Evidence map›Paper›PMID 32814577›Full record

ArticleInternational breastfeeding journal2020

Factors associated with abandoning exclusive breastfeeding in Mexican mothers at two private hospitals.

María Natividad Ávila-Ortiz, Ana Elisa Castro-Sánchez, Elizabeth Andrea Martínez-González, Georgina Mayela Núñez-Rocha, Adriana Zambrano-Moreno

Open access · goldAbstract read
In one paragraph

Article in International breastfeeding journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  4. Hospital Adhering to the Ten Steps to Successful Breastfeeding Predicts Exclusive Breastfeeding in Latinx Mothers.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

María Natividad Ávila-OrtizAutonomous University of Nuevo Leon, Faculty of Public Health and Nutrition, Calle Eduardo Aguirre Pequeño y Yuriria, s/n Col. Mitras Centro, C.P. 64460, Monterrey, Nuevo León, Mexico. MARIA.AVILAORT@uanl.edu.mx.
Ana Elisa Castro-SánchezAutonomous University of Nuevo Leon, Faculty of Public Health and Nutrition, Calle Eduardo Aguirre Pequeño y Yuriria, s/n Col. Mitras Centro, C.P. 64460, Monterrey, Nuevo León, Mexico.
Elizabeth Andrea Martínez-GonzálezAutonomous University of Nuevo Leon, Faculty of Public Health and Nutrition, Calle Eduardo Aguirre Pequeño y Yuriria, s/n Col. Mitras Centro, C.P. 64460, Monterrey, Nuevo León, Mexico.
Georgina Mayela Núñez-RochaAutonomous University of Nuevo Leon, Faculty of Public Health and Nutrition, Calle Eduardo Aguirre Pequeño y Yuriria, s/n Col. Mitras Centro, C.P. 64460, Monterrey, Nuevo León, Mexico.
Adriana Zambrano-MorenoAutonomous University of Nuevo Leon, Faculty of Public Health and Nutrition, Calle Eduardo Aguirre Pequeño y Yuriria, s/n Col. Mitras Centro, C.P. 64460, Monterrey, Nuevo León, Mexico.
Universidad Autónoma de Nuevo León · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExclusive breastfeeding (EBF) has multiple benefits for both the child and the mother; however, there is little data regarding the reason why Mexican mothers with a high socio-economic level abandon EBF before 6 months, and there is limited information about the practice of breastfeeding in private hospitals. The objective was to identify the factors associated with the cessation of exclusive breastfeeding in Mexican mothers at two private hospitals.

methodsA cross-sectional study was conducted with 218 upper-class mothers selected according to their place of residence by geographic location, socio-economic level, and pediatric consultations cost. They were over 18 years old and with children aged 6 to 24 months. Data were collected between July and November 2016 by face to face interview using a structured questionnaire while the mothers waited for the pediatric postnatal care consultation in two private hospitals in northeastern Mexico. Exclusive breastfeeding was measured according to World Health Organization (WHO) recommendations, which consist of providing only breast milk for the first 6 months of life. Chi-squared tests and multivariate logistic regression were performed.

resultsMean maternal age was 31.4 years (SD of 4.4) and most of the participants had an undergraduate education, were married, and worked outside the home. The prevalence of exclusive breastfeeding at 6 months was 28%. Upper-class working mothers are less likely to continue breastfeeding. There was a negative association with employment (AOR 13.69; 95% CI 1.59, 111.11), bottle use in the first 6 months (AOR 7.93; 95% CI 3.07, 20.48), and a low level of knowledge (AOR 2.18; 95% CI 1.04, 4.56). After 6 months, only 61 mothers (28%) maintained exclusive breastfeeding.

conclusionsKnowledge level, bottle use, and employment are associated with premature cessation of EBF in Mexican upper-class mothers, attending two private hospitals. There was a high percentage of breastfeeding cessation in the sample. It is necessary to reinforce a strategy that coordinates the action of the different laws, regulations and programs affecting the exclusive breastfeeding practice, in order to adequately promote breastfeeding and support mothers in both public and private sectors.

Indexed as

AdolescentAdultBreast FeedingCross-Sectional StudiesEmploymentFemaleHospitals, PrivateHumansKnowledgeMexicoMothersSocioeconomic FactorsSurveys and QuestionnairesYoung AdultBreastfeeding durationExclusive breastfeedingRisk factors

Identifiers

PMID32814577
PMCPMC7436974
OpenAlexW3071813011

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.