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The Relationship Between Vulnerability Factors and Breastfeeding Outcome
Open accessAbstract
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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“Higher depression scores were also associated with early weaning.89”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [89]
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Cited by
Sorted by citations
Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes
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“Early exclusive and non-exclusive breastfeeding cessation is associated with the presence of postpartum depression in all studies published in the last 30 years (Astbury et al., 1994; Bick et al., 1998; Cooper et al., 1993; Dunn et al., 2006; Imbula et al., 2012; Feldens et al., 2011; Flores-Quijano et al., 2008; Hamd…”
BackgroundInfluentialDennis, C.-L., & McQueen, K. (2009) · Pediatrics · doi:10.1542/peds.2008-1629 · Cited by 533
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“This corresponds to findings from earlier studies [6-10] [11-13] and earlier findings using the MoBa cohort [14].”
BackgroundResult
Metadata
- 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
- 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
- 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
- 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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