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document
Determinants of exclusive breastfeeding in an urban population of primiparas in Lebanon : a cross-sectional study . BACKGROUND The proportion of mothers who exclusively breastfeed their babies up to 6 months remains low . Determinants of breastfeeding practices have been largely documented in high-income countries . Little evidence exists on possible predictors of breastfeeding behaviors in the Middle East . Our aim was to assess the prevalence of breastfeeding in Beirut and determine the factors that impact breastfeeding behavior in this population . METHODS Data for this longitudinal study is nested within a randomized controlled trial ( RCT ) assessing the impact of a 24-hour hotline and postpartum support film on postpartum stress . Healthy first-time mothers delivering in the capital Beirut between March and July 2009 , were interviewed at 1-3 days and 8-12 weeks post delivery . A multiple logistic regression analysis was used to determine the factors associated with exclusive breastfeeding at 8-12 weeks postpartum . RESULTS The overall breastfeeding rate at 8-12 weeks postpartum was 67 % . The exclusive breastfeeding rate was 27.4 % . Factors associated with exclusive breastfeeding included maternal work ( OR=3.92 ; p-value < 0.001 ) , planned pregnancy ( OR=2.42 , p-value=0.010 ) , intention to breastfeed ( OR=3.28 ; p-value=0.043 ) , source of maternal emotional support ( OR=1.87 , p-value=0.039 ) and the use the postpartum support video , the hotline service or both ( OR=2.55 , p-value=0.044 ; OR=3.87 , p-value=0.004 and OR=4.13 , p-value=0.003 ) . CONCLUSIONS The proportion of healthy first-time mothers who exclusively breastfeed in Beirut is extremely low . Factors associated with breastfeeding behavior are diverse . Future research and interventions should target different levels of the maternal-child pair 's ecosystem . TRIAL REGISTRATION ClinicalTrials.gov , NCT00857051 .
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Intervention_Educational
exclusive breastfeeding
60752
Intervention_Educational
exclusively breastfeed
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Intervention_Educational
breastfeeding
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Intervention_Educational
24-hour hotline and postpartum support film
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Intervention_Educational
breastfeeding
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Outcome_Physical
overall breastfeeding rate
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Outcome_Physical
exclusive breastfeeding rate
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Outcome_Other
maternal work
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Outcome_Other
planned pregnancy
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Outcome_Mental
intention to breastfeed
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Outcome_Mental
source of maternal emotional support
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Outcome_Other
use the postpartum support video