Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study

Objective To identify the correlates of early breastfeeding (BF) cessation and breastmilk expression (BE) among mothers 12 months after childbirth. Methods We used a case-control study design to compare characteristics between mothers who stopped BF and expressed breastmilk 12 months after childbirt...

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Main Authors: Yu Du, Carolyn Onyango-Makumbi, Bhavneet Walia, Maxie Owor, Phillipa Musoke, Arthur H. Owora
Format: Article
Language:English
Published: SAGE Publishing 2024-03-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605231223041
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author Yu Du
Carolyn Onyango-Makumbi
Bhavneet Walia
Maxie Owor
Phillipa Musoke
Arthur H. Owora
author_facet Yu Du
Carolyn Onyango-Makumbi
Bhavneet Walia
Maxie Owor
Phillipa Musoke
Arthur H. Owora
author_sort Yu Du
collection DOAJ
description Objective To identify the correlates of early breastfeeding (BF) cessation and breastmilk expression (BE) among mothers 12 months after childbirth. Methods We used a case-control study design to compare characteristics between mothers who stopped BF and expressed breastmilk 12 months after childbirth in Uganda. BF practices were determined in 12-month follow-up interviews using an adapted World Health Organization infant feeding questionnaire. Univariate and bivariate logistic regression models identified correlates of early BF cessation and BE as distinct but related outcomes. Results The odds of early BF cessation were higher among mothers who expressed breastmilk irrespective of maternal age (adjusted odds ratio: 2.82; 95% confidence interval: 1.39, 5.68). Mothers who stopped BF and did not express breastmilk were more likely to be older than those who continued BF and did not express breastmilk during the first 12 postpartum months. Conclusion Mothers living with human immunodeficiency virus infection have disproportionately high odds of early BF cessation that may contribute to disparities in child health outcomes. Promotion of safe BF practices coupled with family and social support could be a viable preventive strategy for attenuating such disparities, especially among young mothers at risk of early BF cessation.
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spelling doaj.art-cadfa5ba1485419fa1e31488b9c8a5a52024-03-06T11:04:34ZengSAGE PublishingJournal of International Medical Research1473-23002024-03-015210.1177/03000605231223041Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control studyYu DuCarolyn Onyango-MakumbiBhavneet WaliaMaxie OworPhillipa MusokeArthur H. OworaObjective To identify the correlates of early breastfeeding (BF) cessation and breastmilk expression (BE) among mothers 12 months after childbirth. Methods We used a case-control study design to compare characteristics between mothers who stopped BF and expressed breastmilk 12 months after childbirth in Uganda. BF practices were determined in 12-month follow-up interviews using an adapted World Health Organization infant feeding questionnaire. Univariate and bivariate logistic regression models identified correlates of early BF cessation and BE as distinct but related outcomes. Results The odds of early BF cessation were higher among mothers who expressed breastmilk irrespective of maternal age (adjusted odds ratio: 2.82; 95% confidence interval: 1.39, 5.68). Mothers who stopped BF and did not express breastmilk were more likely to be older than those who continued BF and did not express breastmilk during the first 12 postpartum months. Conclusion Mothers living with human immunodeficiency virus infection have disproportionately high odds of early BF cessation that may contribute to disparities in child health outcomes. Promotion of safe BF practices coupled with family and social support could be a viable preventive strategy for attenuating such disparities, especially among young mothers at risk of early BF cessation.https://doi.org/10.1177/03000605231223041
spellingShingle Yu Du
Carolyn Onyango-Makumbi
Bhavneet Walia
Maxie Owor
Phillipa Musoke
Arthur H. Owora
Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study
Journal of International Medical Research
title Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study
title_full Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study
title_fullStr Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study
title_full_unstemmed Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study
title_short Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study
title_sort correlates of early breastfeeding cessation and breastmilk expression in uganda a case control study
url https://doi.org/10.1177/03000605231223041
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