From: Influence of abuse and disrespect during childbirth on early initiation of breastfeeding
Initiation of breastfeeding in the first hour of life | Bivariate analysis | Multivariate analysis | ||||
---|---|---|---|---|---|---|
No n (%) N = 435 | Yes n (%) N = 1613 | OR 95% CI | P value | OR 95% CI | P value | |
Maternal age Mean (SD) | 33.6 (4.05) | 33.5 (3.98) | 0.99 (0.97, 1.02) | 0.671 | 0.99 (0.95, 1.03) | 0.600 |
CARE-MQ (Grouped by percentiles) | < 0.001 | 0.001 | ||||
Percentile < 50 | 109 (10.7) | 907 (89.3) | 1 | 1 | ||
Percentile 50–74 | 125 (24.6) | 384 (75.4) | 0.36 (0.27, 0.49) | < 0.001 | 0.69 (0.49, 0.97) | 0.023 |
Percentile 75–89 | 95 (33.1) | 192 (66.9) | 0.24 (0.17, 0.33) | < 0.001 | 0.59 (0.39, 0.87) | 0.002 |
Percentile ≥ 90 | 106 (44.9) | 130 (55.1) | 0.14 (0.10, 0.20) | < 0.001 | 0.43 (0.32, 0.76) | < 0.001 |
Family income | 0.078 | 0.804 | ||||
< 1000 euros | 9 (27.3) | 24 (72.7) | 1 | 1 | ||
1000–1999 euros | 91 (26.6) | 251 (73.4) | 1.03 (0.46, 2.30) | 0.934 | 1.14 (0.42, 3.07) | 0.791 |
2000–2999 euros | 150 (20.7) | 575 (79.3) | 1.43 (0.65, 3.15) | 0.366 | 1.14 (0.43, 3.08) | 0.791 |
3000–3999 euros | 114 (19.6) | 469 (80.4) | 1.54 (0.69, 3.40) | 0.284 | 0.99 (0.37, 2.71) | 0.998 |
≥4000 euros | 71 (19.5) | 294 (80.5) | 1.55 (0.69, 3.48) | 0.286 | 0.92 (0.33, 2.52) | 0.870 |
Partner support | 0.026 | 0.594 | ||||
None | 11 (36.7) | 19 (63.3) | 1 | 1 | ||
Little | 10 (23.3) | 33 (76.7) | 1.91 (0.68, 5.32) | 0.216 | 2.11 (0.60, 7.47) | 0.243 |
Some | 36 (30.3) | 83 (69.7) | 1.33 (0.57, 3.09) | 0.500 | 1.14 (0.40, 3.25) | 0.812 |
Sufficient | 105 (21.3) | 387 (78.7) | 2.13 (0.98, 4.62) | 0.055 | 1.59 (0.60, 4.21) | 0.348 |
A lot | 273 (20.0) | 1091 (80.0) | 2.31 (1.08, 4.91) | 0.029 | 1.53 (0.59, 3.97) | 0.377 |
Planned pregnancy | 0.848 | 0.797 | ||||
No | 33 (21.9) | 118 (78.1) | 1 | 1 | ||
Yes | 402 (21.2) | 1495 (78.8) | 1.04 (0.69, 1.55) | 0.94 (0.56, 1.55) | ||
Gestational age at birth | 0.874 | 0.270 | ||||
Term | 424 (21.3) | 1570 (78.7) | 1 | 1 | ||
Moderate premature | 11 (20.4) | 43 (79.6) | 1.05 (0.54, 2.06) | 1.65 (0.68, 4.08) | ||
Twin pregnancy | 0.040 | 0.674 | ||||
No | 427 (21.1) | 1599 (78.9) | 1 | 1 | ||
Yes | 8 (40.0) | 12 (60.0) | 0.40 (0.16, 0.98) | 0.78 (0.24, 2.50) | ||
Previous cesarean | < 0.001 | 0.434 | ||||
No | 208 (13.5) | 1333 (86.5) | 1 | 1 | ||
One | 211 (37.2) | 253 (54.5) | 0.18 (0.14, 0.23) | < 0.001 | 1.54 (0.36, 6.54) | 0.558 |
