Factors associated with cessation of exclusive breastfeeding at 1 and 2 months postpartum in Taiwan

Pei Chi Chang, Sin Fong Li, Hsin Yi Yang, Li Chu Wang, Cing Ya Weng, Kuan Fen Chen, Wei Chen, Sheng-Yu Fan

Research output: Contribution to journalArticle

Abstract

Background: Breastfeeding benefits both mothers and infants. Even though Taiwan national policy promotes exclusive breastfeeding (EBF), the rates in Taiwan are below those in other developed countries. This study aimed to investigate factors associated with EBF cessation at 1 and 2 months postpartum. Methods: This study was conducted in a community hospital in southern Taiwan between December 2016 and June 2017. Birth mothers (n = 1077) were interviewed by telephone at 1 and 2 months postpartum to collect information on infant feeding patterns (EBF since birth or not) and reasons for EBF cessation. Multivariate logistic regression models were used to determine risk factors associated with EBF cessation at 1 and 2 months. Results: At 1 month, 432 participants (40.1%) maintained EBF. Factors associated with cessation were lack of tertiary education, primiparity, perceived low milk quantity, mother/infant separation, medical condition in mother, inconvenience/fatigue due to breastfeeding, and baby-centered factors. At 2 months, 316 participants (29.3%) maintained EBF. Factors associated with cessation were lack of tertiary education, primiparity, perceived low milk quantity, and return to work. Conclusions: Education level, primiparity, perceived low milk quantity, and return to work are associated with premature cessation of EBF in Taiwan. Strategies about health education, family support, and baby-mother friendly environment can be used to achieve higher EBF rate.

Original languageEnglish
Article number18
JournalInternational Breastfeeding Journal
Volume14
Issue number1
DOIs
Publication statusPublished - 2019 May 7

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Breast Feeding
Taiwan
Postpartum Period
Mothers
Parity
Milk
Return to Work
Education
Logistic Models
Parturition
Community Hospital
Feeding Behavior
Health Education
Developed Countries
Telephone
Fatigue

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

Cite this

Chang, Pei Chi ; Li, Sin Fong ; Yang, Hsin Yi ; Wang, Li Chu ; Weng, Cing Ya ; Chen, Kuan Fen ; Chen, Wei ; Fan, Sheng-Yu. / Factors associated with cessation of exclusive breastfeeding at 1 and 2 months postpartum in Taiwan. In: International Breastfeeding Journal. 2019 ; Vol. 14, No. 1.
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abstract = "Background: Breastfeeding benefits both mothers and infants. Even though Taiwan national policy promotes exclusive breastfeeding (EBF), the rates in Taiwan are below those in other developed countries. This study aimed to investigate factors associated with EBF cessation at 1 and 2 months postpartum. Methods: This study was conducted in a community hospital in southern Taiwan between December 2016 and June 2017. Birth mothers (n = 1077) were interviewed by telephone at 1 and 2 months postpartum to collect information on infant feeding patterns (EBF since birth or not) and reasons for EBF cessation. Multivariate logistic regression models were used to determine risk factors associated with EBF cessation at 1 and 2 months. Results: At 1 month, 432 participants (40.1{\%}) maintained EBF. Factors associated with cessation were lack of tertiary education, primiparity, perceived low milk quantity, mother/infant separation, medical condition in mother, inconvenience/fatigue due to breastfeeding, and baby-centered factors. At 2 months, 316 participants (29.3{\%}) maintained EBF. Factors associated with cessation were lack of tertiary education, primiparity, perceived low milk quantity, and return to work. Conclusions: Education level, primiparity, perceived low milk quantity, and return to work are associated with premature cessation of EBF in Taiwan. Strategies about health education, family support, and baby-mother friendly environment can be used to achieve higher EBF rate.",
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Factors associated with cessation of exclusive breastfeeding at 1 and 2 months postpartum in Taiwan. / Chang, Pei Chi; Li, Sin Fong; Yang, Hsin Yi; Wang, Li Chu; Weng, Cing Ya; Chen, Kuan Fen; Chen, Wei; Fan, Sheng-Yu.

In: International Breastfeeding Journal, Vol. 14, No. 1, 18, 07.05.2019.

Research output: Contribution to journalArticle

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AU - Chen, Kuan Fen

AU - Chen, Wei

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AB - Background: Breastfeeding benefits both mothers and infants. Even though Taiwan national policy promotes exclusive breastfeeding (EBF), the rates in Taiwan are below those in other developed countries. This study aimed to investigate factors associated with EBF cessation at 1 and 2 months postpartum. Methods: This study was conducted in a community hospital in southern Taiwan between December 2016 and June 2017. Birth mothers (n = 1077) were interviewed by telephone at 1 and 2 months postpartum to collect information on infant feeding patterns (EBF since birth or not) and reasons for EBF cessation. Multivariate logistic regression models were used to determine risk factors associated with EBF cessation at 1 and 2 months. Results: At 1 month, 432 participants (40.1%) maintained EBF. Factors associated with cessation were lack of tertiary education, primiparity, perceived low milk quantity, mother/infant separation, medical condition in mother, inconvenience/fatigue due to breastfeeding, and baby-centered factors. At 2 months, 316 participants (29.3%) maintained EBF. Factors associated with cessation were lack of tertiary education, primiparity, perceived low milk quantity, and return to work. Conclusions: Education level, primiparity, perceived low milk quantity, and return to work are associated with premature cessation of EBF in Taiwan. Strategies about health education, family support, and baby-mother friendly environment can be used to achieve higher EBF rate.

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