Factors associated with exclusive breastfeeding practice in a cohort of women from Cali, Colombia
Main Article Content
Introduction: Breastfeeding promotion is one of the most effective strategies to prevent child malnutrition; it reduces costs to families, health services and society. In Colombia, exclusive breastfeeding is practiced only by 10% of women.
Objective: To identify factors associated with the duration of exclusive breastfeeding.
Methods: A cohort of 438 primiparous women was followed during 6 months by means of 8 home interviews, in order to determine the duration of exclusive breastfeeding. Individual, family and health service factors were studied; and survival analysis was carried out.
Results: At 8 days, only a few more than half of the participants maintained exclusive breastfeeding; at month 6 of follow-up, this proportion was reduced to 1.4%. The duration of exclusive breastfeeding was determined by: initiation of breastfeeding in the first 4 hours after delivery (HR= 4.07, 95% CI: 0.96-16.67), selfperceived sureness for breastfeeding (HR= 1.28, 95% CI: 1.04 -1.58), positive opinion of the baby's father regarding breastfeeding (HR= 1.26, 95% CI: 1.01-1.57), and newborn weight (HR= 1.23, 95% CI: 1.00-1.53).
Conclusion: There are factors before delivery and in the immediate puerperium that determine, partially, the duration of exclusive breastfeeding.
- Julio Cesar Mateus Solarte, Gustavo Alonso Cabrera Arana, Response to comment made by Angulo-Ramos and Merino-Soto entitled “Effect size: comment on the study on the Factors associated with the practice of exclusive breastfeeding , Colombia Medica: Vol. 51 No. 1 (2020)
- Julio Cesar Mateus Solarte, Ecology and policy for exclusive breastfeeding in Colombia: a proposal , Colombia Medica: Vol. 43 No. 3 (2012)
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