Relative effects of breastfeeding intention and practice on maternal responsiveness |
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Authors: | Catherine L. Jones Iryna Culpin Jonathan Evans Rebecca M. Pearson |
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Affiliation: | 1. Department of Psychology, School of Life Sciences, University of Exeter, Exeter, United Kingdom;2. Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom |
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Abstract: | Our objective was to examine the differential effects of antenatal breastfeeding intention (BI) and breastfeeding practice (BP) on maternal postnatal responsiveness. We conducted a secondary analysis of longitudinal data from a subsample of 962 mother–infant dyads from a U.K.-based birth cohort study the Avon Longitudinal Study of Parents and Children. Exposures were BI and BPs measured at 32 weeks of gestation and 18 months’ postpartum. The outcome was maternal responsiveness assessed at 12 months’ postpartum. We used logistic regression analyses unadjusted and adjusted for confounders. Intention to breastfeed was associated with increased odds of postnatal maternal responsiveness independent of BP, adjusted odds ratio (OR) = 2.34, 95% CI [1.42, 3.86]. There was no evidence that BP was an independent predictor of maternal responsiveness, OR = 0.93, 95% CI [0.55, 1.57]. Life-course epidemiology analyses demonstrated that maternal responsiveness is most positive when both BI and BP are present. This is the first population-based study to provide evidence that BI during pregnancy is more strongly associated with maternal postnatal responsiveness than is BP. Further research is needed to understand the determinants of BI in pregnancy and its relationships with maternal responsiveness. |
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Keywords: | Avon Longitudinal Study of Parents and Children breastfeeding intention breastfeeding practice maternal responsiveness parent–child interactions Estudio Longitudinal Avon de Padres y Niños intención de amamantar práctica de amamantar interacciones padres-niño sensibilidad materna Etude Longitudinale de Parents et d'Enfants de l'Avon intention d'allaitement pratique d'allaitement interactions parent-enfant réaction maternelle Avon-Längsschnittstudie von Eltern und Kindern Stillabsicht Stillpraxis Eltern-Kind-Interaktion mütterliche Responsivität Avon 両親 • ・子ども調査縦断研究 母乳育児の意向 母乳育児の実施 親−子交流 母親の応答性 Avon父母和兒童縱向研究 母乳喂養意圖 母乳喂養習慣 親子互動 母體反應 دراسة افون الطولية للوالدين والأطفال نية الرضاعة الطبيعية ممارسه الرضاعة الطبيعية تفاعل الوالدين والطفل استجابه الأمهات |
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