Initiation and continuation of breastfeeding among Jordanian first-time mothers: a prospective cohort study
Received 30 May 2018
Accepted for publication 20 August 2018
Published 5 October 2018 Volume 2018:10 Pages 571—577
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 3
Editor who approved publication: Professor Elie Al-Chaer
Khadeejeh Al dasoqi,1 Reema Safadi,1 Eman Badran,2 Asma Sa’d Basha,3 Sue Jordan,4 Muayyad Ahmad5
1Department of Maternal and Child Health Nursing, School of Nursing, University of Jordan, Amman, Jordan; 2Department of pediatrics, School of Medicine, University of Jordan, Amman, Jordan; 3Department of Obstetrics and Gynecology, School of Medicine, University of Jordan, Amman, Jordan; 4Department of Nursing, Swansea University, Swansea, UK; 5Clinical Nursing Department, School of Nursing, University of Jordan, Amman, Jordan
Objective: This study aimed to examine the rates of initiation and continuation of breastfeeding (BF) and their relationship with mothers’ sociodemographic, obstetric, neonatal, and medical interventions.
Methods: Data were collected from 199 first-time Jordanian mothers using medical records, face-to-face interviews within 24 hours of birth, and two telephone interviews at 6 weeks and 6 months after birth.
Results: The rate of BF initiation within the first 4 hours after birth was only 13%. The rate of exclusive BF at 6 weeks was 25.5%, and this rate dropped to 2.1% at 6 months. Mothers who initiated BF before discharge were older, were employed, had normal vaginal birth, and had undergone antenatal or after-birth BF education. Infants’ birth weight or gender was not interrelated with BF initiation. There was no relationship between initiation and continuation of BF and use of medications for labor pain or for induction/augmentation. The only significant relationship was found between the dose of ergometrine and BF failure and painful BF at 6 weeks.
Conclusion: There is a need for increasing health care providers and public awareness about the role of intrapartum medications and procedures on the initiation and continuation of BF at 6 weeks and 6 months after birth.
Keywords: exclusive breastfeeding, ergometrine, obstetric procedures, intrapartum medication, Jordan
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