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Cited by 101Breastfeeding Practices and InfluencesMaternal and Perinatal Health InterventionsInfant Nutrition and Health

The Relationship Between Vulnerability Factors and Breastfeeding Outcome

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Dunn, Sandra, Davies, Barbara, McCleary, Lynn, Edwards, Nancy, Gaboury, Isabelle·2006·Journal of Obstetric, Gynecologic & Neonatal Nursing
DOI 10.1111/j.1552-6909.2006.00005.x
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Abstract

Objective To determine whether vulnerability factors (confidence with breastfeeding, postpartum depression, supplementation, and perceived adequacy of support) are associated with breastfeeding outcome at 6 weeks postpartum after controlling for age and education.Design Secondary analysis of a cross-sectional telephone survey at 6 weeks postpartum.Setting Ottawa-Carleton, Ontario, Canada.Participants A proportionate, consecutive sample of breastfeeding women from each of four hospitals in the region (526/554, 95% response rate).Methods Stratified bivariate analyses were used to examine the relationship between each factor and breastfeeding outcome. Multivariate logistic regression analyses examined relationships between all factors and breastfeeding outcome.Results In the logistic regression analyses, confidence with breastfeeding (odds ratio: 1.85, 95% confidence interval: 1.50-2.27, p < .001) and postpartum depression (odds ratio: 0.28, 95% confidence interval: 0.11-0.71, p= .007) were related to breastfeeding after controlling for age and education.Conclusions Support for breastfeeding should include assessment of maternal confidence with breastfeeding and postpartum depression. Evaluation of intervention strategies to address these vulnerability factors is a priority.

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  1. Aniansson, G., Alm, B., Andersson, B., Hakansson, A., Larsson, P., Nylen, O., &amp; Rigner, P. (1994). A prospective cohort study on breastfeeding and otitis media in Swedish infants. *Pediatr Infectious Disease Journal*, 13, 183-188.
  2. Arlotti, J., Cottrell, B., Lee, S., &amp; Curtin, J. (1998). Breastfeeding among low-income women with and without peer support. *Journal of Community Health Nursing*, 15, 163-178.
  3. Barnanowski, T., Bryan, G. T., Rassin, D. K., Harrison, J. A., &amp; Henske, J. C. (1990). Ethnicity, infant-feeding practices, and childhood adiposity. *Journal of Developmental and Behavioral Pediatrics*, 11, 234-239.
  4. Beaudry, M., Dufour, R., &amp; Marcoux, S. (1995). Relation between infant feeding and infections during the first six months of life. *Journal of Pediatrics*, 126, 191-197.
  5. Browne, G., Roberts, J., Byrne, C., Gafni, A., Weir, R., &amp; Majumdar, B. (2001). Translating Research: The costs and effects addressing the needs of vulnerable populations: Results of 10 years of research. *Canadian Journal of Nursing Research*, 33, 65-76.
  6. Buchner, E. &amp; Matsubara, M. (1993). Support network utilization by breastfeeding mothers. *Journal of Human Lactation*, 9, 231-235.
  7. Canadian Nurses Association (1993). Five guiding principles for primary health care. *Journal of Nursing Administration*, 23, 4-10.
  8. Chandra, R. (1997). Five year follow-up of high-risk infants with family history of allergy who were exclusively breast-fed or fed partial whey hydrolysate, soy and conventional cow's milk formulas. Journal of Pediatric Gastroenterol Nutrition, 24, 380-388.
  9. Chezem, J., Friesen, C., &amp; Boettcher, J. (2003). Breastfeeding knowledge, breastfeeding confidence, and infant feeding plans: Effect on actual feeding practices. Journal of Obstetric, Gynecologic and Neonatal Nursing, 32, 40-47.
  10. Chua, S., Arulkumaran, S., Lim, I., Selamat, N., &amp; Ratham, S. (1994). Influence of breastfeeding and nipple stimulation on postpartum uterine activity. British Journal of Obstetrics &amp; Gynecology, 101, 804-805.
