Departments of Obstetrics and Gynecology, Iwase General Hospital, Sukugawa City, Fukushima Prefecture, Japan.
Department of Obstetrics and Gynecology, Fukushima Medical University, Fukushima City, Fukushima Prefecture, Japan.
Int Breastfeed J. 2022 Mar 5;17(1):20. doi: 10.1186/s13006-022-00449-w.
While breastfeeding provides benefits for infants and the mother, many women either do not breastfeed or terminate breastfeeding earlier than recommended. The aim of this analysis was to identify factors associated with early discontinuation of breastfeeding in Japanese women.
This study used data from medical records of women delivering a singleton live birth between March 2017 and August 2019 in Iwase General Hospital, Fukushima Prefecture, Japan to assess cessation of breastfeeding by the 1-month postpartum appointment. Demographic (age at birth, and employment status), medical (parity, and physical and mental condition of the mother; and infant medical factors, such as sex, Apgar score, and jaundice, among other), and family factors (husband/partner, family members living at the same house, among others) in 734 women who had initiated breastfeeding during their delivery hospital stay were examined, and multiple logistic regression was used to determine significant predictors of early cessation of exclusive breastfeeding.
Bivariate analysis revealed that women who were primipara, unmarried, exposed to secondhand smoke, and employed; those who smoked before pregnancy; and those who had asthma were more likely to discontinue exclusive breastfeeding than other women. Infant factors associated with discontinuation were lower birthweight, earlier gestational age, neonatal intensive care unit admission, treatment for jaundice, or lower weight gain. Multivariable analysis revealed that primiparity, passive smoking before pregnancy, maternal employment, and neonatal jaundice therapy were associated with discontinuation of breastfeeding.
In particular, women whose partners smoked before pregnancy may need to be targeted for additional support for breastfeeding.
母乳喂养对婴儿和母亲都有好处，但许多女性要么不进行母乳喂养，要么提前终止母乳喂养。本分析旨在确定与日本女性早期停止母乳喂养相关的因素。
本研究使用了日本福岛县岩瀬综合医院 2017 年 3 月至 2019 年 8 月期间分娩的单胎活产女性的病历数据，评估了 734 名在分娩期间开始母乳喂养的女性在产后 1 个月时停止母乳喂养的情况。分析了与母乳喂养相关的人口统计学因素（分娩时的年龄和就业状况）、医疗因素（产次、母亲的身心状况；婴儿的医疗因素，如性别、阿普加评分和黄疸等）和家庭因素（丈夫/伴侣、与产妇同住的家庭成员等）。采用多变量逻辑回归确定了早期停止纯母乳喂养的显著预测因素。
单因素分析显示，初产妇、未婚、接触二手烟、就业；妊娠前吸烟；和患有哮喘的女性比其他女性更有可能停止纯母乳喂养。与停止母乳喂养相关的婴儿因素包括低出生体重、早产、新生儿重症监护病房入院、黄疸治疗或体重增加较少。多变量分析显示，初产妇、妊娠前被动吸烟、产妇就业和新生儿黄疸治疗与母乳喂养的中断有关。
特别是那些伴侣在妊娠前吸烟的女性可能需要得到额外的母乳喂养支持。
