Maternal and neonatal factors associated with exclusive breastfeeding upon hospital discharge
Paola Cristina Toapanta-Pinta1, Adriana Paola Sinchiguano Cóndor2, Deicy Maribel Muso Defaz2
1Universidad Central del Ecuador, Facultad de Ciencias Médicas. Quito, Pichincha, Ecuador.
Objective:
to identify maternal and neonatal factors associated with exclusive breastfeeding at hospital discharge from a tertiary care hospital.
Methods:
a cross-sectional study using secondary data from 22,136 records of newborns hospitalized in a neonatal unit (2009-2022). Maternal and neonatal variables and feeding practices at discharge were analyzed. Bayesian logistic regression models were applied.
Results:
exclusive breastfeeding at hospital discharge was 91.55%. Negatively associated factors were cesarean delivery (OR: 0.90), illicit substance use (OR: 0.30), low birth weight (OR: 0.84), and cleft lip and palate (OR: 0.15). Breastfeeding counseling and labor and delivery support promoted exclusive breastfeeding at hospital discharge.
Conclusion:
despite the high prevalence of exclusive breastfeeding at hospital discharge, barriers persist that must be addressed through promotion strategies, staff training, and support for mothers at risk.
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