TY - JOUR
T1 - Analyzing Factors That Impact Breastfeeding Duration in the Postpartum Period
T2 - A Secondary Analysis of PRAMS Data
AU - Pounds, Lea
AU - Shostrom, Valerie
N1 - Funding Information:
To our knowledge, this project is the first of its kind to use national level data and a complex statistical modeling approach to identify a more complete picture of the variables related to breastfeeding duration within the postpartum period. This article reports the results of an analysis of the CDC’s Pregnancy Risk Assessment Monitoring System (PRAMS) data to identify factors associated with quitting breastfeeding in the postpartum period. Ethical approval for this research was provided by the University of Nebraska Medical Center Institutional Review Board (IRB #131-18-EX).
Funding Information:
The research team would like to acknowledge Dr. Mohammed Siahpush, Associate Dean for Research, University of Nebraska Medical Center College of Public Health, for his funding support for this project. The authors would also like to acknowledge Dr. Lynette Smith, Assistant Professor in the Department of Biostatistics, University of Nebraska Medical Center College of Public Health, for her guidance on statistical analysis. The authors would like to acknowledge the PRAMS Working Group and the Centers for Disease Control and Prevention (CDC) for providing the data used in the analysis reported in this article.
Publisher Copyright:
© Copyright 2018, Mary Ann Liebert, Inc.
PY - 2018/6
Y1 - 2018/6
N2 - Background: Benefits of breastfeeding are well established. What is more, breastfeeding is associated with lower healthcare costs. More U.S. hospitals are adopting the World Health Organization's Ten Steps to Successful Breastfeeding; however, most hospitals fall short on key factors. Objective: To our knowledge, this project is the first of its kind to use national-level data and a complex statistical modeling approach to identify a more complete picture of the variables related to breastfeeding duration within the postpartum period. Methods: This secondary data analysis project used the Phase 7 Core PRAMS Research File (2012-2013) and the Standard Questions B1, B2, B3, and B4 variables in the statistical analysis. The outcome variable of interest was length of breastfeeding during the postpartum period. The postpartum period was defined as 8 weeks after delivery rather than the usual definition of 6 weeks to accommodate the way quit time is reported in the Pregnancy Risk Assessment Monitoring System (PRAMS) data. Univariate and multivariate analyses were conducted using PC SAS version 9.4. Results: The multivariate analysis indicates that many of the modifiable factors associated with quitting breastfeeding within the postpartum period are hospital related. This pilot study reinforces the importance of 7 of the 10 Steps. Conclusions: These results underscore the importance of hospitals adopting evidence-based best practices for breastfeeding. The relationship found between Women, Infants, and Children receiving supplemental nutrition benefits and breastfeeding quit times requires further exploration. The study results also highlight the need to address modifiable factors that may be overlooked in traditional breastfeeding promotion efforts, such as depression and alcohol use.
AB - Background: Benefits of breastfeeding are well established. What is more, breastfeeding is associated with lower healthcare costs. More U.S. hospitals are adopting the World Health Organization's Ten Steps to Successful Breastfeeding; however, most hospitals fall short on key factors. Objective: To our knowledge, this project is the first of its kind to use national-level data and a complex statistical modeling approach to identify a more complete picture of the variables related to breastfeeding duration within the postpartum period. Methods: This secondary data analysis project used the Phase 7 Core PRAMS Research File (2012-2013) and the Standard Questions B1, B2, B3, and B4 variables in the statistical analysis. The outcome variable of interest was length of breastfeeding during the postpartum period. The postpartum period was defined as 8 weeks after delivery rather than the usual definition of 6 weeks to accommodate the way quit time is reported in the Pregnancy Risk Assessment Monitoring System (PRAMS) data. Univariate and multivariate analyses were conducted using PC SAS version 9.4. Results: The multivariate analysis indicates that many of the modifiable factors associated with quitting breastfeeding within the postpartum period are hospital related. This pilot study reinforces the importance of 7 of the 10 Steps. Conclusions: These results underscore the importance of hospitals adopting evidence-based best practices for breastfeeding. The relationship found between Women, Infants, and Children receiving supplemental nutrition benefits and breastfeeding quit times requires further exploration. The study results also highlight the need to address modifiable factors that may be overlooked in traditional breastfeeding promotion efforts, such as depression and alcohol use.
KW - PRAMS
KW - baby-friendly
KW - breastfeeding
KW - breastfeeding duration
KW - hospital breastfeeding best practices
KW - postpartum
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U2 - 10.1089/bfm.2018.0020
DO - 10.1089/bfm.2018.0020
M3 - Article
C2 - 29708765
AN - SCOPUS:85048689102
SN - 1556-8253
VL - 13
SP - 335
EP - 340
JO - Breastfeeding Medicine
JF - Breastfeeding Medicine
IS - 5
ER -