Authors: Francesco Porta Alessandro Mussa Giuseppina Baldassarre Vittorio Perduca Daniele Farina Marco Spada Alberto Ponzone
Publish Date: 2015/08/13
Volume: 175, Issue: 1, Pages: 105-112
Abstract
Decline and resurgence of breastfeeding BF characterized last century Several factors influencing BF outcome were identified Despite the huge literature on BF no data on its matrilineal transmission are available BF practice was prospectively followed in 2546 Italian mothers Lactation and BF outcome were related besides to known factors interfering with BF to the occurrence of previous maternal and paternal BF Recalls of grandmaternal and grandgrandmaternal BF behaviours allowed the construction of familiar pedigrees of BF across three generations Having been breastfed was the strongest factor addressing successful BF establishment odds ratio OR 933 95 confidence interval CI 740–1184 p 00001 and BF duration at 6 months OR 379 95 CI 311–464 p 00001 The hazard ratio for breastfed vs nonbreastfed mothers was 046 95 CI 041–050 logrank p 00001 The rate of BF failures was fivefold higher in nonbreastfed mothers mostly occurring during lactogenesis when the letdown reflex becomes essential
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