Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort

The impact of assisted reproduction techniques (ART) when starting to breastfeed is an important issue that has been sparsely addressed in scientific literature and yet has contradictory results. This study aims to determine the relation between the mode of fertilization and breastfeeding by means o...

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Main Authors: Diaz Sáez, Jorge, Granero Molina, José, López Rodríguez, María Del Mar, Aceituno Velasco, Longinos, Fernández Sola, Cayetano, Hernández Padilla, José Manuel, Fernández Medina, Isabel María
Format: info:eu-repo/semantics/article
Language:English
Published: MDPI 2022
Subjects:
Online Access:http://hdl.handle.net/10835/13429
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author Diaz Sáez, Jorge
Granero Molina, José
López Rodríguez, María Del Mar
Aceituno Velasco, Longinos
Fernández Sola, Cayetano
Hernández Padilla, José Manuel
Fernández Medina, Isabel María
author_facet Diaz Sáez, Jorge
Granero Molina, José
López Rodríguez, María Del Mar
Aceituno Velasco, Longinos
Fernández Sola, Cayetano
Hernández Padilla, José Manuel
Fernández Medina, Isabel María
author_sort Diaz Sáez, Jorge
collection DSpace
description The impact of assisted reproduction techniques (ART) when starting to breastfeed is an important issue that has been sparsely addressed in scientific literature and yet has contradictory results. This study aims to determine the relation between the mode of fertilization and breastfeeding by means of a retrospective longitudinal cohort study that included newborns and mothers who gave birth between 2012 and 2019 in a third-level regional hospital. Data were collected from a total of 11,285 women and newborns, of which 302 (2.6%) used ART. Logistic regression was used to establish models that determine the administration of exclusive breastfeeding (BF). Among the 1208 analyzed participants, 30% conceived using fertility treatment. In this group of participants, BF was less prevalent, both in the delivery room (25.8% versus 45.5%; p < 0.001) and when discharged from hospital (42.1% versus 57.9%; p < 0.001). Healthy newborns and BF in the delivery room were predictors of BF when discharged. On the other hand, the use of ART, an Apgar score lower than 7 at birth, the use of an epidural and a premature or underweight baby are considered negative predictors of exclusive BF when discharged. It is necessary to offer greater support for all mothers regarding BF, especially those who have conceived through ART, even more so in those cases that involve an epidural and/or caesarean section, starting throughout the dilation process.
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spelling oai:repositorio.ual.es:10835-134292023-04-12T19:20:23Z Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort Diaz Sáez, Jorge Granero Molina, José López Rodríguez, María Del Mar Aceituno Velasco, Longinos Fernández Sola, Cayetano Hernández Padilla, José Manuel Fernández Medina, Isabel María breastfeeding breastfeeding barriers caesarean section lactation postpartum care reproductive techniques The impact of assisted reproduction techniques (ART) when starting to breastfeed is an important issue that has been sparsely addressed in scientific literature and yet has contradictory results. This study aims to determine the relation between the mode of fertilization and breastfeeding by means of a retrospective longitudinal cohort study that included newborns and mothers who gave birth between 2012 and 2019 in a third-level regional hospital. Data were collected from a total of 11,285 women and newborns, of which 302 (2.6%) used ART. Logistic regression was used to establish models that determine the administration of exclusive breastfeeding (BF). Among the 1208 analyzed participants, 30% conceived using fertility treatment. In this group of participants, BF was less prevalent, both in the delivery room (25.8% versus 45.5%; p < 0.001) and when discharged from hospital (42.1% versus 57.9%; p < 0.001). Healthy newborns and BF in the delivery room were predictors of BF when discharged. On the other hand, the use of ART, an Apgar score lower than 7 at birth, the use of an epidural and a premature or underweight baby are considered negative predictors of exclusive BF when discharged. It is necessary to offer greater support for all mothers regarding BF, especially those who have conceived through ART, even more so in those cases that involve an epidural and/or caesarean section, starting throughout the dilation process. 2022-03-10T18:05:25Z 2022-03-10T18:05:25Z 2022-02-25 info:eu-repo/semantics/article 1660-4601 http://hdl.handle.net/10835/13429 10.3390/ijerph19052673 en https://www.mdpi.com/1660-4601/19/5/2673 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI
spellingShingle breastfeeding
breastfeeding barriers
caesarean section
lactation
postpartum care
reproductive techniques
Diaz Sáez, Jorge
Granero Molina, José
López Rodríguez, María Del Mar
Aceituno Velasco, Longinos
Fernández Sola, Cayetano
Hernández Padilla, José Manuel
Fernández Medina, Isabel María
Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort
title Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort
title_full Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort
title_fullStr Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort
title_full_unstemmed Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort
title_short Influential Factors of Breastfeeding after Assisted Reproduction: A Spanish Cohort
title_sort influential factors of breastfeeding after assisted reproduction: a spanish cohort
topic breastfeeding
breastfeeding barriers
caesarean section
lactation
postpartum care
reproductive techniques
url http://hdl.handle.net/10835/13429
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