Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort
The impact of assisted reproduction techniques (ART) when starting to breastfeed is an important issue that has been sparsely addressed in scientific literature and yet has contradictory results. This study aims to determine the relation between the mode of fertilization and breastfeeding by means o...
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Published in | International journal of environmental research and public health Vol. 19; no. 5; p. 2673 |
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Main Authors | , , , , , , |
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Language | English |
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25.02.2022
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Abstract | The impact of assisted reproduction techniques (ART) when starting to breastfeed is an important issue that has been sparsely addressed in scientific literature and yet has contradictory results. This study aims to determine the relation between the mode of fertilization and breastfeeding by means of a retrospective longitudinal cohort study that included newborns and mothers who gave birth between 2012 and 2019 in a third-level regional hospital. Data were collected from a total of 11,285 women and newborns, of which 302 (2.6%) used ART. Logistic regression was used to establish models that determine the administration of exclusive breastfeeding (BF). Among the 1208 analyzed participants, 30% conceived using fertility treatment. In this group of participants, BF was less prevalent, both in the delivery room (25.8% versus 45.5%; p < 0.001) and when discharged from hospital (42.1% versus 57.9%; p < 0.001). Healthy newborns and BF in the delivery room were predictors of BF when discharged. On the other hand, the use of ART, an Apgar score lower than 7 at birth, the use of an epidural and a premature or underweight baby are considered negative predictors of exclusive BF when discharged. It is necessary to offer greater support for all mothers regarding BF, especially those who have conceived through ART, even more so in those cases that involve an epidural and/or caesarean section, starting throughout the dilation process. |
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AbstractList | The impact of assisted reproduction techniques (ART) when starting to breastfeed is an important issue that has been sparsely addressed in scientific literature and yet has contradictory results. This study aims to determine the relation between the mode of fertilization and breastfeeding by means of a retrospective longitudinal cohort study that included newborns and mothers who gave birth between 2012 and 2019 in a third-level regional hospital. Data were collected from a total of 11,285 women and newborns, of which 302 (2.6%) used ART. Logistic regression was used to establish models that determine the administration of exclusive breastfeeding (BF). Among the 1208 analyzed participants, 30% conceived using fertility treatment. In this group of participants, BF was less prevalent, both in the delivery room (25.8% versus 45.5%; p < 0.001) and when discharged from hospital (42.1% versus 57.9%; p < 0.001). Healthy newborns and BF in the delivery room were predictors of BF when discharged. On the other hand, the use of ART, an Apgar score lower than 7 at birth, the use of an epidural and a premature or underweight baby are considered negative predictors of exclusive BF when discharged. It is necessary to offer greater support for all mothers regarding BF, especially those who have conceived through ART, even more so in those cases that involve an epidural and/or caesarean section, starting throughout the dilation process. The impact of assisted reproduction techniques (ART) when starting to breastfeed is an important issue that has been sparsely addressed in scientific literature and yet has contradictory results. This study aims to determine the relation between the mode of fertilization and breastfeeding by means of a retrospective longitudinal cohort study that included newborns and mothers who gave birth between 2012 and 2019 in a third-level regional hospital. Data were collected from a total of 11,285 women and newborns, of which 302 (2.6%) used ART. Logistic regression was used to establish models that determine the administration of exclusive breastfeeding (BF). Among the 1208 analyzed participants, 30% conceived using fertility treatment. In this group of participants, BF was less prevalent, both in the delivery room (25.8% versus 45.5%; p < 0.001) and when discharged from hospital (42.1% versus 57.9%; p < 0.001). Healthy newborns and BF in the delivery room were predictors of BF when discharged. On the other hand, the use of ART, an Apgar score lower than 7 at birth, the use of an epidural and a premature or underweight baby are considered negative predictors of exclusive BF when discharged. It is necessary to offer greater support for all mothers regarding BF, especially those who have conceived through ART, even more so in those cases that involve an epidural and/or caesarean section, starting throughout the dilation process. |
Author | Fernández-Sola, Cayetano Hernández-Padilla, José Manuel Sáez, Jorge Diaz López-Rodríguez, María M Aceituno Velasco, Longinos Fernández-Medina, Isabel María Granero-Molina, José |
AuthorAffiliation | 1 Obstetrics and Gynaecology Service, Hospital “La Inmaculada”, Huércal-Overa, 04120 Almería, Spain; jorgediazsaez@gmail.com (J.D.S.); laceitunov@sego.es (L.A.V.) 2 Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain; jgranero@ual.es (J.G.-M.); cfernan@ual.es (C.F.-S.); j.hernandez-padilla@ual.es (J.M.H.-P.); isabel_medina@ual.es (I.M.F.-M.) |
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Cites_doi | 10.1016/j.fertnstert.2008.10.011 10.1177/0890334415623779 10.1111/apa.12336 10.1542/peds.2011-3552 10.1891/1058-1243.21.1.18 10.1016/S0140-6736(15)01044-2 10.1111/j.1651-2227.2010.02095.x 10.1177/0890334416664071 10.1016/j.fertnstert.2014.10.009 10.1371/journal.pmed.1001356 10.1016/j.ajog.2018.11.1100 10.1111/apa.13136 10.1016/j.fertnstert.2015.12.043 10.3390/ijerph17197153 10.1590/1413-81232015219.01602015 |
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Copyright | 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2022 by the authors. 2022 |
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Keywords | breastfeeding postpartum care lactation caesarean section breastfeeding barriers reproductive techniques |
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SubjectTerms | Apgar score Birth Births Breast Feeding Breastfeeding & lactation Cesarean Section Childbirth & labor Epidural Female Fertility Fertilization Gestational age Humans In vitro fertilization Infant Infant, Newborn Infertility Longitudinal Studies Mothers Neonates Pediatrics Pregnancy Regression analysis Reproduction Retrospective Studies Sperm Underweight Womens health |
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Title | Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort |
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