  11. Cooper, P., Murray, L., &amp; Stein, A. (1993). Psychosocial factors associated with the early termination of breastfeeding. Journal of Psychosomatic Research, 37, 171-176.
  12. Coreil, J., Bryant, C., Westover, B., &amp; Bailey, D. (1995). Health professionals and breastfeeding counselling: Client and provider views. Journal of Human Lactation, 11, 271.
  13. Dennis, C., Hodnett, E., Gallop, R., &amp; Chalmers, B. (2002a). A randomized controlled trial evaluating the effect of peer support on breast-feeding duration among primiparous women: a randomized controlled trial. Canadian Medical Association Journal, 166, 21-28.
  14. Dillman, D. (1978). Mail and telephone surveys: The total design method. New York: John Wiley and Sons.
  15. Dykes, F. &amp; Griffiths, H. (1998). Societal influences upon initiation and continuation of breastfeeding. British Journal of Midwifery, 6, 76-80.
  16. Evins, G. &amp; Theofrastous, J. (1997). Postpartum depression: A review of postpartum screening. *Primary Care Update* Ob/Gyns, 4, 241-246.
  17. Fairbank, L., O'Meara, S., Renfrew, M., Woolridge, M., Sowden, A., &amp; Lister-Sharp, D. (2000). A systematic review to evaluate the effectiveness of interventions to promote the initiation of breastfeeding. *Health Technology Assessment*, 4, 1-171.
  18. Fulton, J. (1994). Families, health and health care. In M. Baker (Ed.), *Canada's changing families: Challenges to public policy*. (pp. 89-102). Ottawa: The Vanier Institute of the Family.
  19. Gitterman, A. (1991). *Handbook of social work practice with vulnerable populations*. New York: Columbia University Press.
  20. Health Canada (1999). *Breastfeeding in Canada: A review and update*. Ottawa: Minister of Public Works and Government Services Canada.
  21. Heaney, C. &amp; Isreal, B. (1997). Social networks and social support. In K. Glanz, F. Lewis, &amp; B. Rimer (Eds.), *Health behaviour and health education: Theory, research and practice*. (2nd ed., pp. 179-205). San Francisco: Jossey-Bass Publishers.
  22. Heinig, M. &amp; Dewey, K. (1997). Health effects of breastfeeding for mothers: a critical review. *Nutrition Research Reviews*, 10, 35-36.
  23. Heinig, M., Nommsen, L., Peerson, J., &amp; et.al. (1993). Energy and protein intakes of breast-fed and formula fed infants during the first year of life and their associations with growth velocity: The DARLING Study. *American Journal of Clinical Nutrition*, 58, 152-161.
  24. Hennekens, C. H. &amp; Buring, J. E. (1987). *Epidemiology in Medicine*. (First Edition ed.) Boston: Little, Brown and Company.
  25. Hickey, J. (2000). *Advanced practice nursing: changing roles and clinical applications*. (2nd Ed. ed.) Baltimore, Maryland: Lippincott Williams &amp; Wilkins.
  26. House, J. (1981). *Work stress and social support*. Reading, Mass.: Addison-Wesley.
  27. Humenick, L., Hill, P., &amp; Spiegelberg, R. (1998). Breastfeeding and health professionals encouragement. *Journal of Human Lactation*, 14, 305-310.
  28. Ineichen, B., Pierce, M., &amp; Lawrenson, R. (1997). Teenage mothers as breastfeeders: Attitudes and behaviours. *Journal of Adolescence*, 20, 505-509.
  29. INFACT Canada (2001). *INFACT Canada Press Release May 21, 2001: World Health Assembly Settles Duration of Exclusive Breastfeeding*. Toronto: INFACT Canada.
