Babaee Ebrahim, Eshrati Babak, Asadi-Aliabadi Mehran, Purabdollah Majid, Nojomi Marzieh
Preventive Medicine and Public Health Research Center, Student Research Committee, Iran University of Medical Sciences, 1449614542 Tehran, Iran.
Preventive Medicine and Public Health Research Center, Department of Community Medicine, Iran University of Medical Sciences, 1449614542 Tehran, Iran.
J Nutr Metab. 2020 Apr 17;2020:3819750. doi: 10.1155/2020/3819750. eCollection 2020.
The onset of breastfeeding has a high success rate in most countries, but the time for termination of breastfeeding varies between countries.
This survey was aimed to determine the effective factors on the early termination of breastfeeding.
This study was conducted in 2018, in Iran. About 410 mothers were enrolled in the study. All considered factors were evaluated as factors influencing the continuity of breastfeeding. Survival analysis was used to analyze data.
The mean age of the mothers was equal to 29.48 ± 5.8 years. The frequency of termination of breastfeeding before the first 2 years was equal to 34%. The mean of breastfeeding duration was equal to 21.49 ± 5.3 months. The percentage of infants who had been breastfed for 24 months was equal to 65.8%. An infant's birth weight (2500-4000 gr) (hazard ratio: 0.54), neonatal birth order (hazard ratio: 0.69), neonatal pathologic jaundice (hazard ratio: 1.52), starting time of using complementary food (hazard ratio: 2.45), using pacifier (hazard ratio: 2.82), and the status of using artificial milk (hazard ratio: 3.29) were significantly associated with cessation of breastfeeding before 24 months of age. The probability of termination of breastfeeding at 6, 12, 18, and 24 months of age was reported by 6%, 8%, 15%, and 34%, respectively.
There were notifiable variations in breastfeeding rates both in national and international levels. Nevertheless, in this study, the mean of breastfeeding duration was longer compared to a number of countries and previous national studies.
在大多数国家，开始母乳喂养的成功率很高，但各国母乳喂养终止的时间有所不同。
本调查旨在确定影响母乳喂养早期终止的有效因素。
本研究于2018年在伊朗进行。约410名母亲参与了该研究。所有考虑的因素均被评估为影响母乳喂养持续时间的因素。采用生存分析来分析数据。
母亲的平均年龄为29.48±5.8岁。2岁前母乳喂养终止的频率为34%。母乳喂养持续时间的平均值为21.49±5.3个月。母乳喂养24个月的婴儿比例为65.8%。婴儿出生体重（2500 - 4000克）（风险比：0.54）、新生儿出生顺序（风险比：0.69）、新生儿病理性黄疸（风险比：1.52）、开始添加辅食的时间（风险比：2.45）、使用安抚奶嘴（风险比：2.82）以及使用人工奶的情况（风险比：3.29）与24个月前停止母乳喂养显著相关。据报道，在6、12、18和24个月龄时停止母乳喂养的概率分别为6%、8%、15%和34%。
在国家和国际层面，母乳喂养率存在显著差异。然而，在本研究中，母乳喂养持续时间的平均值比一些国家和以往的全国性研究更长。
