From: Influence of abuse and disrespect during childbirth on early initiation of breastfeeding
Variable | Breastfeeding at discharge | Bivariate analysis | Multivariate analysis | |||
---|---|---|---|---|---|---|
No n (%) N = 508 | Yes n (%) N = 1498 | OR 95% CI | P value | OR 95% CI | P value | |
Maternal age Mean (SD) | 33.7 (3.95) | 33.4 (3.98) | 0.98 (0.95, 1.00) | 0.127 | 0.96 (0.93, 0.99) | 0.005 |
CARE-MQ (Grouped by percentiles) | < 0.001 | 0.794 | ||||
Percentile < 50 | 199 (20.2) | 788 (79.8) | 1 | 1 | ||
Percentile 50–74 | 145 (28.6) | 362 (71.4) | 0.63 (0.49, 0.80) | < 0.001 | 0.90 (0.68, 1.20) | 0.472 |
Percentile 75–89 | 89 (31.3) | 195 (68.7) | 0.55 (0.41, 0.74) | < 0.001 | 0.90 (0.63, 1.29) | 0.569 |
Percentile ≥ 90 | 75 (32.9) | 153 (67.1) | 0.51 (0.37, 0.70) | < 0.001 | 1.05 (0.70, 1.57) | 0.819 |
Family income | 0.008 | 0.029 | ||||
< 1000 euros | 12 (40.0) | 18 (60.0) | 1 | 1 | ||
1000–1999 euros | 100 (30.9) | 224 (69.1) | 1.49 (0.69, 3.21) | 0.306 | 1.89 (0.81, 4.43) | 0.144 |
2000–2999 euros | 192 (26.3) | 538 (73.7) | 1.86 (0.88, 3.95) | 0.102 | 2.23 (0.96, 5.16) | 0.062 |
3000–3999 euros | 123 (21.8) | 441 (78.2) | 2.39 (1.12, 5.09) | 0.024 | 2.96 (1.26, 6.95) | 0.012 |
≥4000 euros | 81 (22.6) | 277 (77.4) | 2.28 (1.05, 4.93) | 0.036 | 2.50 (1.05, 5.95) | 0.039 |
Partner support | 0.299 | 0.484 | ||||
None | 13 (41.9) | 18 (58.1) | 1 | 1 | ||
Little | 10 (24.4) | 13 (75.6) | 2.23 (0.81, 6.13) | 0.117 | 2.09 (0.66, 6.69) | 0.212 |
Some | 31 (27.0) | 84 (73.0) | 1.95 (0.85, 4.46) | 0.110 | 2.17 (0.84, 5.62) | 0.108 |
Sufficient | 125 (25.8) | 359 (74.2) | 2.07 (0.98, 4.35) | 0.054 | 1.53 (0.65, 3.61) | 0.336 |
A lot | 329 (24.6) | 1006 (75.4) | 2.20 (1.07, 4.55) | 0.032 | 1.62 (0.70, 3.76) | 0.262 |
Planned pregnancy | 0.769 | 0.391 | ||||
No | 33 (24.3) | 103 (75.7) | 1 | 1 | ||
Yes | 475 (25.4) | 1395 (74.6) | 0.94 (0.62, 1.41) | 0.81 (0.51, 1.31) | ||
Gestational age at birth | < 0.001 | 0.017 | ||||
Term | 469 (24.3) | 1460 (75.7) | 1 | 1 | ||
Moderate premature | 39 (50.6) | 38 (49.4) | 0.31 (0.20, 0.50) | 0.50 (0.28, 0.88) | ||
Twin pregnancy | < 0.001 | 0.038 | ||||
No | 491 (24.8) | 1490 (75.2) | 1 | 1 | ||
Yes | 17 (70.8) | 7 (29.2) | 0.13 (0.05, 0.32) | 0.33 (0.12, 0.94) | ||
Previous cesarean | < 0.001 | 0.952 | ||||
No | 365 (23.2) | 1206 (76.8) | 1 | 1 | ||
One | 138 (34.4) | 263 (65.6) | 0.57 (0.45, 0.73) | < 0.001 | 1.20 (0.38, 3.87) | 0.755 |
Two or more | 5 (14.7) | 29 (85.3) | 1.75 (0.67, 4.56) | 0.249 | 1.36 (0.12, 15.26) | 0.802 |
Number of pregnancies | 0.004 | 0.795 | ||||
