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Predictive factors of exclusive breastfeeding attrition at Week 6 post‐partum among mothers of preterm infants based on the theory of planned behaviour

التفاصيل البيبلوغرافية
العنوان: Predictive factors of exclusive breastfeeding attrition at Week 6 post‐partum among mothers of preterm infants based on the theory of planned behaviour
المؤلفون: Rong Huang, Yue Wan, Xiao Yao, Hao Wang, Chen‐ting Cai, Yi‐ting Xu, Hui Jiang
المصدر: Maternal and Child Nutrition, Vol 19, Iss 2, Pp n/a-n/a (2023)
بيانات النشر: Wiley, 2023.
سنة النشر: 2023
المجموعة: LCC:Pediatrics
LCC:Gynecology and obstetrics
LCC:Nutritional diseases. Deficiency diseases
مصطلحات موضوعية: breastfeeding, influencing factors, preterm, prospective observational study, theory of planned behaviour, Pediatrics, RJ1-570, Gynecology and obstetrics, RG1-991, Nutritional diseases. Deficiency diseases, RC620-627
الوصف: Abstract Breastfeeding plays an important role in the growth and development of preterm infants, and exclusive breastfeeding (EBF) in the first 6 weeks post‐partum is the key to continuous breastfeeding. This study was designed to explore the influencing factors that contribute to breastfeeding attrition among mothers of preterm infants at Week 6 post‐partum based on the theory of planned behaviour (TPB). We herein adopted a prospective observational study design in which 97 mothers who exclusively breastfed at Week 6 post‐partum at a tertiary specialised hospital in Shanghai from June 2021 to February 2022 were taken as the EBF group, and 179 mothers without EBF were assigned to the EBF attrition group. Through an extensive literature review and expert consultation, we determined the possible factors influencing EBF attrition, analysed those factors that showed statistical significance in our univariate analysis by applying binary logistic regression, and constructed a nomogram model for predicting EBF attrition. The results revealed that negative breastfeeding sentiment (odds ratio [OR] = 1.006; 95% confidence interval [CI], 1.000–1.011) generated a greater risk of breastfeeding attrition. However, positive breastfeeding sentiment (OR = 0.991; 95% CI, 0.983–0.999), social and professional support (OR = 0.993; 95% CI, 0.987–0.999), breastfeeding control (OR = 0.945; 95% CI, 0.896–0.996), knowledge (OR = 0.893; 95% CI, 0.799–0.998), and intention to EBF at Week 6 post‐partum (OR = 0.522; 95% CI, 0.276–0.988) were the protective factors and facilitated the development of our nomogram model. The Hosmer–Lemeshow goodness‐of‐fit test generated a χ2 value of 11.344 (p = 0.183) and an area under the curve of 0.822 (95% CI, 0.771–0.873). The C‐index was 0.800 in the internal bootstrap validation, indicating that the nomogram model possessed favourable predictive accuracy and discrimination.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1740-8709
1740-8695
Relation: https://doaj.org/toc/1740-8695; https://doaj.org/toc/1740-8709
DOI: 10.1111/mcn.13470
URL الوصول: https://doaj.org/article/045e0190e8db44deb0121e283064e5d4
رقم الأكسشن: edsdoj.045e0190e8db44deb0121e283064e5d4
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17408709
17408695
DOI:10.1111/mcn.13470