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Colombia Médica
On-line version ISSN 1657-9534
Abstract
MATEUS SOLARTE, Julio Cesar and CABRERA ARANA, Gustavo Alonso. Factors associated with exclusive breastfeeding practice in a cohort of women from Cali, Colombia. Colomb. Med. [online]. 2019, vol.50, n.1, pp.22-29. ISSN 1657-9534. https://doi.org/10.25100/cm.v50i1.2961.
Introduction:
Breastfeeding promotion is one of the most effective strategies to prevent child malnutrition; it reduces costs to families, health services and society. In Colombia, exclusive breastfeeding is practiced only by 10% of women.
Objective:
To identify factors associated with the duration of exclusive breastfeeding.
Methods:
A cohort of 438 primiparous women was followed during 6 months by means of 8 home interviews, in order to determine the duration of exclusive breastfeeding. Individual, family and health service factors were studied; and survival analysis was carried out.
Results:
At 8 days, only a few more than half of the participants maintained exclusive breastfeeding; at month 6 of follow-up, this proportion was reduced to 1.4%. The duration of exclusive breastfeeding was determined by: initiation of breastfeeding in the first 4 hours after delivery (HR= 4.07, 95% CI: 0.96-16.67), self-perceived sureness for breastfeeding (HR= 1.28, 95% CI: 1.04 -1.58), positive opinion of the baby's father regarding breastfeeding (HR= 1.26, 95% CI: 1.01-1.57), and newborn weight (HR= 1.23, 95% CI: 1.00-1.53).
Conclusion:
There are factors before delivery and in the immediate puerperium that determine, partially, the duration of exclusive breastfeeding.
Keywords : Breast feeding; infant nutrition; Colombia; duration of exclusive breast feeding; cohorts; maternal health; milk human; child nutrition disorder; fathers; postpartum period.