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dc.contributor.authorZarshenas, M.
dc.contributor.authorZhao, Yun
dc.contributor.authorScott, Jane
dc.contributor.authorBinns, Colin
dc.date.accessioned2021-04-16T08:55:02Z
dc.date.available2021-04-16T08:55:02Z
dc.date.issued2020
dc.identifier.citationZarshenas, M. and Zhao, Y. and Scott, J.A. and Binns, C.W. 2020. Determinants of breastfeeding duration in Shiraz, Southwest Iran. International Journal of Environmental Research and Public Health. 17 (4): Article No. 1192.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/83253
dc.identifier.doi10.3390/ijerph17041192
dc.description.abstract

A prospective cohort study was conducted in Shiraz in the south west of Iran to investigate breastfeeding from birth to six months of age. Mothers were recruited in a face-to-face interview within 48 h of giving birth in three public and two private hospitals (n = 700). They were then followed-up at 4, 12, 16, and 26 weeks postpartum in local Maternal and Child Health Clinics. Upon being discharge from hospital, 98.7% of mothers were breastfeeding and 74.3% were ‘fully’ breastfeeding, but only 29.9% of mothers had breastfed ‘exclusively’ since birth. The median duration of ‘full’ breastfeeding was 13 weeks and less than 1 week for exclusive breastfeeding. In a multivariable Cox proportional hazard regression, after adjustment, shorter durations of ‘exclusive’, ‘full’, and ‘any’ breastfeeding were associated with the introduction of a pacifier. The in-hospital use of formula and prelacteal feeds were also associated with a shorter duration of full and any breastfeeding. Breastfeeding on demand at 3 months and beyond was associated with a longer duration of breastfeeding. The risk factors associated with the premature discontinuation of breastfeeding identified in this study are all related to the “Ten steps to successful breastfeeding” and the Baby Friendly Hospital Initiative (BFHI). The principles that the BFHI provide are reaffirmed in this study as the basis for future breastfeeding promotion programs.

dc.languageEnglish
dc.publisherMDPI
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectEnvironmental Sciences
dc.subjectPublic, Environmental & Occupational Health
dc.subjectEnvironmental Sciences & Ecology
dc.subjectbreastfeeding
dc.subjectprelacteal feeding
dc.subjectformula feeding
dc.subjectbreastfeeding duration
dc.subjectIran
dc.subjectMOTHERS
dc.subjectREASONS
dc.subjectINFECTIONS
dc.subjectKNOWLEDGE
dc.subjectATTITUDE
dc.subjectBIRTH
dc.titleDeterminants of breastfeeding duration in Shiraz, Southwest Iran
dc.typeJournal Article
dcterms.source.volume17
dcterms.source.number4
dcterms.source.issn1661-7827
dcterms.source.titleInternational Journal of Environmental Research and Public Health
dc.date.updated2021-04-16T08:55:00Z
curtin.note

© 2020 The Authors. Published by MDPI Publishing.

curtin.departmentCurtin School of Population Health
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidScott, Jane [0000-0003-0765-9054]
curtin.contributor.orcidZhao, Yun [0000-0001-8445-8630]
curtin.contributor.researcheridBinns, Colin [A-6012-2008]
curtin.identifier.article-numberArticle No. 1192
dcterms.source.eissn1660-4601
curtin.contributor.scopusauthoridScott, Jane [55338452100]
curtin.contributor.scopusauthoridBinns, Colin [55810755100]
curtin.contributor.scopusauthoridZhao, Yun [56368101100]


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