2023-09-28 14:46:10 +00:00
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abstract: 'Background: The U.S. continues to have one of the lowest breastfeeding
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rates in the industrialized world. Studies have shown that full-time
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employment and early return to work decreased breastfeeding duration,
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but little is known about the relationship between leave policies and
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breastfeeding initiation and cessation. This study aimed to identify
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workplace-related barriers and facilitators associated with
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breastfeeding initiation and cessation in the first 6 months postpartum.
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Methods: A prospective cohort study design was utilized to recruit 817
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Minnesota women aged 18 and older while hospitalized for childbirth.
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Selection criteria included English-speaking, employed mothers with a
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healthy, singleton birth. These women were followed up using telephone
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interviews at 6 weeks, 12 weeks, and 6 months after childbirth. The main
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study outcomes were breastfeeding initiation, measured during hospital
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enrollment, and breastfeeding cessation by 6 months postpartum.
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Results: Women were 30 years old; 86 \% were White, and 73 \% were
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married. Breastfeeding rates were 81 \% at childbirth, 67 \% at 6 weeks,
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49 \% at 12 weeks, and 33 \% at 6 months postpartum. Logistic regression
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revealed the odds of breastfeeding initiation were higher for women who:
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held professional jobs, were primiparae, had graduate degree, did not
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smoke prenatally, had no breastfeeding problems, and had family or
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friends who breastfeed. Survival analyses showed the hazard for
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breastfeeding cessation by 6 months was: higher for women who returned
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to work at any time during the 6 months postpartum versus those who did
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not return, lower for professional workers, higher among single than
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married women, higher for every educational category compared to
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graduate school, and higher for those with no family or friends who
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breastfeed.
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Conclusions: While employer paid leave policy did not affect
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breastfeeding initiation or cessation, women who took shorter leaves
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were more likely to stop breastfeeding in the first 6 months postpartum.
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Future research should examine women''s awareness of employer policies
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regarding paid and unpaid leave.'
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affiliation: 'Dagher, RK (Corresponding Author), Univ Maryland, Sch Publ Hlth, Dept
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Hlth Serv Adm, College Pk, MD 20742 USA.
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Dagher, Rada K., Univ Maryland, Sch Publ Hlth, Dept Hlth Serv Adm, College Pk, MD
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20742 USA.
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McGovern, Patricia M., Univ Minnesota, Div Environm Hlth Sci, Minneapolis, MN USA.
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Schold, Jesse D., Cleveland Clin, Dept Quantitat Hlth Sci, Cleveland, OH 44106 USA.
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Randall, Xian J., US Dept Housing \& Urban Dev, Washington, DC USA.'
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article-number: '194'
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author: Dagher, Rada K. and McGovern, Patricia M. and Schold, Jesse D. and Randall,
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Xian J.
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author-email: radadagher@gmail.com
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author_list:
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- family: Dagher
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given: Rada K.
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- family: McGovern
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given: Patricia M.
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- family: Schold
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given: Jesse D.
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- family: Randall
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given: Xian J.
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da: '2023-09-28'
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doi: 10.1186/s12884-016-0965-1
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files: []
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issn: 1471-2393
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journal: BMC Pregnancy and Childbirth
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keywords: Breastfeeding; Family leave policy; Postpartum; Workplace barriers
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keywords-plus: 'MATERNAL EMPLOYMENT; POSTPARTUM HEALTH; UNITED-STATES; DURATION; WORK;
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TIME; CHILDBIRTH; FAMILY; IMPACT; LEAVE'
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language: English
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month: JUL 29
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number-of-cited-references: '46'
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papis_id: 4b626b78dfd7c99c4c27e9fd7123f5fb
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ref: Dagher2016determinantsbreastfe
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researcherid-numbers: Schold, Jesse/AAC-5844-2019
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times-cited: '77'
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title: 'Determinants of breastfeeding initiation and cessation among employed mothers:
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a prospective cohort study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000380788300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '31'
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volume: '16'
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web-of-science-categories: Obstetrics \& Gynecology
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year: '2016'
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