Maternal Sense of Control During Childbirth and Infant Feeding Method
Annie Dude1, Lida M Fette, Uma M Reddy
1Departments of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois; George Washington University Biostatistics Center, Washington, DC; Department of Obstetrics and Gynecology, Yale University, New Haven, Connecticut; University of Alabama at Birmingham, Birmingham, Alabama; University of Utah Health Sciences Center, Salt Lake City, Utah; Stanford University, Stanford, California; Columbia University, New York, New York; Brown University, Providence, Rhode Island; University of Texas Medical Branch, Galveston, Texas; University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; University of Texas Health Science Center at Houston-Children's Memorial Hermann Hospital, Houston, Texas; The Ohio State University, Columbus, Ohio; MetroHealth Medical Center-Case Western Reserve University, Cleveland, Ohio; University of Texas Southwestern Medical Center, Dallas, Texas; University of Pennsylvania, Philadelphia, Pennsylvania; Duke University, Durham, North Carolina; and the University of Pittsburgh, Pittsburgh, Pennsylvania; for the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Maternal sense of control during childbirth was not linked to breastfeeding outcomes at 4-8 weeks postpartum in a study of low-risk nulliparous women. This finding held true after adjusting for potential confounding factors.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Lactation Studies
Background:
- Maternal perception of control during labor is a key aspect of the childbirth experience.
- Understanding factors influencing breastfeeding initiation and maintenance is crucial for maternal and infant health.
- Previous research has suggested potential links between childbirth experiences and postpartum behaviors, including infant feeding.
Purpose of the Study:
- To investigate the association between maternal sense of control during labor and breastfeeding practices at 4-8 weeks postpartum.
- To analyze whether perceived control during childbirth influences exclusive breastfeeding, mixed feeding, or exclusive formula feeding.
Main Methods:
- Secondary analysis of data from a multicenter randomized controlled trial involving low-risk nulliparous women.
- Utilized the Labor Agentry Scale to measure maternal sense of control during childbirth.
- Employed multinomial logistic regression to assess the relationship between perceived control and infant feeding categories, adjusting for confounders.
Main Results:
- A total of 5,185 women were included in the analysis.
- Breastfeeding patterns at 4-8 weeks postpartum included exclusive breastfeeding (32.9%), breastfeeding and formula feeding (31.2%), and exclusive formula feeding (35.9%).
- After adjusting for confounders, perceived control during childbirth was not significantly associated with any breastfeeding category.
Conclusions:
- Maternal perceived control during childbirth does not appear to be a significant predictor of breastfeeding outcomes at 4-8 weeks postpartum in this cohort.
- These findings suggest that other factors may play a more dominant role in determining infant feeding practices.
- Further research may explore other psychosocial and demographic variables influencing breastfeeding success.
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