Risk factors for non-optimal breastfeeding practices in low birth weight infants

Ekawaty L Haksari; Setya Wandita; Yustivani Yustivani

doi:10.14238/pi50.2.2010.86-91

Ekawaty L Haksari Department of Child Health, Medical School, Gadjah Mada University, Dr. Sardjito Hospital
Setya Wandita Department of Child Health, Medical School, Gadjah Mada University, Dr. Sardjito Hospital
Yustivani Yustivani Department of Child Health, Medical School, Gadjah Mada University, Dr. Sardjito Hospital

DOI: https://doi.org/10.14238/pi50.2.2010.86-91

Keywords: low birth weight, breastfeeding, risk factor

Abstract

Background Low birth weight infants are ongoing problems since
they are likely to have high risks of morbidity, mortality and
feeding problems. American Academy of Pediatrics recommends
breastfeeding practice for infants with low birth weight, yet some
problems have occured.
Objective To determine risk factors for non-optimal breastfeeding
practices in low birth weight infants.
Methods In this historical cohort study we included mothers with
6-month-old infants, single birth with weight of2000-2499 grams
and the pregnancy period of 2:: 34 weeks, and excluded mothers
with infants who had a major congenital disorder, labioschizis,
labiognatopalatoschizis, or history of admission in NICU. Data
were collected using standard longitudinal surveillance form for
breastfeeding mothers. Analyses were performed using chi-square
test and logistic regression.
Results The percentage of low birth weight infants breastfed
optimally were 42.7%. Working mothers presented the highest
risk for non-optimal breastfeeding. The onset of lactation for
more than 6 hours was the second factor (81.8%). The results
of multivariate logistic regression analysis showed that mothers
who worked (RR 2.79; 95% CI 1.84 to 4.23) and onset lactation
of more than 6 hours (RR 2.34; 95% CI 1.57 to 3.50) were the
risk factors for non-optimal breastfeeding practices in low birth
weight infants.
Conclusion Mother's working status and onset of lactation
for more than 6 hours were the risk factors for non-optimal
breastfeeding in low birth weight infants.

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