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Related Experiment Videos

Longitudinal patterns of breastfeeding initiation.

Lakota Kruse1, Charles E Denk, Lori Feldman-Winter

  • 1Division of Family Health Services, New Jersey Department of Health and Senior Services, Trenton, New Jersey 08625-0364, USA. lkruse@doh.state.nj.us

Maternal and Child Health Journal
|October 19, 2005
PubMed
Summary

Breastfeeding rates fluctuate between siblings. Many mothers switch feeding methods, showing opportunities exist to increase breastfeeding recurrence and recruitment for better public health outcomes.

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Epidemiology

Background:

  • Breastfeeding offers significant health benefits but national goals remain unmet.
  • Prevalence is lower in disadvantaged groups and decreases with subsequent children.
  • Understanding changes in infant feeding practices across births is crucial.

Purpose of the Study:

  • To analyze breastfeeding status fluidity between a mother's first and second birth.
  • To identify rates of breastfeeding recurrence and recruitment.
  • To examine demographic disparities in these feeding transitions.

Main Methods:

  • Utilized longitudinally linked New Jersey Electronic Birth Certificate data (1996-2001).
  • Tracked breastfeeding status at hospital discharge for mothers' successive births.

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  • Analyzed recurrence (continued breastfeeding) and recruitment (initiated breastfeeding) rates.

    • Main Results:

    • Significant fluidity observed in breastfeeding practices between births.
    • Exclusive breastfeeding recurrence was 69%; exclusive formula feeding recruitment was 16%.
    • Combination feeding after the first birth led to exclusive breastfeeding in 38% of second births.
    • Recurrence and recruitment rates varied by race/ethnicity and immigrant status.

    Conclusions:

    • Breastfeeding initiation is not solely based on fixed maternal preferences.
    • Opportunities exist to enhance breastfeeding rates by improving recurrence and recruitment.
    • Targeted interventions can help achieve national breastfeeding goals.