Association between History of Gestational XXXX and Exclusive Breastfeeding at Hospital Discharge.

@entity1 @entity6
BACKGROUND: Exclusive breastfeeding is recommended in the first 6 months of life, especially for @entity1 born to @entity1 with a history of @entity6 ( @entity6 ). Yet, @entity1 with a history of @entity6 face challenges with exclusive breastfeeding in the early postpartum period, a critical period for setting up longer term breastfeeding success. Minimal research has been published on associated risk factors for not exclusively breastfeeding. OBJECTIVE: The purpose of this study was to examine the association between @entity6 and exclusive breastfeeding at hospital discharge. METHODS: We conducted a cross-sectional analysis including 2038 @entity1 who participated in the population-based @entity1 Feeding Practices Study II between May 2005 and June 2007. RESULTS: @entity6 prevalence was 5.8%. The crude prevalence of exclusive breastfeeding at hospital discharge was 62.2% among @entity1 with @entity6 compared to 75.4% of @entity1 without @entity6 (P < .01). After adjusting for sociodemographic, behavioral, and anthropometric factors, the odds of exclusive breastfeeding were lower among @entity1 with @entity6 compared to @entity1 without @entity6 (odds ratio = 0.59; 95% confidence interval, 0.39-0.92). Furthermore, @entity1 who had gestational weight gain (GWG) below the Institute of Medicine guidelines had lower odds of exclusive breastfeeding compared to @entity1 who had normal GWG (odds ratio = 0.62; 95% confidence interval, 0.45-0.85). CONCLUSION: @entity1 with @entity6 history and @entity1 with inadequate GWG may need additional education to promote exclusive breastfeeding during maternal hospital stay. It is important for health care providers to assess both factors when providing education on exclusive breastfeeding and to support these @entity1 's breastfeeding efforts in the early postpartum period to maximize potential for longer term breastfeeding success.
