Primiparity, older maternal age, COVID-19 pandemic, twin birth, and winter birth are associated with lower exclusive breastfeeding in Japanese mothers Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.1038/s41598-025-20766-4
Exclusive breastfeeding is essential for the health and well-being of both mothers and infants, but various factors may influence whether mothers are able to sustain exclusive breastfeeding during the early postpartum period. In this study, we explored the relationship of obstetric characteristics, the timing of delivery during the COVID-19 pandemic, and the season of birth with exclusive breastfeeding among Japanese mothers. Data included self-report survey and medical records of 5719 Japanese mothers at 1 month postpartum. We conducted path analysis on parity, maternal age, type of delivery, type of birth, pandemic-related delivery, birth season, and feeding method. The findings of a good-fit model suggested that being a first-time mother, older maternal age, having twins, giving birth during the pandemic, and delivering in winter were all associated with lower rates of exclusive breastfeeding (all P = 0.001). Mothers who were younger, had previous childbirth experience, delivered a singleton, gave birth before the pandemic, and delivered in summer, spring, or autumn were more likely to breastfeed exclusively. These findings support the need for targeted breastfeeding interventions that address obstetric, seasonal, and pandemic-related risk factors.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1038/s41598-025-20766-4
- https://www.nature.com/articles/s41598-025-20766-4.pdf
- OA Status
- gold
- References
- 55
- OpenAlex ID
- https://openalex.org/W4415226030
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4415226030Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1038/s41598-025-20766-4Digital Object Identifier
- Title
-
Primiparity, older maternal age, COVID-19 pandemic, twin birth, and winter birth are associated with lower exclusive breastfeeding in Japanese mothersWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-10-15Full publication date if available
- Authors
-
Ekachaeryanti Zain, Yuichiro Watanabe, Naoki Fukui, Koyo Hashijiri, Takaharu Motegi, Maki Ogawa, Jun Egawa, Koji Nishijima, Toshiyuki SomeyaList of authors in order
- Landing page
-
https://doi.org/10.1038/s41598-025-20766-4Publisher landing page
- PDF URL
-
https://www.nature.com/articles/s41598-025-20766-4.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.nature.com/articles/s41598-025-20766-4.pdfDirect OA link when available
- Cited by
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0Total citation count in OpenAlex
- References (count)
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55Number of works referenced by this work
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