Case Control Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Pediatr. Mar 9, 2024; 13(1): 87713
Published online Mar 9, 2024. doi: 10.5409/wjcp.v13.i1.87713
Exclusive breastfeeding greater than 50%, success of education in a university hospital in Bogotá: Case-control study
Marcela Murillo Galvis, Sofia Ortegon Ochoa, Clara Eugenia Plata García, Maria Paula Valderrama Junca, Dayanna Alejandra Inga Ceballos, Daniel Mauricio Mora Gómez, Claudia M Granados, Martin Rondón
Marcela Murillo Galvis, Sofia Ortegon Ochoa, Clara Eugenia Plata García, Maria Paula Valderrama Junca, Dayanna Alejandra Inga Ceballos, Daniel Mauricio Mora Gómez, Department of Pediatrics, Hospital Universitario San Ignacio, Bogotá 110111, Colombia
Claudia M Granados, Martin Rondón, Department of Clinical Epidemiology and Biostatistics, Pontifica Universidad Javeriana, Bogotá 110111, Colombia
Author contributions: Murillo Galvis M, Ortegon Ochoa S, Plata García CE, Valderrama Junca MP, Inga Ceballos DA, Granados CM collaborated in drafting the protocol, data collection and analysis, design and writing of the article; Mora Gómez DM collaborated in drafting the protocol, data collection and analysis; Martín R collaborated in the data collection and analysis, design and writing of the article; All authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Research and Ethics Committee (No. 2018/105).
Informed consent statement: Telephone calls where the interviewer indicated the purpose of the study in a clear language in order to obtain more consistent answers; guaranteed patient confidentiality, responses, and requested verbal consent from the mothers to conduct the survey.
Conflict-of-interest statement: The authors have no conflicts of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sofia Ortegon Ochoa, MD, Department of Pediatrics, Hospital Universitario San Ignacio, Carrera 7 40-62, Bogotá 110111, Colombia. s.ortegon@javeriana.edu.co
Received: August 23, 2023
Peer-review started: August 23, 2023
First decision: September 19, 2023
Revised: November 10, 2023
Accepted: December 28, 2023
Article in press: December 28, 2023
Published online: March 9, 2024
Abstract
BACKGROUND

Maintenance rates of exclusive breastfeeding (EBF) worldwide are low, thus, one of the objectives of the summary of policies on breastfeeding (BF) in world nutrition goals for 2025 are that at least 50% of infants under six months of age receive EBF that year. The Objective of this study is to document the rates of EBF in children born in San Ignacio University Hospital (HUSI) and identify factors associated with maintenance.

AIM

To document the percentages of EBF in those that were born at HUSI and identify factors associated to their maintenance.

METHODS

This is a study of cases and controls in an analytic, retrospective cohort that took children born alive between January 2016 and January 2019 at HUSI located in the city of Bogotá, Colombia.

RESULTS

Receiving information about BF at HUSI was able to maintain EBF up until 4 mo (OR = 1.65; 95%CI: 1.02-2.66). The presence of gynecologic and obstetric comorbidities (OR = 0.32; 95%CI: 0.12-0.83), having mastitis (OR = 0.56; 95%CI: 0.33-0.94), and receiving information from mass media (OR = 0.52; 95%CI: 0.31-0.84) are factors associated with not maintaining EBF.

CONCLUSION

Receiving education at a Women- and Child-Friendly Institution was the only significant factor to achieve EBF until 4 mo, with a frequency greater than the one reported in the country, which matches multiple studies where counseling and individualized support on BF achieve this purpose. Knowledge about BF and early detection of obstetric/gynecologic complications must be strengthened among the healthcare staff in charge of mothers during post-partum. Additionally, strategies must be promoted to continue BF such as creating milk banks with the objective of increasing BF rates even when mothers return to work.

Keywords: Breastfeeding, Women- and Child-Friendly Institutional Strategy, Strategies, Adherence, Education

Core Tip: Globally, exclusive breastfeeding (EBF) maintenance rates are low; therefore, one goal of the breastfeeding policy brief is to improve it. In the present study, we document that receiving information about BF in our hospital managed to maintain EBF up to 4 mo and that the presence of gyneco-obstetric comorbidities, having mastitis and receiving information from mass media were factors associated with non-maintenance of EBF.