Factors Associated With Exclusive Breastfeeding in the United States

Jones, Jessica R.; Kogan, Michael D.; Singh, Gopal K.; Dee, Deborah L.; Grummer‐Strawn, Laurence M.

doi:10.1542/peds.2011-0841

Cited by 202 publications

(231 citation statements)

References 28 publications

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“…In the present study, early weaning was reported in approximately 30% of the sample, a value higher than expected according to WHO [13]. The same trend has also been observed in other studies [10,14,17,18].…”

Section: Discussionsupporting

confidence: 89%

Factors Associated with Early Weaning

Moraes¹,

Moreira

Drugowick³

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To identify the factors that influenced early weaning and its incidence among children from six months old in five public hospitals of two states -Minas Gerais and Bahia, Brazil. Material and Methods: The sample (N = 104) was of convenience type composed of mothers of six-month-old infants from five public hospitals. Mothers answered a personal interview by phone when the child was six months old. Data analysis was performed by the association between the dependent variable, early weaning, and independents variables, maternal age, mother's marital status, education and job, family income, maternal belief about the amount of milk produced to be or not enough to feed her baby and breastfeeding interruption reason, through the chi-square test in SPSS software version 17.0 (p<0.05). Results: Among the relationships found, only maternal belief in milk failure was significantly associated with early weaning (p <0.001). Most mothers who did not perform early weaning believed they had satisfactory amount of milk (66.7%). The general weaning rate was ≅ 30%. Conclusion: Early weaning was related to maternal belief that the amount of milk was insufficient to meet the needs of the newborn and its incidence was high in the study population.

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Section: Discussionsupporting

confidence: 89%

Factors Associated with Early Weaning

Moraes¹,

Moreira

Drugowick³

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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“…On the other hand, the IFPS II sample was largely Caucasian, educated, and well off. Given the direct association between low socioeconomic status and breastfeeding difficulties in our sample and in other studies, 43 our analysis BMI, body mass index; EPDS, Edinburgh Postnatal Depression Scale; MV, multivariable; OR, odds ratio.…”

Section: Discussionmentioning

confidence: 94%

Prevalence and Risk Factors for Early, Undesired Weaning Attributed to Lactation Dysfunction

Stuebe

Horton²,

Chetwynd³

et al. 2014

Journal of Women's Health

118

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Background: Breastfeeding durations in the United States fall short of public health objectives. We sought to quantify the prevalence and identify risk factors for early, undesired weaning that mothers attribute to physiologic difficulties with breastfeeding. Methods: We analyzed data from the Infant Feeding Practices Study (IFPS) II, a longitudinal study of US women. We defined disrupted lactation as early, undesired weaning attributed to at least two of the following three problems: breast pain, low milk supply, and difficulty with infant latch. We used logistic regression to estimate the association maternal body mass index (BMI), postpartum depressive symptoms, and disrupted lactation. Results: Of 4,902 women enrolled in the IFPS II, we analyzed 2,335 women who reported prenatal intention and breastfeeding initiation. The prevalence of disrupted lactation was 12 per 100 women (95% confidence interval [CI] 11, 13) during the first year of life. Women in this group weaned earlier (median 1.2 months, interquartile range [IQR] 0.5-2.8) than women without disrupted lactation (median 7.0 months, IQR 2.8-2.0, p < 0.01). In multivariable-adjusted (MV-adj.) models, we found increased odds of disrupted lactation among overweight (odds ratio [OR] 1.6, 95% CI 1.1-2.3) or obese (OR 1.7, 95% CI 1.2-2.6) women, compared with women with a normal pregravid BMI. Maternal depressive symptoms at 2 months, defined as Edinburgh Postnatal Depression Scale ‡ 13, were also associated with disrupted lactation (MV-adj. OR 1.7, 95% CI 1.1-2.7). Conclusion: In a longitudinal sample of US women, disrupted lactation affected one in eight mothers who initiated breastfeeding. These findings underscore the need for both improved early breastfeeding support and targeted research to define the underlying pathophysiology and to determine management strategies that will enable more mothers to achieve their breastfeeding goals.

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“…A 2007 National Survey of Children' s Health study in .25 000 children aged 6 months through 5 years revealed that although children with birth weights ,1500 g were more likely to have been breastfed than children with normal or above-normal birth weights, this trend was not observed among children born with birth weights of 1500 to ,2500 g. 19 A possible reason for these findings is that premature infants are not fed by mouth until they reach ∼34 weeks' postconception age and mothers of very preterm and/or very low birth weight infants who are interested in breastfeeding are pumping and storing breast milk to be fed via gavage tubes. On the other hand, mothers of LPT infants and/or moderately low birth weight infants who are interested in breastfeeding are most likely attempting to breastfeed shortly after birth and may confront feeding difficulties due to their infant' s developmental immaturity, which may preclude them from continuation.…”

Section: Breastfeedingmentioning

confidence: 99%

Discharge Timing, Outpatient Follow-up, and Home Care of Late-Preterm and Early-Term Infants

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Infants born late-preterm and early-term are at higher risk of morbidity and mortality compared with term infants. Home care practices recommended for all infants include supine sleep position, no smoke exposure, and breastfeeding to optimize health outcomes. WHAT THIS STUDY ADDS:Our study provides new findings on the timing of hospital discharge, outpatient follow-up, and home care of late-preterm and early-term infants compared with term infants in the United States. abstract OBJECTIVE: To compare the timing of hospital discharge, time to outpatient follow-up, and home care practices (breastfeeding initiation and continuation, tobacco smoke exposure, supine sleep position) for late-preterm (LPT; 34 0/7-36 6/7 weeks) and earlyterm (ET; 37 0/7-38/6/7 weeks) infants with term infants. METHODS:We analyzed 2000-2008 data from the Centers for Disease Control and Prevention' s Pregnancy Risk Assessment Monitoring System. x 2 Analyses were used to measure differences in maternal and infant characteristics, hospital discharge, outpatient care, and home care among LPT, ET, and term infants. We calculated adjusted risk ratios for the risk of adverse care outcomes among LPT and ET infants compared with term infants. RESULTS:In the adjusted analysis, LPT infants were less likely to be discharged early compared with term infants, whereas there was no difference for ET infants (odds ratio [OR; 95% confidence interval CONCLUSIONS: Given that LPT and ET infants bear an increased risk of morbidity and mortality, greater efforts are needed to ensure safe and healthy posthospitalization and home care practices for these vulnerable infants.

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Factors Associated With Exclusive Breastfeeding in the United States

Cited by 202 publications

References 28 publications

Factors Associated with Early Weaning

Factors Associated with Early Weaning

Prevalence and Risk Factors for Early, Undesired Weaning Attributed to Lactation Dysfunction

Discharge Timing, Outpatient Follow-up, and Home Care of Late-Preterm and Early-Term Infants

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