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Vol. 24 - Num. 94

Original Papers

Breastfeeding promoting factors: LATMAGAL study

Carmen González Méndeza, Raquel López Rodríguezb, Pablo Diéguez Reyc, Jorge Suanzes Hernándezd, Carmen Amparo Rodríguez Lombardíae, Rosaura Leis Trabazof, Grupo LACTMATGAL

aServicio de Pediatría. Hospital Universitario Germans Trias i Pujol. Universidad Autónoma de Barcelona. Barcelona. España.
bMIR-Alergología. Hospital Universitario de A Coruña. A Coruña. España.
cMIR-Traumatología. Hospital Universitario del Henares. Coslada. Madrid. España.
dCoordinador Unidade de Apoio á Investigación. Responsable UICEC A Coruña - INIBIC / SCReN (ISCIII). Complejo Hospitalario Universitario de A Coruña. A Coruña. España.
ePediatra. CS Do Castrillón. A Coruña. España.
fServicio de Pediatría. Hospital Clínico Universitario de Santiago. Santiago de Compostela. A Coruña. España.

Correspondence: C González . E-mail:

Reference of this article: González Méndez C, López Rodríguez R, Diéguez Rey P, Suanzes Hernández J, Rodríguez Lombardía CA, Leis Trabazo R, et al. Breastfeeding promoting factors: LATMAGAL study. Rev Pediatr Aten Primaria. 2022;24:127-36.

Published in Internet: 13-06-2022 - Visits: 736


Introduction: the WHO recommends exclusive breastfeeding (EBF) up to 6 months of life due to its proven benefits. The latest published studies show that this objective is currently not being accomplished. The aim of this study was to determine the prevalence of breastfeeding (BF) in a Galician population, and the factors that promoted and limited breastfeeding.

Methods: observational and cross-sectional descriptive study through anonymous surveys of mothers of babies aged from 12 to 18 months (n = 280) in primary care paediatrics clinics.

Results: we found a prevalence of 85.3% for BF initiation, of 47.2% for EBF at 6 months and of only 38.9% for BF maintenance at 1 year. We found a higher frequency of BF initiation in rural settings (87.1% vs. 83.5%), although BF duration was greater in urban settings (EFB6 53.1% vs. 35.5%). We identified the recommendation by professionals to start BF during the puerperium and BF guidance before discharge from hospital as the main factors that promoted BF (p <0.01). Supervision of the first feedings increased the probability of initiation of BF by up to 3 times. The main BF limiting factors were insufficient milk production (p = 0.01), maternal health problems (p = 0.01) and the end of maternal leave (p = 0.04).

Conclusion: We found a higher prevalence of BF initiation and EBF at 6 months compared to other Spanish studies. Increasing promotion of BF in both the hospital and primary care setting and supervision of the first feedings are important strategies to achieve figures that approximate the targets set in international breastfeeding recommendations.




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