pública, October 2014
DOI 10.1590/s0034-8910.2014048005340
Pubmed ID
Authors

Mariana Campos Martins Machado, Karine Franklin Assis, Fabiana de Cássia Carvalho Oliveira, Andréia Queiroz Ribeiro, Raquel Maria Amaral Araújo, Alexandre Faisal Cury, Silvia Eloiza Priore, Sylvia do Carmo Castro Franceschini

Abstract

OBJECTIVE To assess the determinants of exclusive breastfeeding abandonment. METHODS Longitudinal study based on a birth cohort in Viçosa, MG, Southeastern Brazil. In 2011/2012, 168 new mothers accessing the public health network were followed. Three interviews, at 30, 60, and 120 days postpartum, with the new mothers were conducted. Exclusive breastfeeding abandonment was analyzed in the first, second, and fourth months after childbirth. The Edinburgh Postnatal Depression Scale was applied to identify depressive symptoms in the first and second meetings, with a score of ≥ 12 considered as the cutoff point. Socioeconomic, demographic, and obstetric variables were investigated, along with emotional conditions and the new mothers' social network during pregnancy and the postpartum period. RESULTS The prevalence of exclusive breastfeeding abandonment at 30, 60, and 120 days postpartum was 53.6% (n = 90), 47.6% (n = 80), and 69.6% (n = 117), respectively, and its incidence in the fourth month compared with the first was 48.7%. Depressive symptoms and traumatic delivery were associated with exclusive breastfeeding abandonment in the second month after childbirth. In the fourth month, the following variables were significant: lower maternal education levels, lack of homeownership, returning to work, not receiving guidance on breastfeeding in the postpartum period, mother's negative reaction to the news of pregnancy, and not receiving assistance from their partners for infant care. CONCLUSIONS Psychosocial and sociodemographic factors were strong predictors of early exclusive breastfeeding abandonment. Therefore, it is necessary to identify and provide early treatment to nursing mothers with depressive symptoms, decreasing the associated morbidity and promoting greater duration of exclusive breastfeeding. Support from health professionals, as well as that received at home and at work, can assist in this process.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 408 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 <1%
Unknown 406 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 68 17%
Student > Master 64 16%
Student > Ph. D. Student 27 7%
Student > Doctoral Student 25 6%
Student > Postgraduate 24 6%
Other 63 15%
Unknown 137 34%
Readers by discipline Count As %
Nursing and Health Professions 91 22%
Medicine and Dentistry 88 22%
Psychology 35 9%
Social Sciences 20 5%
Agricultural and Biological Sciences 6 1%
Other 27 7%
Unknown 141 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 June 2015.
All research outputs
#22,758,309
of 25,373,627 outputs
Outputs from Revista de Saúde Pública
#989
of 1,139 outputs
Outputs of similar age
#227,181
of 265,635 outputs
Outputs of similar age from Revista de Saúde Pública
#10
of 11 outputs
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