Factors Associated with Breastfeeding Initiation in Adolescent Pregnancies: A Cohort Study

Journal of Pediatric and Adolescent Gynecology
Emily LeclairNathalie Fleming

Abstract

Adolescent mothers have a lower breastfeeding rate than adult women. The objective is to determine the association between multiple high-risk characteristics of pregnant adolescents with intention and initiation of breastfeeding. We conducted a retrospective population-based cohort study in Ontario (2006-2012) using the Better Outcomes Registry & Network (BORN) database. Breastfeeding outcomes of adolescent women (younger than 20 years) with a singleton live-born infant at term gestation (37 weeks or greater) were analyzed. The χ(2) and independent-sample t tests were used where appropriate. A multivariate logistic regression analysis was also performed. This study included 22,023 adolescent women with complete breastfeeding information. Almost half (48.8%, n = 10,749) exclusively breastfed their infant at time of hospital discharge. Breastfeeding was significantly more likely in the older adolescents (odds ratio 1.10); other factors significantly associated with breastfeeding included intention to breastfeed, prenatal classes attendance, living in a higher-income neighborhood, having a spontaneous vaginal delivery, being a nonsmoker, not using substances during pregnancy, and not having any preexisting health problems or obste...Continue Reading

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Citations

Nov 21, 2018·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Maria-Teresa Hernández-AguilarUNKNOWN Academy of Breastfeeding Medicine
Jun 8, 2021·International Journal of Epidemiology·Malia S Q MurphyMark C Walker
Apr 28, 2021·Pediatrics·Makia E PowersUNKNOWN COMMITTEE ON ADOLESCENCE, COUNCIL ON EARLY CHILDHOOD

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