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Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital

Author

Listed:
  • Rosalia Ragusa

    (Health Technology Assessment Committee, University Hospital “G. Rodolico—San Marco”, 95123 Catania, Italy)

  • Marina Marranzano

    (Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95123 Catania, Italy)

  • Valentina Lucia La Rosa

    (Department of Educational Sciences, University of Catania, 95124 Catania, Italy)

  • Gabriele Giorgianni

    (Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95123 Catania, Italy)

  • Elena Commodari

    (Department of Educational Sciences, University of Catania, 95124 Catania, Italy)

  • Rosalba Quattrocchi

    (Health Promotion Unit, University Hospital “G. Rodolico—San Marco”, 95123 Catania, Italy)

  • Salvatore Cacciola

    (Health Education Unit, Azienda Sanitaria Provinciale 3, 95124 Catania, Italy)

  • Vincenzo Guardabasso

    (Research Promotion Office, University Hospital “G. Rodolico—San Marco”, 95123 Catania, Italy)

Abstract

Background: This study aimed to explore the prevalence of breastfeeding at birth points in Sicily and the relevance of the factors influencing the adoption of exclusive breastfeeding during hospitalization linked to childbirth. Methods: A survey was conducted to monitor the prevalence of breastfeeding in seven out of nine facilities providing maternity services in the province of Catania (Sicily, Southern Italy) in the years 2016–2018. An online questionnaire was administered using an electronic tablet by the midwife to the mother after discharge. Results: Women who had a higher educational qualification breastfed in a greater proportion (59.6%; odds ratio OR 0.60 for abandoning breastfeeding). Having had a caesarean section moderately impaired breastfeeding uptake, with an almost double chance of declining exclusive breastfeeding (OR = 1.74). Starting breastfeeding within 1 h from delivery showed a significant facilitating effect (OR = 0.58). Rooming-in had a strong facilitating effect on exclusive breastfeeding. A breastfeeding advocacy program was shown to protect from abandoning breastfeeding. Conclusions: It is important to offer in all hospitals the possibility and support for breastfeeding in the first moments after childbirth to increase the number of those who will then continue with exclusive breastfeeding.

Suggested Citation

  • Rosalia Ragusa & Marina Marranzano & Valentina Lucia La Rosa & Gabriele Giorgianni & Elena Commodari & Rosalba Quattrocchi & Salvatore Cacciola & Vincenzo Guardabasso, 2021. "Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital," IJERPH, MDPI, vol. 18(9), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4783-:d:546654
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    References listed on IDEAS

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    1. Chin Ang Ng & Jacqueline J Ho & Zcho Huey Lee, 2019. "The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-16, April.
    2. Matilda Möller Ranch & Sofia Jämtén & Stina Thorstensson & Anette C. Ekström-Bergström, 2019. "First-Time Mothers Have a Desire to Be Offered Professional Breastfeeding Support by Pediatric Nurses: An Evaluation of the Mother-Perceived-Professional Support Scale," Nursing Research and Practice, Hindawi, vol. 2019, pages 1-11, August.
    3. Ingjerd Hvatum & Kari Glavin, 2017. "Mothers’ experience of not breastfeeding in a breastfeeding culture," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 3144-3155, October.
    4. Rosalia Ragusa & Gabriele Giorgianni & Marina Marranzano & Salvatore Cacciola & Valentina Lucia La Rosa & Alessandra Giarratana & Valentina Altadonna & Vincenzo Guardabasso, 2020. "Breastfeeding in Hospitals: Factors Influencing Maternal Choice in Italy," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
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