One | 350 (27.7) | 913 (72.3) | 1 | 1 | ||
Two | 112 (20.5) | 434 (79.5) | 1.48 (1.16, 1.89) | 0.001 | 1.05 (0.68, 1.65) | 0.817 |
Three or more | 46 (23.4) | 151 (76.6) | 1.25 (0.88, 1.79) | 0.201 | 0.88 (0.44, 1.77) | 0.719 |
Number of vaginal births | < 0.001 | 0.280 | ||||
None | 132 (37.5) | 220 (62.5) | 1 | 1 | ||
One | 316 (24.5) | 976 (75.5) | 1.85 (1.44, 2.38) | < 0.001 | 1.67 (0.48, 5.75) | 0.493 |
Two or more | 60 (16.6) | 302 (83.4) | 3.02 (2.12, 4.29) | < 0.001 | 1.31 (0.13, 12.89) | 0.992 |
Number of miscarriages | 0.678 | 0.865 | ||||
None | 363 (24.9) | 1096 (75.1) | 1 | 1 | ||
One | 105 (26.0) | 299 (74.0) | 0.94 (0.73, 1.21) | 0.649 | 0.90 (0.61, 1.33) | 0.591 |
Two or more | 40 (28.0) | 103 (72.0) | 0.85 (0.58, 1.25) | 0.416 | 0.92 (0.50, 1.71) | 0.795 |
HT during pregnancy | 0.355 | 0.817 | ||||
No | 461(25.1) | 1379 (74.9) | 1 | 1 | ||
Yes | 47 (28.3) | 119 (71.7) | 0.84 (0.56, 1.20) | 1.05 (0.70, 1.57) | ||
Gestational diabetes | 0.044 | 0.239 | ||||
No | 458 (24.8) | 1392 (75.2) | 1 | 1 | ||
Yes | 50 (32.1) | 106 (67.9) | 0.69 (0.49, 0.99) | 0.79 (0.53, 1.17) | ||
APP | 0.078 | 0.228 | ||||
No | 422 (24.3) | 1313 (75.7) | 1 | 1 | ||
Yes | 86 (31.7) | 185 (68.3) | 0.69 (0.46, 1.04) | 0.74 (0.50, 1.20) | ||
Fertility treatment | 0.009 | 0.666 | ||||
No | 363 (20.4) | 1413 (79.6) | 1 | 1 | ||
Yes | 72 (26.5) | 200 (73.5) | 0.69 (0.52, 0.91) | 0.93 (0.66, 1.31) | ||
Parity | < 0.001 | 0.367 | ||||
Primiparous | 432 (28.1) | 1106 (71.9) | 1 | 1 | ||
Multiparous | 76 (16.2) | 392 (83.8) | 2.02 (1.54, 2.64) | 2.07 (0.43, 9.97) | ||
Antenatal classes | < 0.001 | < 0.001 | ||||
No | 87 (28.2) | 222 (71.8) | 1 | 1 | ||
Yes, < 5 classes | 129 (32.8) | 264 (67.2) | 0.80 (0.57, 1.11) | 0.184 | 1.22 (0.81, 1.82) | 0.334 |
Yes, at least 5 classes | 292 (22.4) | 1012 (77.6) | 1.35 (1.02, 1.79) | 0.032 | 2.12 (1.45, 3.07) | < 0.001 |
Induction of Labor | 0.001 | 0.581 | ||||
No | 251 (22.4) | 870 (77.6) | 1 | 1 | ||
Yes | 257 (29.0) | 628 (71.0) | 0.71 (0.58, 0.86) | 0.93 (0.73, 1.20) | ||
Birth plan | < 0.001 | 0.313 | ||||
No | 242 (28.9) | 595 (71.1) | 1 | 1 | ||
Yes, but it wasn´t respected | 84 (30.0) | 196 (70.0) | 0.94 (0.70, 1.27) | 1.21 (0.82, 1.77) | 0.337 | |
Yes, and it was mostly respected | 182 (20.5) | 707 (79.5) | 1.58 (1.26, 1.97) | 1.20 (0.93, 1.56) | 0.169 | |
Problems during childbirth | < 0.001 | 0.756 | ||||
No | 373 (23.6) | 1210 (76.4) | 1 | 1 | ||
Yes | 135 (31.9) | 288 (68.1) | 0.66 (0.52, 0.83) | 0.96 (0.72, 1.28) | ||
Use of oxytocin during birth/labor | 0.002 | 0.312 | ||||
