|Titre :||An Ecological Momentary Assessment of Primiparous Womens Breastfeeding Behavior and Problems From Birth to 8 Weeks (2017)|
|Auteurs :||Jill R. Demirci, Auteur ; Debra L. Bogen, Auteur|
|Type de document :||Article : texte imprimé|
|Dans :||Journal of Human Lactation (Vol. 33, n°2, Mai 2017)|
|Article en page(s) :||pp. 285-295|
Primiparous women are at risk for early, unintended breastfeeding reduction and cessation. Breastfeeding patterns that contribute to these outcomes require further exploration.
This study aimed to describe early, real-time breastfeeding behaviors and perceived problems of primiparous women.
First-time mothers intending to exclusively breastfeed downloaded a commercial infant-feeding app during their postpartum hospitalization. Women logged feedings and their breastfeeding experiences, as they occurred, through 8 weeks postpartum. Additional feeding and background data were collected via electronic medical records and questionnaires administered at enrollment and 2 and 8 weeks postpartum. Summary statistics were compiled to examine weekly breastfeeding behaviors and problems.
In this sample of 61 primarily highly educated, White women committed to breastfeeding, 38% (n = 23) used formula during the postpartum hospitalization and 68% (n = 34) used formula at least once by 2 weeks. Nine women stopped breastfeeding during the study. Women using any formula in the hospital and those with less positive baseline attitudes toward breastfeeding were less likely to be exclusively breastfeeding at 2 and 8 weeks, respectively (p
Interventions to address suboptimal breastfeeding in primiparous women should consider the pervasiveness of early milk expression and in-hospital formula supplementation in this population, as well as the trajectory of common problems." [Résumé de l'auteur]