ArticleIranian Red Crescent medical journal2015
Breastfeeding practices during the first month postpartum and associated factors: impact on breastfeeding survival.
Article in Iranian Red Crescent medical journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Uncovering hidden patterns: use of infant feeding profiles in the first 6 months postpartum to inform the effectiveness of breastfeeding promotion programs.Frontiers in public health · 2026Trial
- Breastfeeding trajectory of mothers of preterm infants within 6 months postpartum: A longitudinal study.International journal of nursing studies advances · 2025Article
- Determinants of Breastfeeding Duration in Shiraz, Southwest Iran.International journal of environmental research and public health · 2020Article
- Enhancing Breastfeeding - Home-Based Education on Self-Efficacy: A Preventive Strategy.International journal of preventive medicine · 2020Article
- Assessment of initiation of breastfeeding practice in Kassala, Eastern Sudan: a community-based study.International breastfeeding journal · 2018Article
- Factors associated with the initiation of breastfeeding within the first 48 hours of life in Tabuk, Saudi Arabia.International breastfeeding journal · 2016Article
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Authors and funding
6 authors.
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Abstract
backgroundThe introduction of fluids to infants during the first days postpartum, which may be harmful to infant health, is a common practice in Iran.
objectivesThis study aimed to find the prevalence of breastfeeding practices using monthly dietary recall and factors associated with introduction of fluids during the first month of life and determine the effects of these supplementations on breastfeeding survival. PATIENTS AND
methodsThis longitudinal study carried out in Shahroud, Iran from May 2011 to October 2013. Using convenient sampling strategy, 358 mothers in their third trimester of pregnancy were enrolled in the study and completed the questionnaires. Then the data regarding the introduction of fluids during first month postpartum was collected. We followed women monthly up to breastfeeding cessation. Kaplan-Meier and time-to-event methods were used to assess breastfeeding survival. A multinomial logistic regression analysis was used to identify the variables that determined breastfeeding practices at the first month postpartum. The Cox regression analysis was used to estimate the effect of variables on breastfeeding survival.
resultsThe prevalence of exclusive, predominant, and partial breastfeeding during the first month postpartum were 33.1%, 58.2%, and 8.6%, respectively. Predominant breastfeeding was associated with the lack of breastfeeding experience (OR = 1.93; 95% CI [1.02 - 3.66]). Partial breastfeeding was associated with the maternal age ≥ 30 y (OR = 5.96; CI [1.66 - 21.37]), family income higher than the mean (OR = 3.39; 95% CI [1.17 - 9.81]), and breastfeeding difficulties score higher than mean (OR = 3.09; 95% CI [1.10 - 8.71]). The Cox regression analysis revealed that breastfeeding practices at the first month was associated with an increased risk for breastfeeding discontinuation. The hazard ratio of breastfeeding discontinuation for predominant and partial breastfeeding groups were 1.11 (95% CI: 0.82, 1.51; P = 0.49) and 2.23 (95% CI: 1.39, 3.58; P = 0.001), respectively compared to the exclusive group.
conclusionsThe prevalence of predominant breastfeeding during the first month postpartum is high in Shahroud. Interventions to strengthen adherence to WHO guidelines for breastfeeding should be considered. Breastfeeding education providers at the hospitals should emphasize the effects of formula on breastfeeding continuation at early postpartum.
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