Two or more | 16 (37.2) | 27 (62.8) | 0.26 (0.14, 0.49) | < 0.001 | 0.94 (0.06, 14.43) | 0.966 |
Number of pregnancies | < 0.001 | 0.066 | ||||
One | 314 (24.2) | 981 (85.1) | 1 | 1 | ||
Two | 82 (14.9) | 469 (85.1) | 1.83 (1.40, 2.39) | < 0.001 | 1.32 (0.80, 2.17) | 0.281 |
Three or more | 39 (19.3) | 163 (80.7) | 1.33 (0.92, 1.94) | 0.125 | 0.65 (0.29, 1.43) | 0.278 |
Number of vaginal births | < 0.001 | 0.543 | ||||
None | 215 (50.4) | 212 (49.6) | 1 | 1 | ||
One | 196 (15.6) | 1063 (84.4) | 5.50 (4.31, 7.01) | < 0.001 | 1.11 (0.26, 4.76) | 0.885 |
Two or more | 24 (6.6) | 338 (93.4) | 14.28 (9.05, 22.52) | < 0.001 | 2.23 (0.14, 25.68) | 0.570 |
Number of miscarriages | 0.148 | 0.180 | ||||
None | 300 (24.7) | 1180 (79.7) | 1 | 1 | ||
One | 103 (24.7) | 314 (75.3) | 0.77 (0.60, 1.00) | 0.051 | 0.68 (0.44, 1.04) | 0.076 |
Two or more | 32 (21.2) | 119 (78.8) | 0.94 (0.62, 1.42) | 0.789 | 0.91 (0.46, 1.82) | 0.793 |
HT during pregnancy | 0.099 | 0.530 | ||||
No | 390(20.8) | 1486 (79.2) | 1 | 1 | ||
Yes | 45 (26.2) | 127 (73.8) | 0.74 (0.51, 1.05) | 0.86 (0.55, 1.36) | ||
Gestational diabetes | 0.331 | 0.626 | ||||
No | 398 (21.0) | 1498 (79.0) | 1 | 1 | ||
Yes | 37 (24.3) | 115 (75.5) | 0.82 (0.56, 1.21) | 0.89 (0.55, 1.44) | ||
APP | 0.130 | 0.280 | ||||
No | 418 (21.6) | 1520 (78.4) | 1 | 1 | ||
Yes | 17 (15.5) | 93 (84.5) | 1.50 (0.88, 2.55) | 1.44 (0.75, 2.76) | ||
Fertility treatment | 0.024 | 0.955 | ||||
No | 363 (20.4) | 1413 (79.6) | 1 | 1 | ||
Yes | 72 (26.5) | 200 (73.5) | 0.71 (0.53, 095) | 1.01 (0.68, 1.50) | ||
Parity | < 0.001 | 0.473 | ||||
Primiparous | 383 (24.4) | 1189 (75.6) | 1 | 1 | ||
Multiparous | 52 (10.9) | 424 (89.1) | 2.62 (1.92, 3.58) | 0.50 (0.08, 3.30) | ||
Antenatal classes | 0.107 | 0.019 | ||||
No | 61 (19.1) | 258 (80.9) | 1 | 1 | ||
Yes, < 5 classes | 101 (24.9) | 304 (75.1) | 0.71 (0.49, 1.01) | 0.063 | 1.04 (0.64, 1.69) | 0.867 |
Yes, at least 5 classes | 273 (20.6) | 1051 (79.4) | 0.91 (0.66, 1.24) | 0.551 | 1.56 (1.01, 2.42) | 0.050 |
Induction of Labor | < 0.001 | 0.480 | ||||
No | 194 (17.2) | 937 (82.8) | 1 | 1 | ||
Yes | 241 (21.2) | 676 (73.7) | 0.58 (0.46, 0.71) | 0.90 (0.67, 1.21) | ||
Birth plan | < 0.001 | 0.089 | ||||
No | 199 (23.5) | 649 (76.5) | 1 | . | 1 | |
Yes, but it wasn´t respected | 108 (36.1) | 191 (63.9) | 0.52 (0.40, 0.72) | 1.16 (0.86, 1.59) | 0.333 | |
Yes, and it was mostly respected | 128 (14.2) | 773 (85.8) | 1.85 (1.44, 2.36) | 1.58 (1.01, 2.42) | 0.031 | |
