Factors associated with exclusive breastfeeding during postpartum in Lanzhou city, China: a cross-sectional study Article Swipe
Yuelu Chen
,
Zhao Yong
,
Wenling Wang
,
Fengdi Wang
,
Huimin Jiang
,
Lianlian Wang
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fpubh.2023.1089764
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fpubh.2023.1089764
Aim Breastfeeding generates short-term and long-term benefits for both mother and child. Exclusive breastfeeding (EBF) is promoted in China for years, but its practice still lags far behind the international average, even among low- and middle- income countries. This study aimed to investigate factors associated with EBF during postpartum. Methods This study was conducted in a tertiary referral hospital in Gansu Province, Northwest China from October 2019 to April 2020. 3,738 postnatal women were finally included and each of them completed an elaborately designed questionnaire. Infant feeding patterns (EBF or not) and reasons for NEBF (non-exclusive breastfeeding) were collected. The feeding knowledge score was based on 17 questions in relation to breastfeeding. The total score ranges from 0 to 17. Higher score means better understanding about breastfeeding knowledge. Multivariate logistic regression models were used to determine associated factors of EBF during postpartum. A subgroup analysis was conducted to investigate the association between feeding knowledge score and exclusive breastfeeding. Results Six weeks after childbirth, 1891 mothers (50.6%) maintained EBF. Among the NEBF mothers, 57.01% ( n = 1,053) of them stopped exclusive breastfeeding due to self-perceived lack of breast milk production. Factors associated with NEBF were higher maternal age, ethnic minorities and cesarean section. Protective factors of EBF included multipara, positive feeding attitude and high breastfeeding knowledge score. In subgroup analysis, we found the breastfeeding knowledge score had a significant impact on the mothers of Han nationality, underwent cesarean or natural delivery, both primiparous and multiparous, and those with positive attitude towards breastfeeding ( p < 0.05). Conclusion We need a comprehensive and individualized framework of strategies to support children, mothers and their families. During puerperium, improving maternal knowledge of breastfeeding is beneficial to EBF practice. However, for ethnic minorities and those with less active breastfeeding attitudes, breastfeeding knowledge is of limited use, more researches are needed to explore the uncovered reasons, so that more personalized interventions could be developed for them.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fpubh.2023.1089764
- OA Status
- gold
- Cited By
- 8
- References
- 42
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386309313
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4386309313Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fpubh.2023.1089764Digital Object Identifier
- Title
-
Factors associated with exclusive breastfeeding during postpartum in Lanzhou city, China: a cross-sectional studyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-08-30Full publication date if available
- Authors
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Yuelu Chen, Zhao Yong, Wenling Wang, Fengdi Wang, Huimin Jiang, Lianlian WangList of authors in order
- Landing page
-
https://doi.org/10.3389/fpubh.2023.1089764Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3389/fpubh.2023.1089764Direct OA link when available
- Concepts
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Breastfeeding, Medicine, Cross-sectional study, Demography, Logistic regression, Breast feeding, Childbirth, Postpartum period, China, Breast milk, Obstetrics, Pregnancy, Pediatrics, Geography, Internal medicine, Pathology, Genetics, Biology, Sociology, Biochemistry, Archaeology, ChemistryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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8Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 6Per-year citation counts (last 5 years)
- References (count)
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42Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.developed | 318 |
| abstract_inverted_index.exclusive | 156, 180 |
| abstract_inverted_index.families. | 272 |
| abstract_inverted_index.framework | 263 |
| abstract_inverted_index.generates | 2 |
| abstract_inverted_index.improving | 275 |
| abstract_inverted_index.knowledge | 101, 153, 215, 224, 277, 297 |
| abstract_inverted_index.long-term | 5 |
| abstract_inverted_index.postnatal | 71 |
| abstract_inverted_index.practice. | 284 |
| abstract_inverted_index.questions | 107 |
| abstract_inverted_index.uncovered | 309 |
| abstract_inverted_index.underwent | 236 |
| abstract_inverted_index.Conclusion | 256 |
| abstract_inverted_index.Protective | 203 |
| abstract_inverted_index.associated | 44, 136, 191 |
| abstract_inverted_index.attitudes, | 295 |
| abstract_inverted_index.beneficial | 281 |
| abstract_inverted_index.collected. | 98 |
| abstract_inverted_index.countries. | 37 |
| abstract_inverted_index.knowledge. | 127 |
| abstract_inverted_index.maintained | 166 |
| abstract_inverted_index.minorities | 199, 288 |
| abstract_inverted_index.multipara, | 208 |
| abstract_inverted_index.regression | 130 |
| abstract_inverted_index.researches | 303 |
| abstract_inverted_index.short-term | 3 |
| abstract_inverted_index.strategies | 265 |
| abstract_inverted_index.association | 150 |
| abstract_inverted_index.childbirth, | 162 |
| abstract_inverted_index.elaborately | 82 |
| abstract_inverted_index.investigate | 42, 148 |
| abstract_inverted_index.postpartum. | 48, 141 |
| abstract_inverted_index.primiparous | 242 |
| abstract_inverted_index.production. | 189 |
| abstract_inverted_index.puerperium, | 274 |
| abstract_inverted_index.significant | 228 |
| abstract_inverted_index.Multivariate | 128 |
| abstract_inverted_index.multiparous, | 244 |
| abstract_inverted_index.nationality, | 235 |
| abstract_inverted_index.personalized | 314 |
| abstract_inverted_index.Breastfeeding | 1 |
| abstract_inverted_index.breastfeeding | 13, 126, 181, 214, 223, 251, 279, 294, 296 |
| abstract_inverted_index.comprehensive | 260 |
| abstract_inverted_index.international | 29 |
| abstract_inverted_index.interventions | 315 |
| abstract_inverted_index.understanding | 124 |
| abstract_inverted_index.(non-exclusive | 95 |
| abstract_inverted_index.breastfeeding) | 96 |
| abstract_inverted_index.breastfeeding. | 111, 157 |
| abstract_inverted_index.individualized | 262 |
| abstract_inverted_index.questionnaire. | 84 |
| abstract_inverted_index.self-perceived | 184 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 95 |
| corresponding_author_ids | https://openalex.org/A5076556044 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I4210129459, https://openalex.org/I87780372 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
| sustainable_development_goals[0].score | 0.47999998927116394 |
| sustainable_development_goals[0].display_name | No poverty |
| citation_normalized_percentile.value | 0.8796848 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |