NDLI: Development and prevalence of breastfeeding initiation in a tertiary obstetric center and its influencing factors

Content Provider	Springer Nature : BioMed Central
Author	Biermann, A. L. Steinkasserer, L. Radomsky, L. von Kaisenberg, C. Hillemanns, P. Brodowski, Lars
Abstract	Background Tertiary obstetric centers are responsible for the care of all their newborns and for supporting mothers during breastfeeding. The aim of this work is to analyze the development and prevalence of breastfeeding initiation in a tertiary obstetric center. Subsequently, factors influencing the initiation of breastfeeding will be investigated. Methods This is a retrospective study collecting data of all births of a non-selected cohort from 2017 to 2022 of singleton pregnancies at the Medical School of Hannover, Germany. Retrospective data of 16,092 women were used. We examined type of infant nutrition in our maternity unit in mothers by self-report, which was a routine survey conducted by a breastfeeding and lactation consultant within the framework of the perinatal quality assurance initiative. Secondly, factors impacting breastfeeding initiation were investigated (maternal BMI, gestational age, parity, special risk factors and birth mode) using a second cohort of 4,603 mother-child-pairs of live born, singleton full-term newborns. Results Over the observed period, the rate of ever breastfeeding women was 93% in 2017 and 83% in 2022 indicating decreased adherence to breastfeeding. The rate of exclusively breastfeeding at the breast decreased by 21% over observed period (from 78 to 57%). While the group of feeding infant formula only and breastfeeding cessation before discharge remained stable, the rate of supplementary feeding, and breastfeeding and feeding infant formula, increased significantly. The rate of exclusive breastfeeding at the breast was lower in the groups of obese compared to normal-weight women (59.1% vs. 78.2%), women undergoing a cesarean section in comparison to vaginal birth (62.3% vs. 78.1%) and deliveries at 38 weeks of gestation compared to 40 weeks of gestation (62.7% vs. 77.3%). The infants of women with diabetes mellitus (74.2% vs. 62%) or gestational diabetes (74% vs. 65%) were significantly more likely to require infant formula than those without risk factors. Conclusions Those women with the potentially highest benefit of breastfeeding to not exert their potential for risk reduction. Adequate awareness among healthcare professionals is imperative to capitalize on the brief but substantial opportunity to influence breastfeeding behavior in a tertiary obstetric center.
Related Links	https://internationalbreastfeedingjournal.biomedcentral.com/counter/pdf/10.1186/s13006-025-00717-5.pdf
Ending Page	11
Page Count	11
Starting Page	1
File Format	HTM / HTML
ISSN	17464358
DOI	10.1186/s13006-025-00717-5
Journal	International Breastfeeding Journal
Issue Number	1
Volume Number	20
Language	English
Publisher	BioMed Central
Publisher Date	2025-04-03
Access Restriction	Open
Subject Keyword	Maternal and Child Health Tertiary obstetric center Breastfeeding Initiation
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology Pediatrics, Perinatology and Child Health
Journal Impact Factor	2.9/2023
5-Year Journal Impact Factor	3.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Prevalence of early initiation of breastfeeding and its associated factors among women in Mauritania: evidence from a national survey

Prevalence of timely breastfeeding initiation and associated factors in Dembecha district, North West Ethiopia: a cross-sectional study

Prevalence and associated factors of timely initiation of breastfeeding among mothers at Debre Berhan town, Ethiopia: a cross-sectional study

Maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa

Factors influencing early initiation of breastfeeding in Afghanistan: secondary analysis of the Afghanistan MICS 2022–23

Determinants of early initiation of breastfeeding in rural Tanzania

Timely initiation of breastfeeding and its association with birth place in Ethiopia: a systematic review and meta-analysis

Influence of abuse and disrespect during childbirth on early initiation of breastfeeding

Prevalence of and factors associated with early initiation of breastfeeding among women with children aged < 24 months in Kilimanjaro region, northern Tanzania: a community-based cross-sectional study

Development and prevalence of breastfeeding initiation in a tertiary obstetric center and its influencing factors

Similar Documents

Prevalence of early initiation of breastfeeding and its associated factors among women in Mauritania: evidence from a national survey

Prevalence of timely breastfeeding initiation and associated factors in Dembecha district, North West Ethiopia: a cross-sectional study

Prevalence and associated factors of timely initiation of breastfeeding among mothers at Debre Berhan town, Ethiopia: a cross-sectional study

Maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa

Factors influencing early initiation of breastfeeding in Afghanistan: secondary analysis of the Afghanistan MICS 2022–23

Determinants of early initiation of breastfeeding in rural Tanzania

Timely initiation of breastfeeding and its association with birth place in Ethiopia: a systematic review and meta-analysis

Influence of abuse and disrespect during childbirth on early initiation of breastfeeding

Prevalence of and factors associated with early initiation of breastfeeding among women with children aged < 24 months in Kilimanjaro region, northern Tanzania: a community-based cross-sectional study

Development and prevalence of breastfeeding initiation in a tertiary obstetric center and its influencing factors