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Vol 89, No 3 (2018)
Research paper
Published online: 2018-03-30
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Socio-demographic and psychological determinants of exclusive breastfeeding after six months postpartum — a Polish case-cohort study

Karolina Maria Maliszewska1, Mariola Bidzan2, Małgorzata Świątkowska-Freund1, Krzysztof Preis1
DOI: 10.5603/GP.a2018.0026
·
Pubmed: 29664551
·
Ginekol Pol 2018;89(3):153-159.
Affiliations
  1. Medical University of Gdansk, Department of Obstetrics, Gdansk, Poland
  2. University of Gdansk, Institute of Psychology, Gdansk, Poland

open access

Vol 89, No 3 (2018)
ORIGINAL PAPERS Obstetrics
Published online: 2018-03-30

Abstract

Objectives: The purpose of this study was to explore the socio-demographic and psychological factors connected with exclusive breastfeeding after 6 months postpartum.

Material and methods: A total of 251 women filled in questionnaires in the first week postpartum, then again after 3 and 6 months. The questionnaires included socio-demographic and medical questions, as well as psychological tools: the NEO-FFI Personality Inventory, the Berlin Social Support Scales (BSSS), and the Edinburgh Postnatal Depression Scale (EPDS). Further detailed questions concerning breastfeeding were relevant to this study.

Results: The rate of exclusive breastfeeding after 6 months was 39.68%. It was found that exclusive breastfeeding was most strongly connected with attending prenatal classes (ORa = 2.84, CI 1.18–6.87, p = 0.01), formula supplementation after 3 months (ORa = 0.01, CI 0.002-0.08, p < 0.001) and the mother’s subjective satisfaction with feeding the infant after 3 months (ORa = 1.44, CI 1.01–2.06, p = 0.04). No other psychological (as far as personality, social support or risk of postpar­tum depression are concerned), demographic or medical factors were significant. Only factors pertaining to breastfeeding were significant.

Conclusions: The prevalence of exclusive breastfeeding in Poland is unsatisfactory. Women should have easy access to prenatal classes with the most up-to-date knowledge on lactation and be advised against supplementing with formula, whenever possible. This could lead to higher satisfaction with breastfeeding.

Abstract

Objectives: The purpose of this study was to explore the socio-demographic and psychological factors connected with exclusive breastfeeding after 6 months postpartum.

Material and methods: A total of 251 women filled in questionnaires in the first week postpartum, then again after 3 and 6 months. The questionnaires included socio-demographic and medical questions, as well as psychological tools: the NEO-FFI Personality Inventory, the Berlin Social Support Scales (BSSS), and the Edinburgh Postnatal Depression Scale (EPDS). Further detailed questions concerning breastfeeding were relevant to this study.

Results: The rate of exclusive breastfeeding after 6 months was 39.68%. It was found that exclusive breastfeeding was most strongly connected with attending prenatal classes (ORa = 2.84, CI 1.18–6.87, p = 0.01), formula supplementation after 3 months (ORa = 0.01, CI 0.002-0.08, p < 0.001) and the mother’s subjective satisfaction with feeding the infant after 3 months (ORa = 1.44, CI 1.01–2.06, p = 0.04). No other psychological (as far as personality, social support or risk of postpar­tum depression are concerned), demographic or medical factors were significant. Only factors pertaining to breastfeeding were significant.

Conclusions: The prevalence of exclusive breastfeeding in Poland is unsatisfactory. Women should have easy access to prenatal classes with the most up-to-date knowledge on lactation and be advised against supplementing with formula, whenever possible. This could lead to higher satisfaction with breastfeeding.

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Keywords

breastfeeding, personality, postpartum depression, social support

About this article
Title

Socio-demographic and psychological determinants of exclusive breastfeeding after six months postpartum — a Polish case-cohort study

Journal

Ginekologia Polska

Issue

Vol 89, No 3 (2018)

Article type

Research paper

Pages

153-159

Published online

2018-03-30

Page views

2094

Article views/downloads

1749

DOI

10.5603/GP.a2018.0026

Pubmed

29664551

Bibliographic record

Ginekol Pol 2018;89(3):153-159.

Keywords

breastfeeding
personality
postpartum depression
social support

Authors

Karolina Maria Maliszewska
Mariola Bidzan
Małgorzata Świątkowska-Freund
Krzysztof Preis

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