  30. Janke, J. R. (1991). *Prediction of breastfeeding attrition: A test of the theory of planned behavior*. PhD Thesis DNSc., Rush University, College of Nursing, United States.
  31. Kessler, L., Gielen, A., Diener-West, M., &amp; Paige, D. (1995). The effect of a woman's significant other on her breastfeeding decision. Journal of Human Lactation, 11, 103-109.
  32. Kum-Nji, P., Mangrem, C., Wells, P., White, P., &amp; Herrod, H. (1999). Breastfeeding initiation: Predictors, attitudes, and practises among blacks, whites in rural Mississippi. Southern Medical Journal, 92, 1183-1188.
  33. Launer, L. J., Forman, M. R., Hundt, G. L., Sarov, B., Chang, D., Berendes, H. W., &amp; Naggan, L. (1992). Maternal recall of infant feeding events is accurate. Journal of Epidemiology &amp; Community Health, 46, 203-206.
  34. Lawrence, R. &amp; Lawrence, R. (1999). Breastfeeding: A guide for the medical profession. St. Louis: Mosby Publishing.
  35. Lessick, M., Woodring, B., Naber, S., &amp; Halstead, L. (1992). Vulnerability: a conceptual model applied to perinatal and neonatal nursing. The Journal of Perinatal and Neonatal Nursing, 6, 1-14.
  36. Long, D., Funk-Archuleta, M., Geiger, C., Mozar, A., &amp; Heins, J. (1995). Peer counselor program increases breastfeeding rates in Utah Native American WIC population. *Journal of Human Lactation*, 11, 279-284.
  37. MacMullen, N., Dulski, L., &amp; Pappalardo, B. (1992). Antepartum vulnerability: Stress, coping and a patient support group. *The Journal of Perinatal and Neonatal Nursing*, 6, 15-25.
  38. Martin-Calama, J., Bunuel, J., Valero, T., Labay, M., Lasarte, J., Valle, F., &amp; de Miguel, C. (1997). The effect of feeding glucose water to breastfeeding newborns on weight, body temperature, blood glucose and breastfeeding duration. *Journal of Human Lactation*, 13, 209-213.
  39. Menard, S. (1995). *Applied logistic regression analysis*. London: Sage Publications.
  40. Milligan, R., Pugh, L., Bronner, Y., Spatz, D., &amp; Brown, L. (2000). Breastfeeding duration among low income women. *Journal of Midwifery &amp; Women's Health*, 45, 246-252.
  41. Mongeon, M. &amp; Allard, R. (1995). Controlled study of a regular telephone support program given by volunteers on the establishment of breastfeeding [in French]. Canadian Journal of Public Health, 86, 124-127.
  42. Newcomb, P., Storer, B., Longnecker, M., Mittendorf, R., Greenberg, E., Clapp, R., &amp; et.al. (1994). Lactation and a reduced risk of premenopausal breast cancer. New England Journal of Medicine, 330, 81-87.
  43. Norbeck, J. &amp; Tilden, V. (1988). International nursing research in social support: Theoretical and methodological issues. Journal of Advanced Nursing, 13, 173-178.
  44. Phillips, C. (1992). Vulnerability in family systems: Application to antepartum. *The Journal of Perinatal and Neonatal Nursing*, 6, 26-36.
  45. Powers, N. &amp; Slusser, W. (1997). Breastfeeding update. 2: Clinical lactation management. *Peiatrics in Review*, 18, 147-161.
  46. Renfrew, M. L. &amp; Lang, S. Interventions for improving breastfeeding technique. Cochrane Library Issue 4[2001]. 1999. Oxford, Cochrane Library Update Software. Ref Type: Data File
  47. Rich, O. (1992). Vulnerability of homeless pregnant and parenting adolescents. *The Journal of Perinatal and Neonatal Nursing*, 6, 37-46.
