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  • Holstad, YlvaUmeå University,Umeå universitet,Institutionen för omvårdnad,Umeå Univ, Dept Nursing, Umeå, Sweden. (author)

Breastfeeding in primiparous women with congenital heart disease : a register study

  • Article/chapterEnglish2024

Publisher, publication year, extent ...

  • BMJ Publishing Group Ltd,2024
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-526215
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-526215URI
  • https://doi.org/10.1186/s13006-024-00627-yDOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-222559URI
  • https://lup.lub.lu.se/record/b1ec17a4-2982-46ce-a4ce-416ba583099dURI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:155274442URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-202256URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|Umea University
  • BackgroundThe number of pregnant women with congenital heart disease (CHD) is rising, and the disease poses increased risks of cardiovascular and obstetric complications during pregnancy, potentially impacting breastfeeding success. This study aimed to investigate breastfeeding in primiparous women with CHD compared to primiparous women without CHD, and to examine potential hindering factors for breastfeeding in women with CHD.MethodsThe data were gathered between 2014 and 2019 and obtained by merging the Swedish Congenital Heart Disease Register (SWEDCON) with the Swedish Pregnancy Register. Primiparous women ≥ 18 years of age with CHD (n = 578) were matched by age and municipality to 3049 women without CHD, giving birth after 22 gestational weeks. Multivariable logistic regression analysis was used to identify factors associated with non-breastfeeding in women with CHD.ResultsFewer women with CHD breastfed than women without CHD two days (94% vs. 97%, p = 0.001) and four weeks after birth (84% vs. 89%, p = 0.006). When all women were analysed, having CHD was associated with non-breastfeeding at both two days and four weeks after birth. For women with CHD, body mass index (BMI) ≥ 30 (OR 3.1; 95% CI 1.4, 7.3), preterm birth (OR 6.4; 95% CI 2.1, 19.0), self-reported history of psychiatric illness (OR 2.4; 95% CI 1.2, 5.1), small for gestational age (OR 4.2; 95% CI 1.4, 12.2), and New York Heart Association Stages of Heart Failure class II − III (OR 6.0; 95% CI 1.4, 26.7) were associated with non-breastfeeding two days after birth. Four weeks after birth, factors associated with non-breastfeeding were BMI ≥ 30 (OR 4.3; 95% CI 2.1, 9.0), self-reported history of psychiatric illness (OR 2.2; 95% CI 1.2, 4.2), and preterm birth (OR 8.9; 95% CI 2.8, 27.9).ConclusionsThe study shows that most women with CHD breastfeed, however, at a slightly lower proportion compared to women without CHD. In addition, factors related to the heart disease were not associated with non-breastfeeding four weeks after birth. Since preterm birth, BMI ≥ 30, and psychiatric illness are associated with non-breastfeeding, healthcare professionals should provide greater support to women with CHD having these conditions.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Johansson, BengtUmeå University,Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Umeå Univ, Dept Surg & Perioperat Sci, Umeå, Sweden.(Swepub:umu)bejo0003 (author)
  • Lindqvist, MariaUmeå University,Umeå universitet,Obstetrik och gynekologi,Institutionen för omvårdnad,Umeå Univ, Dept Nursing, Umeå, Sweden.;Umeå Univ, Dept Clin Sci Obstet & Gynecol, Umeå, Sweden.(Swepub:umu)maalit03 (author)
  • Westergren, AgnetaUmeå University,Umeå universitet,Institutionen för omvårdnad,Umeå Univ, Dept Nursing, Umeå, Sweden.(Swepub:umu)agawen89 (author)
  • Sundström Poromaa, Inger,1964-Uppsala University,Uppsala universitet,Reproduktiv hälsa,Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden(Swepub:uu)inspo702 (author)
  • Christersson, ChristinaUppsala University,Uppsala universitet,Kardiologi,Department of Medical Science, Cardiology, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden(Swepub:uu)chchr086 (author)
  • Dellborg, MikaelUniv Gothenburg, Sahlgrenska Acad, Dept Clin & Mol Med, Gothenburg, Sweden.,Department of Clinical and Molecular Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden (author)
  • Trzebiatowska-Krzynska, AleksandraLinköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US,Linköping Univ, Dept Cardiol, Dept Med & Hlth Sci, Linköping, Sweden.(Swepub:liu)aletr47 (author)
  • Sörensson, PederKarolinska Institutet,Karolinska Univ Hosp, Karolinska Inst, Dept Med, Dept Cardiol, Stockholm, Sweden. (author)
  • Thilén, UlfLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Univ, Dept Clin Sci, Cardiol, Lund, Sweden.(Swepub:lu)kard-uth (author)
  • Wikström, Anna-Karin,1965-Uppsala University,Uppsala universitet,Klinisk obstetrik,Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.,Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden(Swepub:uu)annwi179 (author)
  • Bay, Annika,1970-Umeå University,Umeå universitet,Institutionen för omvårdnad,Umeå Univ, Dept Nursing, Umeå, Sweden.(Swepub:umu)anabay00 (author)
  • Umeå universitetInstitutionen för omvårdnad (creator_code:org_t)

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  • In:International Breastfeeding Journal: BMJ Publishing Group Ltd19:11746-4358

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