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Breastfeeding in primiparous women with congenital heart disease: a register study
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap.ORCID-id: 0000-0003-0976-6910
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
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2024 (Engelska)Ingår i: International Breastfeeding Journal, E-ISSN 1746-4358, Vol. 19, nr 1, artikel-id 19Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: The 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.

Methods: The 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.

Results: Fewer 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).

Conclusions: The 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.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2024. Vol. 19, nr 1, artikel-id 19
Nationell ämneskategori
Kardiologi Omvårdnad
Identifikatorer
URN: urn:nbn:se:umu:diva-222559DOI: 10.1186/s13006-024-00627-yPubMedID: 38509505Scopus ID: 2-s2.0-85188251664OAI: oai:DiVA.org:umu-222559DiVA, id: diva2:1846095
Forskningsfinansiär
Umeå universitetNorrländska HjärtfondenHjärt-LungfondenRiksförbundet HjärtLungTillgänglig från: 2024-03-21 Skapad: 2024-03-21 Senast uppdaterad: 2024-04-11Bibliografiskt granskad

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Holstad, YlvaJohansson, BengtLindqvist, MariaWestergren, AgnetaBay, Annika

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Holstad, YlvaJohansson, BengtLindqvist, MariaWestergren, AgnetaBay, Annika
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Institutionen för omvårdnadInstitutionen för kirurgisk och perioperativ vetenskapObstetrik och gynekologi
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International Breastfeeding Journal
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