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Cited by 72Breastfeeding Practices and InfluencesInfant Nutrition and HealthMaternal and Perinatal Health Interventions

Risk Factors for Discontinuing Breastfeeding in Southern Brazil: A Survival Analysis

Feldens, Carlos Alberto, Vitolo, Márcia Regina, Rauber, Fernanda, Cruz, Luciane Nascimento, Hilgert, Juliana Balbinot·2012·Maternal and Child Health Journal
DOI 10.1007/s10995-011-0885-7
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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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  • Mothers with depressive symptoms were significantly more likely to discontinue breastfeeding (early interruption of exclusive breastfeeding in the first months) than mothers without depressive symptoms.

    “Mothers with depressive symptoms were significantly more likely to discontinue breastfeeding (early interruption of exclusive breastfeeding in the first months),41,59,69,71,90,91,118,119,137”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [69]

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Authors
Feldens, C. A., Vitolo, M. R., Rauber, F., Cruz, L. N., & Hilgert, J. B.
Affiliations
  • Universidade Luterana do Brasil (BR)
  • Universidade Federal de Ciências da Saúde de Porto Alegre (BR)
  • Universidade Federal do Rio Grande do Sul (BR)
Corresponding author
Feldens, Carlos Alberto
ORCID
Venue
Maternal and Child Health Journal
Publisher
Springer Science and Business Media LLC
Published
2011-09-25
Volume
16
Issue
6
Pages
1257-1265
ISSN
  • 1092-7875 (ISSN-L)
  • 1573-6628
DOI
10.1007/s10995-011-0885-7
OpenAlex
W1981260204
Cited by
72
References
57
Citations by year
2025: 5 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 6 · 2018: 6 · 2017: 12 · 2016: 9 · 2015: 9 · 2014: 6 · 2013: 4 · 2012: 2
FWCI
2.88
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Maternal and Child Health Journal (publishedVersion)
  • PubMed (publishedVersion)
Funders
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
breastfeeding cessation, risk factors, maternal depression, bottle feeding, pacifier use, infant feeding, low-income mothers, breastfeeding duration, maternal mental health screening, primary care
MeSH terms
Adolescent, Bottle Feeding, Brazil, Breast Feeding, Child, Female, Humans, Infant, Interviews as Topic, Male, Maternal Age, Mothers, Poverty Areas, Surveys and Questionnaires, Risk Factors, Social Support, Socioeconomic Factors, Time Factors, Weaning, Cohort Studies, Proportional Hazards Models, Survival Analysis, Depression, Postpartum, Pacifiers

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