Maternal Sense of Control During Childbirth and Infant Feeding Method.

Title

Maternal Sense of Control During Childbirth and Infant Feeding Method.

Creator

Dude A; Fette LM; Reddy UM; Tita ATN; Silver RM; El-Sayed YY; Wapner RJ; Rouse DJ; Saade GR; Thorp JM; Chauhan SP; Iams JD; Chien EK; Casey BM; Srinivas SK; Swamy GK; Simhan HN

Publisher

Obstetrics and Gynecology

Date

2020
2020-03

Description

OBJECTIVE: To estimate whether maternal sense of control in labor is associated with breastfeeding at 4-8 weeks postpartum. METHODS: This is a secondary analysis of data from a multicenter randomized controlled trial of elective induction of labor at 39 weeks of gestation in low-risk nulliparous women. In this trial, women completed the Labor Agentry Scale, a validated measure of women's feelings of control over the childbirth process, 6-96 hours after delivery. The Labor Agentry Scale score, which is higher with more perceived control during childbirth, was analyzed both as a continuous and a categorical variable (quintiles). Self-reported breastfeeding at 4-8 weeks postpartum was categorized as exclusive breastfeeding, breastfeeding and formula feeding, or exclusive formula feeding. Women were included in this analysis if they labored, filled out a Labor Agentry Scale questionnaire, had a neonate who survived until the postpartum visit, and provided information on infant feeding. Multinomial logistic regression was used to adjust for confounders. RESULTS: Of 5,185 women, 32.9% (n=1,705) were exclusively breastfeeding, 31.2% (n=1,620) were breastfeeding and formula feeding, and 35.9% (n=1,860) were exclusively formula feeding 4-8 weeks after delivery. Overall Labor Agentry Scale score ranged from 34 to 203 (median 167, interquartile range 145-182). The median Labor Agentry Scale score was 169 (interquartile range 151-183) for women exclusively breastfeeding, 166 (interquartile range 142-182) for women who were breastfeeding and formula feeding, and 164 (interquartile range 142-181) for women who were only formula feeding (P<.001). In the unadjusted multinomial model, women with Labor Agentry Scale scores in the lowest two quintiles (ie, those with lower perceived control during childbirth) were less likely to be exclusively breastfeeding (as compared with those exclusively formula feeding) than women in the highest Labor Agentry Scale quintile. When controlling for confounders, however, this association was no longer significant. CONCLUSION: After adjustment for confounders, perceived control during childbirth was not associated with breastfeeding at 4-8 weeks postpartum among nulliparous women. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT01990612.

Subject

Humans; Pregnancy; Adult; Female; Young Adult; Personal Autonomy; Breast Feeding/psychology; Delivery Obstetric/psychology

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

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Pages

583-590

Issue

3

Volume

135

ISSN

1873-233X 0029-7844 0029-7844

Update Year & Number

Hospital List

Citation

Dude A; Fette LM; Reddy UM; Tita ATN; Silver RM; El-Sayed YY; Wapner RJ; Rouse DJ; Saade GR; Thorp JM; Chauhan SP; Iams JD; Chien EK; Casey BM; Srinivas SK; Swamy GK; Simhan HN, “Maternal Sense of Control During Childbirth and Infant Feeding Method.,” NEOMED Bibliography Database, accessed April 24, 2024, https://neomed.omeka.net/items/show/11417.