Perinatal factors influencing infant feeding practices at birth: the Bedouin Infant Feeding Study.
Bedouin Arab women delivering newborns at Soroka Medical Center, Israel, during 1 year were interviewed in hospital to determine the factors influencing infant feeding practices at birth. Eighty-six per cent breastfed, 11% breast and bottlefed, and 3% bottlefed at birth. Based on a multiple logistic regression analysis, the factors that significantly reduced the odds ratio (OR) of exclusive breastfeeding vs. breast and bottle feeding or bottle feeding at birth include: delivering during the high birth season (OR = 0.49); maternal recall of feeling unwell during pregnancy (OR = 0.59); delivering a low birthweight newborn (OR = 0.10); a newborn diagnosed with major malformations (OR = 0.30) or with major illnesses (OR = 0.32); and delivering by Caesarean section (OR = 0.09). In contrast, multiparae experienced an increased odds (OR = 1.67) of breastfeeding. Among primiparae, the factors that significantly reduced the odds of exclusive breastfeeding include: delivering during the high birth season (OR = 0.47); delivering a low birthweight newborn (OR = 0.12); and delivering by Caesarean section (OR = 0.18). Mothers of high-risk neonates and those who deliver by Caesarean section need to be educated about the benefits of exclusive breastfeeding. Young primiparae are a challenge and require qualitative and quantitative research into the reasons precluding exclusive breastfeeding.
Forman
M R
MR
Cancer Prevention Studies Branch, CPRP, DCPC, National Cancer Institute, Bethesda, Maryland 20892.
Berendest
H W
HW
Lewando-Hundt
G
G
Sarov
B
B
Naggan
L
L
D001942:Breast Feeding; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007224:Infant Care; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007557:Israel; D008297:Male; D009035:Mothers / Q000523:psychology; D011247:Pregnancy