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

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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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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: Dunn, Sandra
Davies, Barbara
McCleary, Lynn
Edwards, Nancy
Gaboury, Isabelle
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: green
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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The Relationship Between Vulnerability Factors and Breastfeeding Outcome

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