No | 175 (21.7) | 632 (78.3) | 1 | 1 | ||
Yes | 333 (27.8) | 866 (72.2) | 0.72 (0.58, 0.89) | 0.87 (0.65, 1.15) | ||
Epidural anesthesia | < 0.001 | 0.137 | ||||
No | 60 (17.4) | 285 (82.6) | 1 | 1 | ||
Yes | 448 (27.0) | 1213 (73.0) | 0.57 (0.42, 0.76) | 0.76 (0.52, 1.10) | ||
Nitrous oxide | 0.186 | 0.594 | ||||
No | 489 (25.1) | 1459 (74.9) | 1 | 1 | ||
Yes | 19 (32.8) | 39 (67.2) | 0.68 (0.39, 1.20) | 1.22 (0.64, 2.31) | ||
General anesthesia | 0.297 | 0.155 | ||||
No | 481 (25.1) | 1435 (74.9) | 1 | 1 | ||
Yes | 27 (30.0) | 63 (70.0) | 0.78 (0.49, 1.24) | 0.69 (0.41, 1.15) | ||
Type of birth | < 0.001 | 0.030 | ||||
Eutocic | 249 (20.5) | 965 (79.5) | 1 | 1 | ||
Instrumental | 123 (29.3) | 297 (70.7) | 0.62 (0.48, 0.80) | < 0.001 | 0.84 (0.61, 1.16) | 0.292 |
Planned cesarean section | 30 (43.5) | 39 (56.5) | 0.33 (0.20, 0.55) | < 0.001 | 0.56 (0.16, 1.57) | 0.379 |
Emergency cesarean section | 106 (35.0) | 197 (65.0) | 0.48 (0.36, 0.63) | < 0.001 | 1.42 (0.43, 4.76) | 0.567 |
Episiotomy | 0.023 | 0.227 | ||||
No | 374 (24.1) | 1176 (75.9) | 1 | 1 | ||
Yes | 134 (29.4) | 322 (70.6) | 0.76 (0.60, 0.96) | 0.82 (0.60, 1.13) | ||
Tear grade III-IV | 0.507 | 0.755 | ||||
No | 482 (25.2) | 1432 (74.8) | 1 | 1 | ||
Yes | 26 (28.3) | 66 (71.7) | 0.85 (0.54, 1.36) | 0.92 (0.54, 1.57) | ||
Initiation of breastfeeding in the first hour of life | < 0.001 | < 0.001 | ||||
No | 246 (51.0) | 236 (49.0) | 1 | 1 | ||
Yes | 262 (51.0) | 1262 (82.8) | 5.02 (4.01, 6.27) | 4.21 (3.13, 5.66) | ||
Breastfeeding previous children | < 0.001 | < 0.001 | ||||
No, this is my first child | 432 (28.0) | 1113 (72.0) | 1 | 1 | ||
I did not breastfeed my previous children | 21 (56.8) | 16 (43.2) | 0.29 (0.15, 0.57) | < 0.001 | 0.20 (0.06, 0.65) | 0.007 |
Yes | 55 (13.0) | 369 (87.0) | 2.60 (1.92, 3.53) | < 0.001 | 1.93 (0.71, 5.24) | 0.200 |
Skin-to-skin | < 0.001 | 0.337 | ||||
No | 137 (45.5) | 165 (54.6) | 1 | 1 | ||
Yes, but less than 50 min | 70 (32.9) | 143 (67.1) | 1.70 (1.18, 2.44) | 0.005 | 1.17 (0.73, 1.88) | 0.503 |
Yes, between 50 and 120 min | 70 (28.2) | 178 (71.8) | 2.11 (1.48, 3.02) | < 0.001 | 0.83 (0.50, 1.38) | 0.467 |
Yes, at least 120 min | 231 (18.6) | 1012 (81.4) | 3.64 (2.78, 4.76) | < 0.001 | 1.11 (0.71, 1.74) | 0.640 |
Maternal admission following birth | 0.043 | 0.154 | ||||
No | 500 (25.1) | 1491 (74.9) | 1 | 1 | ||
Yes | 8 (53.3) | 7 (46.7) | 0.53 (0.29, 0.98) | 0.43 (0.13, 1.38) | ||
Neonatal admission | < 0.001 | 0.007 | ||||
No | 406 (22.5) | 1399 (77.5) | 1 | 1 | ||
Yes | 102 (50.7) | 99 (49.3) | 0.28 (0.20, 0.37) | 0.74 (0.59, 0.92) |