2026-06-14T03:30:00Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/70762024-09-27T16:28:30Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608

00925njm 22002777a 4500 dc Garcia Del Rio, Isabel author Luque, Alvaro author Castelló Pastor, Adela author Sandín-Vázquez, María Del Val author Larraz, Rosana author Barona, Carmen author Jané, Mireia author Bolúmar, Francisco author 2012-12-27 BACKGROUND: No large scale studies on breastfeeding onset patterns have been carried out in Spain. This work aims to explore the prevalence and the risk factors for not initiating breastfeeding in hospitals from Catalonia (CAT) and Valencia (V), two regions accounting approximately for 30% of the annual births in Spain. METHODS: The prevalence of not initiating breastfeeding was calculated by maternal/neonatal characteristics and type of hospital, and logistic regression models were used to estimate crude and adjusted risks of not breastfeeding in each region. RESULTS: Prevalence of breastfeeding initiation was 81.7% and 82.5% in Catalonia and Valencia, respectively. We identified conspicuous regional differences in the adjusted-risk of not breastfeeding, especially for multiple [CAT = 3.12 (95% CI: 2.93, 3.31), V = 2.44 (95% CI: 2.23, 2.67)] and preterm and low birth weight deliveries [very preterm and very low birth weight: CAT = 7.61 (95% CI: 6.50, 8.92), V = 4.03 (95% CI: 3.13, 5.19); moderate preterm and moderate low birth weight: CAT = 4.28 (95% CI: 4.01, 4.57), V = 2.55 (95% CI:2.34, 2.79)]. CONCLUSIONS: Our results suggest the existence of regional variations in breastfeeding initiation in Spain. Taking into account the known short and long-term benefits of breastfeeding it is recommended that further research should explore these differences in order to prevent potential inequities in neonatal, child and adult health. Int Breastfeed J. 2012 Dec 27;7(1):22. 10.1186/1746-4358-7-22 1746-4358 1746-4358 International breastfeeding journal 23270558 http://hdl.handle.net/20.500.12105/7076 Feeding Behavior Perinatal Care Quality of Health Care Determinants of breastfeeding Method of birth Uneven chances of breastfeeding in Spain