medigraphic.com
Instituto Nacional de Salud Pública

2003, Number 4

salud publica mex 2003; 45 (4)

Factors associated with short duration of breast-feeding in Mexican working women

Navarro-Estrella M, Duque-López MX, Trejo y PJA

Language: Spanish
References: 35
Page: 276-284
PDF size: 111.71 Kb.


ABSTRACT

Objective. To identify the maternal, work, and health services factors associated with a short duration of breast-feeding in working mothers. Material and Methods. A cross-sectional study was carried out between November 1998 and March 1999, among 265 mothers medically insured by (Instituto Mexicano del Seguro Social, IMSS) Mexican Institute of Social Security, who completed a questionnaire when their babies were 3 to 9 months old. Mothers were divided into two groups, based on breast-feeding duration: those who breast-fed for less than 3 months and those who did so for three months or more. Logistic regression was used to identify the factors associated with short duration of breast-feeding. Results. One-hundred and twelve mothers (42.3%) abandoned breast-feeding early. Risk factors were: poor maternal knowledge on breast-feeding, odds ratio (OR) 5.97, 95% confidence interval (CI) 1.67-20.67; mothers with no previous breast-feeding experience OR 2.98, 95% CI 1.66-5.36; mothers planning to breast-feed their babies for less than 3 months (OR 16.24, 95% CI 5.37-49.12); and mothers with no access to breast-feeding facilities at work (OR 1.99, 95% CI 1.12-3.56). Conclusions. The main factors associated with short duration of breast-feeding were the maternal ones. The only work-related factor associated with short duration of breast-feeding was the absence of breast-feeding facilities. It is probable that maternal knowledge on breast-feeding, previous breast-feeding experience, and the availability of facilities at work for breast-feeding affect the maternal decisions on breast-feeding duration.


REFERENCES

  1. Goldman AS, Goldblum RM. Defense agents in milk. A defense agents in human milk. En: Jensen RG. Handbook of milk composition. San Diego Academic Press, 1995:727-738.

  2. Secretaría de Salud. Dirección General de Salud Reproductiva. Ventajas de la lactancia materna. Manual de lactancia materna para el primer nivel de atención. México, DF: SSA, 1997:25-28.

  3. Pérez-Escamilla R, Lutter Ch, Segall AM, Rivera A, Treviño-Siller S, Sanghvi T. Exclusive breast-feeding duration is associated with attitudinal, socioeconomic and biocultural determinants in three Latin American countries. J Nutr 1995;125:2972-2984.

  4. Pérez-Escamilla R. Patrones de lactancia natural en América Latina y El Caribe. Bol Oficina Sanit Panam 1993;115:185-193.

  5. Amador M, Silva L, Valdés-Lazo F. Tendencias de la lactancia materna en Cuba y las Américas. Bol Oficina Sanit Panam 1994;116:204-211.

  6. Santos-Torres I, Vázquez-Garibay E, Nápoles-Rodríguez F. Hábitos de lactancia materna en colonias marginadas de Guadalajara. Bol Med Hosp Infant Mex 1990;47:318-323.

  7. Vega LMG, González PGJ. Factores maternos asociados a la duración de la lactancia en áreas periféricas de Guadalajara, México. Bol Oficina Sanit Panam 1993;115(2):118-126.

  8. Pérez-Escamilla R, Dewey KG. Epidemiología de la lactancia materna en zonas rurales y urbanas de México. Bol Oficina Sanit Panam 1993;114(5):399-405.

  9. Winikoff B, Castle M. The influence of maternal employment on infant feeding. En: Beverly Winikoff, Castle MA, Hight-Laukaran V, Ed. Feeding infants in four societies: Causes and consequences of mothers’ choices. Westport (et): Greenwood Press, 1988:121-145.

  10. Pérez-Escamilla R, Segura-Millán S, Pollit E, Dewey KG. Determinants of lactation performance across time in an urban population from Mexico. Soc Sci Med 1993;37:1069-1078.

  11. Pérez-Escamilla R, Segura-Millán S, Pollit E, Dewey KG. Effect of the maternity ward system on the lactation success of low income urban Mexican women. Early Human Dev 1992;31:25-40.

  12. Olivas MG, Morales RM, Cuéllar EJ. Lactancia materna poscesárea: seguimiento lácteo y neonatal. Ginecol Obstet Mex 1990;58:251-255.

