RT Journal Article T1 Factors that influence mothers’ prenatal decision to breastfeed in Spain A1 Ballesta Castillejos, Ana A1 Gómez Salgado, Juan A1 Rodríguez Almagro, Julián Javier A1 Ortiz Esquinas, Inmaculada A1 Hernández Martínez, Antonio AB Background: Parents’ decisions about how to feed their newborns are influenced by multiple factors. Our objectivewas to identify the factors that can influence the decision to breastfeed.Methods: Cross-sectional observational online study was conducted in Spain on women who gave birth between2013 and 2018. The total number of participants was 5671. Data collection was after approval by the ethicscommittee in 2019. The data were collected retrospectively because the information was obtained from womenwho were mothers during the years 2013–2018. An online survey was distributed to breastfeeding associations andpostpartum groups. Multivariate analysis with binary logistic regression was done to calculate the Adjusted OddsRatios (aOR). The main result variable was “intention to breastfeed”.Results: Ninety-seven percent (n = 5531) of women made the decision to breastfeed prior to giving birth. Theinternet played a role in deciding to breastfeed in 33.7% (n = 2047) of women, while 20.1% (n = 1110) said the samething about their midwife. We identified five significant factors associated with the mother’s prenatal decision tobreastfeed: attending maternal education (aOR 2.10; 95% CI 1.32, 3.34), having two (aOR 0.52; 95% CI 0.28, 0.99) andthree children (aOR 0.24; 95% CI 0.10, 0.59), previous breastfeeding experience (aOR 6.99; 95% CI 3.46, 14.10), supportfrom partner (aOR 1.58; 95% CI 1.09,2.28) and having a condition during pregnancy (aOR 0.62; 95% CI 0.43, 0.91).Conclusions: Factors related with previous breastfeeding experience and education for mothers are decisive when itcomes to making the decision to breastfeed. Given the proven influence that partners have in decision-making, it isimportant for them to be fully involved in the process. PB BMC SN 1746-4358 YR 2020 FD 2020-12 LK http://hdl.handle.net/10272/19115 UL http://hdl.handle.net/10272/19115 LA eng NO Ballesta Castillejos, A., Gómez Salgado, J., Rodríguez Almagro, J., Ortiz Esquinas, I., & Hernández Martínez, A. (2020). Factors that influence mothers’ prenatal decision to breastfeed in Spain. International Breastfeeding Journal, 15(1). DOI: https://doi.org/10.1186/s13006-020-00341-5 DS Repositorio Institucional de la Universidad de Huelva RD 31 may 2026