  48. Roberts, J., Sword, W., Watt, S., Gafni, A., Krueger, P., Sheehan, D., &amp; Soon-Lee, K. (2001). Costs of postpartum care: examining associations from the Ontario Mother and Infant Survey. *Canadian Journal of Nursing Research*, 33, 19-34.
  49. Sarason, I., Levine, H., Basham, R., &amp; Sarason, B. (1983). Assessing social support: The social support questionnaire. *Journal of Personality and Social Psychology*, 44, 127-139.
  50. Saunders, J. &amp; Valente, S. (1992). Overview. *Western Journal of Nursing Research*, 14, 700-702.
  51. Sheehan, D., Krueger, P., Watt, S., Sword, W., &amp; Bridle, B. (2001). The Ontario Mother and Infant Survey: Breastfeeding outcomes. Journal of Human Lactation, 17, 211-219.
  52. Stamp, G. &amp; Crowther, C. (1995). Breastfeeding - Why Start? Why Stop?: A prospective survey of South Australian women. *Breastfeeding Review*, 3, 15-19.
  53. Sword, W., Watt, S., Krueger, P., Soon-Lee, K., Sheehan, D., Roberts, J., &amp; Gafni, A. (2001). Understanding newborn infant readmission: findings of the Ontario Mother Infant Survey. Canadian Journal of Public Health, 92, 196-200.
  54. Tabachnick, B. &amp; Fidell, L. (1989). Using multivariate statistics. (2nd Edition ed.) Northridge: Harper Collins Publishers.
  55. Wharf, B. (1994). Families in crisis. In M. Baker (Ed.), Canada's changing families: Challenges to public policy, (pp. 55-68). Toronto: The Vanier Institute of the Family.
  56. Wilson, A., Stewart-Forsyth, J., Greene, S., Irvine, L., Au, C., &amp; Howie, P. (1998). Relation of infant diet to childhood health: Seven year follow-up of cohort of children in Dundee infant feeding study. British Medical Journal, 316, 21-25.
  57. Wisner, K., Perel, J., &amp; Findling, R. (1996). Antidepressant treatment during breast-feeding. *American Journal of Psychiatry*, 153, 1132-1137.
  58. World Health Organization (1978). Report of the international conference on Primary Health Care in Alma Ata, USSR. World Health Organization [On-line]. Available: http://www.who.int/hpr/archive/docs/almaata.html

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Authors
Dunn, S., Davies, B., McCleary, L., Edwards, N., & Gaboury, I.
Affiliations
  • Ministry of Health and Long Term Care (CA)
  • Brock University (CA)
  • University of Ottawa (CA)
  • CHEO Research Institute (CA)
Corresponding author
Dunn, Sandra
ORCID
Venue
Journal of Obstetric, Gynecologic & Neonatal Nursing
Publisher
Elsevier BV
Published
2006-01
Volume
35
Issue
1
Pages
87-97
ISSN
  • 0090-0311 (ISSN-L)
  • 0884-2175
DOI
10.1111/j.1552-6909.2006.00005.x
OpenAlex
W2154784656
Cited by
101
References
47
Citations by year
2026: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 11 · 2020: 4 · 2019: 7 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 7 · 2013: 11 · 2012: 10
FWCI
5.13
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
  • PubMed (publishedVersion)
  • uO Research (University of Ottawa) (submittedVersion, public-domain)
  • University of Ottawa - Library
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
Keywords
breastfeeding confidence, postpartum depression, postpartum women, vulnerability factors, breastfeeding support
MeSH terms
Adult, Attitude to Health, Breast Feeding, Cross-Sectional Studies, Educational Status, Female, Health Services Needs and Demand, Humans, Income, Models, Psychological, Mothers, Nursing Assessment, Ontario, Postnatal Care, Prospective Studies, Surveys and Questionnaires, Risk Factors, Social Support, Nursing Methodology Research, Multivariate Analysis, Logistic Models, Risk Assessment, Depression, Postpartum, Self Efficacy, Nurse's Role

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