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Vol. 89. Num. 1.01 July 2018
Pages 1-66
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Vol. 89. Num. 1.01 July 2018
Pages 1-66
Original Article
DOI: 10.1016/j.anpede.2017.09.004
Prevalence of breastfeeding and factors associated with the start and duration of exclusive breastfeeding in the Community of Madrid among participants in the ELOIN
Prevalencia de la lactancia materna y factores asociados con el inicio y la duración de la lactancia materna exclusiva en la Comunidad de Madrid entre los participantes en el estudio ELOIN
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María D. Ramiro Gonzáleza, Honorato Ortiz Marrónb,
Corresponding author
honorato.ortiz@salud.madrid.org

Corresponding author.
, Celina Arana Cañedo-Argüellesc, María Jesús Esparza Olcinad, Olga Cortés Ricoe, María Terol Claramontef, María Ordobás Gavínb
a Servicio de Admisión, Hospital General Universitario Gregorio Marañón, Madrid, Spain
b Servicio de Epidemiología, Dirección General de Salud Pública, Consejería de Sanidad, Madrid, Spain
c Centro de Salud Paseo Imperial (Madrid), Consejería de Sanidad, Madrid, Spain
d Centro de Salud Barcelona, Consejería de Sanidad, Móstoles, Madrid, Spain
e Centro de Salud Canillejas, Consejería de Sanidad, Madrid, Spain
f Servicio de Nutrición y Trastornos Alimentarios, Dirección General de Salud Pública, Consejería de Sanidad, Madrid, Spain
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Tables (5)
Table 1. Sample characteristics (sample of the population born in 2008–2009 in the Community of Madrid, ELOIN 2012–2013 study).
Table 2. Main reasons to not initiate breastfeeding (mothers in the sample of the 2012–2013 ELOIN study).
Table 3. Main reasons for BF cessation reported by mothers (mothers in the sample of the 2012–2013 ELOIN study).
Table 4. Variables associated to the practice of exclusive breastfeeding based on the multivariate logistic regression model (sample of the 2012–2013 ELOIN study).
Table 5. Variables associated with maintenance of exclusive breastfeeding for 6 months based on the multivariate logistic regression model (sample of the 2012–2013 ELOIN study).
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Abstract
Introduction

Breastfeeding has important benefits for population health. The aims of this study are: (i) to determine the prevalence and duration of breastfeeding and exclusive breastfeeding; (ii) analyse the reasons for not starting or abandoning of breastfeeding, and (iii) describe the factors associated with the initiation and duration of exclusive breastfeeding.

Material and methods

Cross sectional study using the baseline data of the ELOIN cohort, obtained using an epidemiological questionnaire. A sample of 2627 children born in 2008–2009 from the Community of Madrid was studied. Logistic regression models were used.

Results

Prevalence of exclusive breastfeeding and breastfeeding was 77.6% and 88% respectively; prevalence of exclusive breastfeeding at 6 months 25.4%, and prevalence of breastfeeding at 2 years was 7.7%. The most common reasons for abandoning breastfeeding were insufficient milk (36%), and incorporation to work (25.9%). The variables associated with starting or maintaining of exclusive breastfeeding were: mother older than 35 years, medium-high economic status, foreigner residing in Spain less than 10 years, and having participated in a breastfeeding workshop.

Conclusions

Breastfeeding prevalence in the Community of Madrid did not reach the international recommendations in 2008–2009. It is necessary to intensify strategies for breastfeeding promotion, protection, and support, including their periodic monitoring.

Keywords:
Breastfeeding
Exclusive breastfeeding
Prevalence
Abandonment of breastfeeding
Resumen
Introducción

La lactancia materna tiene importantes beneficios para la salud poblacional. Los objetivos de este estudio son: a)conocer la prevalencia y duración de la lactancia materna y lactancia materna exclusiva; b)analizar las razones de no inicio y de abandono de la lactancia materna, y c)describir los factores asociados a la lactancia materna exclusiva y con su mantenimiento durante 6meses.

Material y métodos

Estudio transversal a partir de datos basales de la cohorte ELOIN, obtenidos por cuestionario epidemiológico. Se estudió una muestra de 2.627 niños de 4años nacidos en 2008-2009 de la Comunidad de Madrid. Se utilizaron modelos de regresión logística.

Resultados

La prevalencia de lactancia materna exclusiva y lactancia materna fue del 77,6 y del 88%, respectivamente; la lactancia materna exclusiva a los 6meses fue del 25,4%, y la lactancia materna a los 2años, del 7,7%. Las razones principales de finalización de la lactancia fueron la producción insuficiente de leche (36%) y la incorporación al trabajo (25,9%). Las variables asociadas con el inicio o mantenimiento de la lactancia materna exclusiva fueron: madre de más de 35años, estatus económico medio-alto, extranjera con menos de 10años de residencia en España y haber participado en taller de lactancia tras el parto.

Conclusiones

La prevalencia de lactancia materna en la Comunidad de Madrid no alcanzó en 2008-2009 las recomendaciones internacionales. Es necesario intensificar estrategias de promoción, protección y apoyo a la lactancia materna, incluyendo su monitorización periódica.

Palabras clave:
Lactancia materna
Lactancia materna exclusiva
Prevalencia
Abandono de la lactancia materna

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