ArticleMaternal and child health journal2012
Risk factors for discontinuing breastfeeding in southern Brazil: a survival analysis.
Article in Maternal and child health journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.
- Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes.Women's health (London, England)Pooled it
- Breastfeeding Protects from Overjet in Adolescence by Reducing Pacifier Use: A Birth Cohort Study.Nutrients · 2023Trial
- The impact of perinatal depression on exclusive breastfeeding: a cohort study.Maternal & child nutrition · 2016Trial
- Psychosocial Predictors of Infant and Young Child Feeding Practices Among Mother-Child Dyads in Malawi and South Africa.Maternal & child nutrition · 2025Article
- Association between maternal depression and early childhood caries in rural southern Brazil: a population-based cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- Ankyloglossia and breastfeeding self-efficacy in newborns: a birth cohort study.BMC oral health · 2025Article
- Time to breastfeeding cessation and its predictors among mothers of index children aged 2-3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study.BMJ public health · 2025Article
- Consensus Panel Recommendations for the Pharmacological Management of Breastfeeding Women with Postpartum Depression.International journal of environmental research and public health · 2024Review
- Postnatal mental health, breastfeeding beliefs, and breastfeeding practices in rural China.International breastfeeding journal · 2022Article
- Lived experiences of Ugandan women who had recovered from a clinical diagnosis of postpartum depression: a phenomenological study.BMC pregnancy and childbirth · 2021Article
- Article
- Modifiable Individual Factors Associated with Breastfeeding: A Cohort Study in China.International journal of environmental research and public health · 2019Article
- Cup Feeding as a Supplemental, Alternative Feeding Method for Preterm Breastfed Infants: An Integrative Review.Maternal and child health journal · 2018Review
- Postpartum Mental Health and Breastfeeding Practices: An Analysis Using the 2010-2011 Pregnancy Risk Assessment Monitoring System.Maternal and child health journal · 2017Article
- Severe maternal morbidity and breastfeeding outcomes in the early post-natal period: a prospective cohort study from one English maternity unit.Maternal & child nutrition · 2016Article
- Factors Associated with Age at Breastfeeding Cessation in Amazonian Infants: Applying a Proximal-Distal Framework.Maternal and child health journal · 2016Article
- Breastfeeding and dummy use have a protective effect on sudden infant death syndrome.Acta paediatrica (Oslo, Norway : 1992) · 2016Review
- Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents.The Angle orthodontist · 2015Article
- Determinants of cessation of exclusive breastfeeding in Ankesha Guagusa Woreda, Awi Zone, Northwest Ethiopia: a cross-sectional study.BMC pregnancy and childbirth · 2014Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To identify risk factors for discontinuing breastfeeding during an infant's first year of life. A cohort study recruited mothers in a hospital in São Leopoldo, Brazil, which mainly serves the low-income population. In order to obtain socioeconomic, environmental, and behavioral information, face-to-face interviews with mothers were conducted after birth, and when their infants were 6 and 12 months old. The duration of breastfeeding was investigated at 6 and 12 months, and recorded separately for each month. Depressive symptoms were assessed using the Beck Depression Inventory. The multivariate model for predicting the discontinuation of breastfeeding, adjusted Kaplan-Meier survival curves and Cox regression were used. Of the 360 participants, 201 (55.8%) discontinued breastfeeding within the first 12 months. A multivariate Cox regression model revealed that symptoms of maternal depression (low levels: RR = 1.59, 95% CI 1.02-2.47; moderate to severe: RR = 2.03, 95% CI 1.35-3.01), bottle feeding (RR = 2.07, 95% CI 1.31-3.28) and pacifier use in the first month of life (RR = 3.12, 95% CI 2.13-4.57) were independently associated with the outcomes after adjusting for confounders. Breastfeeding cessation rates were lower for children who did not use bottle feeding or a pacifier in the first month of life and for the children whose mothers presented with minimal depression. Early pacifier use and bottle feeding must be strongly discouraged to support long-term breastfeeding. In addition, screening maternal depression at a primary care service can be a step forward in promoting a longer duration of breastfeeding.
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Registered trials
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