Paternal Breastfeeding Involvement, Paternal-Infant Attachment, and Breastfeeding Outcomes: A Prospective Cohort
Burçin Yorgancı1, Perran Boran1, Hatice Ezgi Barış2
1Department of Social Pediatrics, Marmara University Faculty of Medicine, Istanbul, Turkey.
Insights
Fathers
Area of Science:
- Reproductive Health
- Pediatrics
- Psychology
Background:
- Paternal involvement in infant care is increasingly recognized for its impact on child development.
- Breastfeeding is crucial for infant health, and understanding factors influencing its duration is important.
Purpose of the Study:
- To investigate the association between fathers' engagement in breastfeeding and their bond with the infant.
- To determine how these factors relate to exclusive breastfeeding (EBF) and overall breastfeeding duration.
Main Methods:
- A prospective observational cohort study followed fathers of 1-month-old infants.
- Paternal breastfeeding involvement (PBIS), paternal-infant attachment, and paternal mental health were assessed.
- Breastfeeding outcomes were evaluated at 1, 6, and 12 months postpartum.
Main Results:
- Higher paternal breastfeeding involvement and stronger paternal-infant attachment were linked to increased odds of EBF.
- Paternal involvement was also associated with longer total breastfeeding duration.
- Each point increase in PBIS score correlated with a 3.1% rise in EBF odds.
Conclusions:
- Paternal breastfeeding involvement and paternal-infant attachment are key predictors of successful EBF and extended breastfeeding.
- Father-inclusive breastfeeding support programs can enhance breastfeeding outcomes.
Research Aim:
To examine the relationship between paternal breastfeeding involvement and paternal-infant attachment with exclusive breastfeeding (EBF) and total breastfeeding duration.
Methods:
This prospective observational cohort study included fathers of 1-month-old infants recruited through convenience sampling. Paternal breastfeeding involvement was assessed using the Partner Breastfeeding Influence Scale (PBIS). Paternal-infant attachment, paternal depressive symptoms, and marital adjustment were evaluated using validated instruments. Assessments were conducted at 1, 6, and 12 months postpartum. At 12 months postpartum, breastfeeding continuation, total duration, and reasons for cessation were obtained through follow-up interviews.
Results:
The rate of EBF at 6 months was 86.1% (198/230), and continued breastfeeding at 12 months was 73.9% (170/230). Higher PBIS scores were significantly associated with both EBF at 6 months and longer total breastfeeding duration (p < 0.001). Higher paternal breastfeeding involvement and stronger paternal-infant attachment were independently associated with increased odds of EBF. Each 1-point increase in PBIS total score was associated with a 3.1% increase in the odds of EBF (aOR, 1.031; 95% CI [1.013, 1.048]).
Conclusion:
Paternal breastfeeding involvement and paternal-infant attachment were independent predictors of EBF and longer breastfeeding duration. These findings support the importance of father-inclusive breastfeeding interventions to improve breastfeeding outcomes.
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