Risk Factors for Cessation of Breastfeeding Prior to Six Months Postpartum among a Community Sample of Women in Calgary, Alberta

Abstract

Women who participated in the Community Perinatal Care study (CPC), a trial of increasing support during pregnancy, were contacted by telephone and asked to participate in a follow-up study when their child was three years of age. As part of the trial, women completed three telephone questionnaires, conducted at 1) study intake, 2) 32-36 weeks gestation, and 3) eight weeks postpartum. Comprehensive demographic, obstetric, lifestyle, mental health, psychosocial, parenting and resource use information was obtained, and was used for risk factor assessment in the current study. The methodology of the CPC study has been described in detail elsewhere 29 and adhered to the CONSORT statement. The trial inter

Cumulative risks and cessation of exclusive breast feeding: Australian cross-sectional survey

“…Our results found a much smaller relationship between socio-economic status and cessation of exclusive breast feeding that would be expected on the basis of the widely acknowledged relationship between socio-economic disadvantage and lower rates of any and exclusive breast feeding 10 31 37. SEIFA was only weakly associated with cessation.…”

Hospital re-admission of late preterm or term infants is not a factor influencing duration of predominant breastfeeding

“…Our study results concur with several studies that demonstrate that higher education17 30 31 and not smoking17 30 32 are positively associated with breastfeeding duration. Contrary to our findings, other studies have found an association between marital status17 34–36 and older maternal age17 30 32–34 and breastfeeding duration. Most of those studies examined exclusive breast feeding while our study reports on predominant breastfeeding.…”

“…Our study results are consistent with other research finding an association between maternal obesity and duration of breastfeeding 26–30. Obesity may complicate the mechanics of breastfeeding interfering with an infant's ability to latch to a large nipple and pendulous breast.…”

“…Our study did not identify an association between postpartum depression and duration of breastfeeding as have other studies,37 38 but we did not measure depression during pregnancy where a strong association has been identified 30. Only 5.4% (95% CI 4.3% to 6.4 %) of women in our sample had depression scores greater than 13 which is a lower proportion than close to 9% identified in a cross-sectional study of Albertan and Canadian women 39.…”

Low-Level Prenatal Toxin Exposures and Breastfeeding Duration: A Prospective Cohort Study

“…Breastfeeding initiation and duration appear to be negatively affected by both active and passive maternal smoking (Chou et al 2008; Donath and Amir 2004; Kehler et al 2009; Liu et al 2006; Weiser et al 2009; Amir and Donath 2002). Some studies have shown a dose-response relationship (Amir and Donath 2002), and stopping smoking in pregnancy may improve duration (Liu et al 2006).…”