Determinants of breastfeeding at discharge in rural China
Li Tang1, Colin W Binns, Chunming Luo
1School of Public Health, Curtin University, Perth, Western Australia, Australia.
Insights
In rural China, 93.5% of mothers breastfed at discharge. Paternal support and hospital staff encouragement significantly boosted breastfeeding rates, while delayed feeding decisions lowered them.
Area of Science:
- Public Health
- Maternal and Child Health
- Nutrition
Background:
- Breastfeeding is crucial for infant health.
- Understanding factors influencing breastfeeding in rural China is essential for targeted interventions.
Purpose of the Study:
- To determine the rate of breastfeeding at discharge.
- To identify factors influencing breastfeeding at discharge in rural China.
Main Methods:
- Prospective cohort study conducted in Jiangyou city, Sichuan Province, China (2010-2011).
- Included 695 mothers aged 18-44 years.
- Logistic regression analysis used to identify influencing factors.
Main Results:
- Breastfeeding rate at discharge was 93.5%.
- Positive associations found with perceived paternal preference (OR=4.46) and hospital staff support (OR=3.41).
- Negative association found with delayed feeding decisions (OR=0.46).
Conclusions:
- High breastfeeding rate at discharge observed.
- Comprehensive hospital breastfeeding support and parent education programs are recommended.
- Interventions should address paternal influence and timing of feeding decisions.
Abstract:
This study aimed to investigate the rate of breastfeeding at discharge and associated influencing factors in rural China. A prospective cohort study of infant feeding practices was undertaken during 2010-2011 in Jiangyou city, Sichuan Province of China. Logistic regression analysis was performed to ascertain pertinent factors affecting the prevalence of any breastfeeding at discharge. The participants consisted of 695 mothers aged 18-44 years. The breastfeeding rate at discharge was 93.5% (95% CI: 91.7-95.3). Perceived paternal breastfeeding preference was positively associated with actual breastfeeding at discharge (OR=4.46, 95% CI: 2.15-9.28). Other significant determinants were 'receiving breastfeeding support' from staff during hospital stay (OR=3.41, 95% CI: 1.58-7.34) and making the decision on feeding method during pregnancy or after childbirth (OR=0.46, 95% CI: 0.22-0.93). In conclusion, provision of comprehensive breastfeeding support in hospital and education programs targeting expectant and future parents are recommended to further increase the rate of breastfeeding at discharge in rural areas of China.
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