{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:19:52Z","timestamp":1791328792450,"version":"4.3.1"},"reference-count":35,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The good qualities of breastfeeding are well known. The aim of this study was to closely examine the impact of specific maternal, prenatal, obstetric, and early neonatal factors on the success of breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We used data from the Kuopio Birth Cohort study and analyzed 2,521 online questionnaires, which were answered by women 1 year after giving birth. Breastfeeding variables were divided into successful breastfeeding (breastfeeding exclusively with one\u2019s own breast milk \u22654 months or breastfeeding with formula \u22656 months) and poor breastfeeding (breastfeeding exclusively with one\u2019s own milk &lt;4 months and duration of all breastfeeding &lt;6 months) for univariate and multivariable analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In this study, 97.8% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 2,466) reported breastfeeding their newborns for \u22651 postnatal week, and 75.2% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 1,896) breastfed newborns for \u22656 months. The rate of breastfeeding for \u22656 months increased from 71.3% to 84.7% between 2013 and 2020. In the multivariable analysis, poor breastfeeding success was associated most significantly with smoking during pregnancy (adjusted odds ratio [aOR] 4.64; 95% confidence interval [CI]: 2.75\u20137.81), twin pregnancy (aOR 4.13; 95% CI: 2.10\u20138.15), maternal obesity (body mass index &gt; 35) (aOR 3.27; 95% CI: 2.15\u20134.99), fear of childbirth (aOR 2.80; 95% CI: 1.89\u20134.13), and birth during the period of 2013\u20132014 (aOR 2.94; 95% CI: 2.08\u20134.14) or 2015\u20132016 (aOR 2.62; 95% CI: 1.85\u20133.70). Other significant factors related to poor success were younger maternal age, nonmarried family relationships, passive or quitting smoking before or in the first trimester, any hypertensive disorder during pregnancy, birth by nonelective cesarean, and lowest or highest quartiles of birth weight.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Mother\u2019s fear of childbirth is strongly associated with the poor breastfeeding success even after controlling for mode of birth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/bfm.2024.0024","type":"journal-article","created":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T08:20:58Z","timestamp":1727943658000},"page":"932-940","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Fear of Childbirth Impairs Breastfeeding Success Independent of Mode of Birth"],"prefix":"10.1177","volume":"19","author":[{"given":"Maija","family":"Vasanen","sequence":"first","affiliation":[{"name":"Institute of Clinical Medicine\/Obstetrics and Gynecology, University of Eastern Finland, Kuopio, Finland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anni","family":"Kukkonen","sequence":"additional","affiliation":[{"name":"Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland."},{"name":"Department of Pediatrics, Kuopio University Hospital, Kuopio, Finland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katri","family":"Backman","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine\/Obstetrics and Gynecology, University of Eastern Finland, Kuopio, Finland."},{"name":"Department of Pediatrics, Kuopio University Hospital, Kuopio, Finland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sari","family":"Hantunen","sequence":"additional","affiliation":[{"name":"Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5354-0700","authenticated-orcid":false,"given":"Leea","family":"Keski-Nisula","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine\/Obstetrics and Gynecology, University of Eastern Finland, Kuopio, Finland."},{"name":"Department of Obstetrics and Gynecology, Kuopio University Hospital, Kuopio, Finland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2021.06.006"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2018.08.008"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0117512"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00421.x"},{"key":"e_1_3_4_7_2","first-page":"CD003519","article-title":"Early skin-to-skin contact for mothers and their healthy newborn infants","volume":"11","author":"Moore ER","year":"2016","unstructured":"Moore ER, , Bergman N, , Anderson GC, et al. 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Step 10: Strives to achieve the WHO\/UNICEF ten steps of the Baby-Friendly Hospital Initiative to promote successful breastfeeding: The coalition for improving maternity services. J Perinat Educ, 2007; 16(Suppl 1):80S\u201379S; doi: 10.1624\/105812407X173227","journal-title":"J Perinat Educ"},{"key":"e_1_3_4_16_2","unstructured":"National Institute for Health and Welfare in Finland (THL). Eating together-Food recommendations for families with children. Second update. 2019. Available from: https:\/\/urn.fi\/URN:ISBN:978-952-343-264-2"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2013-9"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.respe.2012.02.008"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2014.0152"},{"key":"e_1_3_4_20_2","unstructured":"Ikonen R Hakulinen T Lyytik\u00e4inen A et al. Imev\u00e4isik\u00e4isten ruokinta Suomessa vuonna. 2019. 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