  13. Lomelí GLE, Medina CL, Rodríguez JMG. Influencia de la educación prenatal en la decisión de lactar al seno materno. Rev Med Inst Mex Seguro Soc Mex 1996;34:473-476.

  14. Segura-Millán S, Dewey KG, Pérez-Escamilla R. Factors associated with perceived insufficient milk in a low-income urban population in Mexico. J Nutr 1994;124:202-212.

  15. Flores-Huerta S, Cisneros-Silva I. Alojamiento conjunto madre-hijo y lactancia humana exclusiva. Salud Publica Mex 1997;39(2):110-116.

  16. Long-Dunlap K, Rivera Dommarco J, Rivera-Pasquel M, Hérnandez-Avila M, Lezana MA. Feeding patterns of Mexican infants recorded in the 1988 National Nutrition Survey. Salud Publica Mex 1995;37:120-129.

  17. World Health Organization/UNICEF. Protecting, promotion and supporting breastfeeding: The special role of maternity service. A join WHO/UNICEF statement. Int J Gynecol Obstet 1990;31:171-183.

  18. Secretaría de Salud, Dirección General de Salud Reproductiva. Situación de la lactancia materna. En: Manual de lactancia materna para el primer nivel de atención. México, DF: SSA, 1997:7-20.

  19. Fondo de las Naciones Unidas para la Infancia. La iniciativa hospital amigo del niño. Parte VII. Revaluación de hospitales amigos del niño: guía para desarrollar el proceso a nivel nacional. Nueva York (NY): FBHI Team Nutrition Section,1998.

  20. Margen S, Melnick V, Neuhauser L, Ríos E. Infant feeding in Mexico. Emeryville (CA): PRINTEAM 1991.

  21. Kramer M, Chalmers B, Donet E, Sevkovskaya Z, Dzikovich I, Shapiro S et al. Promotion of breastfeeding intervention trial (PROBIT): A randomized trial in the Republic of Belarus. JAMA 2001;285:413-420.

  22. Instituto Nacional de Estadística, Geografía e Informática. XII Censo General de Población y Vivienda. México, 2000. Disponible en: http://www.inegi.gob.mx

  23. Carlson A, Faden R, O’Campo P, Brown H, Paige D. Maternal employment during the early postpartum period: Effects on initiation and continuation of breast-feeding. Pediatrics 1991;87:298-305.

  24. Roe B, Whittington L, Fein S, Tiesl M. Is there competition between breast-feeding and maternal employment? Demography 1999; 36:157-171.

  25. Hosmer D, Lemeshow S. Applied logistic regression. Nueva (NY): John Wiley Press, 1989.

  26. Stata Corporation Stata Statistical Software: Release 6.0. College Station, Texas: Stata Corporation, 1996.

  27. Ryan A, Martínez G. Breast-feeding and the working mother: A profile. Pediatrics 1989;83:524-531.

  28. Fein S, Roe B. The effect of work status on initiation and duration of breast-feeding? Am J Public Health 1998;88:1042-1046.

  29. Kurinuj N, Shiono P, Ezrine S, Rhoads G. Does maternal employment affect breast-feeding. Am J Public Health 1989;79:1247-1250.

  30. Auerbach K, Guss E. Maternal employment and breastfeeding. A study of 567 women’s experiences. AJDC 1984;138:958-960.

  31. Bronfman M. Como se vive se muere. Familia, redes sociales y muerte infantil. México, DF: UNAM, 2000:79-188.

  32. Secretaría de Salud. Norma Oficial Mexicana NOM-007-SSA2-1993 para la atención de la mujer durante el embarazo, parto y puerperio y del recién nacido. Criterios y procedimientos para la prestación de servicio. México, DF: Diario Oficial de la Federación, 6 de enero de 1995.

  33. Couto M, Bastos L, Tedstone A. Extending breastfeeding duration through primary care: A systematic review of prenatal and postnatal interventions. J Human Lact 2001;17:326-343.

  34. Friesen H, Vince J, Boas P, Danya R. Protection of breastfeeding in Papua New Guinea. Bull World Health Organ 1999;77:271-274.

  35. Noble S, The ALSPAC Study Team. Maternal employment and the initiation of breastfeeding. Acta Paediatric 2001;90:423-428.




2020     |     www.medigraphic.com