Maternal, Infant Characteristics, Breastfeeding Techniques, and Initiation: Structural Equation Modeling Approaches
Ying Lau1, Tha Pyai Htun1, Peng Im Lim2
1Department of Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Plos One
|November 14, 2015
Summary
Multiparity and infant jaundice impact breastfeeding techniques and exclusive breastfeeding initiation. Breastfeeding techniques are linked to exclusive breastfeeding initiation, varying by birth mode, highlighting the need for early interventions for mothers with jaundiced infants.
Area of Science:
- Reproductive Health
- Maternal-Infant Health
- Lactation Science
Background:
- Exclusive breastfeeding initiation is crucial for infant health.
- Understanding factors influencing breastfeeding success is vital for public health initiatives.
- Previous models have explored breastfeeding decision-making and initiation, but integrating various factors across different birth modes requires further investigation.
Purpose of the Study:
- To examine the relationships among maternal/infant characteristics, breastfeeding techniques, and exclusive breastfeeding initiation.
- To investigate these relationships across different modes of birth (vaginal vs. cesarean section).
- To utilize structural equation modeling (SEM) for a comprehensive analysis.
Main Methods:
- A hypothetical model integrating decision-making, initiation, and social cognitive theories was examined.
- 952 mother-infant dyads were included in the study.
- The LATCH breastfeeding assessment tool evaluated breastfeeding techniques; infant feeding was categorized as exclusive or non-exclusive.
Main Results:
- Multiparity positively correlated with breastfeeding techniques; infant jaundice negatively impacted exclusive breastfeeding initiation.
- Breastfeeding techniques were positively associated with exclusive breastfeeding initiation in the overall sample and vaginal delivery group, but not in the cesarean section group.
- Maternal age, race, gestation, birth weight, and postnatal complications did not significantly affect breastfeeding techniques or initiation.
Conclusions:
- Multiparity and infant jaundice are key factors influencing breastfeeding technique and initiation.
- The relationship between breastfeeding technique and exclusive breastfeeding initiation is moderated by the mode of birth.
- Early, targeted interventions are recommended for first-time mothers with jaundiced infants to enhance breastfeeding practices and promote exclusive breastfeeding.
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