Problems during childbirth | < 0.001 | 0.563 | ||||
No | 286 (17.7) | 1331 (82.3) | 1 | 1 | ||
Yes | 149 (34.6) | 282 (65.4) | 0.40 (0.32, 0.51) | 0.91 (0.66, 1.26) | ||
Use of oxytocin during birth/labor | < 0.001 | 0.317 | ||||
No | 132 (15.9) | 698 (84.1) | 1 | 1 | ||
Yes | 303 (24.9) | 915 (75.1) | 0.57 (0.45, 0.71) | 1.18 (0.85, 1.65) | ||
Epidural anesthesia | < 0.001 | 0.283 | ||||
No | 44 (11.9) | 325 (88.1) | 1 | |||
Yes | 391 (23.3) | 1288 (76.7) | 0.45 (0.32, 0.62) | 0.79 (0.51, 1.22) | ||
Nitrous oxide | < 0.001 | 0.956 | ||||
No | 401 (20.2) | 1587 (79.8) | 1 | 1 | ||
Yes | 34 (56.7) | 26 (43.3) | 0.19 (0.11, 0.32) | 1.02 (0.52, 2.01) | ||
General anesthesia | 0.177 | 0.733 | ||||
No | 411 (21.0) | 1548 (79.0) | 1 | 1 | ||
Yes | 24 (27.0) | 65 (73.4) | 0.72 (0.44, 1.16) | 1.09 (0.59, 2.02) | ||
Type of birth | < 0.001 | 0.034 | ||||
Eutocic | 135 (11.3) | 1063 (88.7) | 1 | 1 | ||
Instrumental | 76 (18.8) | 329 (81.2) | 0.55 (0.40, 0.74) | 0.98 (0.66, 1.48) | 0.938 | |
Planned cesarean section | 23 (26.1) | 65 (73.9) | 0.35 (0.21, 0.59) | 1.06 (0.25, 4.56) | 0.937 | |
Emergency cesarean section | 201 (56.3) | 156 (43.7) | 0.09 (0.07, 0.13) | 0.43 (0.11, 1.64) | 0.209 | |
Episiotomy | 0.019 | 0.524 | ||||
No | 360 (22.3) | 1251 (77.7) | 1 | 1 | ||
Yes | 75 (17.2) | 362 (82.8) | 1.38 (1.05, 1.82) | 1.13 (0.77, 1.67) | ||
Tear grade III-IV | 0.433 | 0.265 | ||||
No | 412 (21.1) | 1542 (78.0) | 1 | 1 | ||
Yes | 23 (24.5) | 71 (75.5) | 0.82 (0.51, 1.33) | 0.72 (0.40, 1.29) | ||
Breastfeeding previous children | < 0.001 | 0.004 | ||||
No, this is my first child | 387 (24.5) | 1193 (75.5) | 1 | 1 | ||
I did not breastfeed my previous children | 8(21.6) | 29 (78.4) | 1.18 (0.53, 2.59) | 0.688 | 0.82 (0.20, 3.32) | 0.776 |
Yes | 40 (9.3) | 391 (90.7) | 3.17 (2.25, 4.48) | < 0.001 | 3.57 (1.09, 11.63) | 0.036 |
Skin-to-skin | < 0.001 | < 0.001 | ||||
No | 200 (72.2) | 77 (27.8) | 1 | 1 | ||
Yes, but less than 50 min | 86 (39.6) | 131 (60.4) | 3.95 (2.71, 5.77) | < 0.001 | 2.69 (1.70, 4.29) | < 0.001 |
Yes, between 50 and 120 min | 34 (13.6) | 216 (86.4) | 16.50 (10.55, 25.80) | < 0.001 | 9.64 (5.61, 16.55) | < 0.001 |
Yes, at least 120 min | 115 (8.8) | 1189 (91.2) | 26.85 (19.40, 37.17) | < 0.001 | 13.33 (8.55, 20.80) | < 0.001 |
Maternal admission following birth | < 0.001 | 0.119 | ||||
No | 418 (20.7) | 1603 (79.3) | 1 | 1 | ||
Yes | 17 (63.0) | 10 (37.0) | 0.37 (0.21, 0.64) | 0.45 (0.17, 1.23) |