How to achieve long-term breast-feeding: factors associated with early discontinuation
Aysu Duyan Camurdan1, Mustafa N Ilhan, Ufuk Beyazova
1Department of Social Pediatrics, Gazi University School of Medicine, Ankara, Turkey.
Objectives:
To evaluate the factors associated with discontinuation of breast-feeding before 12 months in order to make suggestions for achieving long-term breast-feeding.
Design:
A descriptive cross-sectional study.
Setting:
Gazi University Medical School, Ankara, Turkey.
Subjects:
Mothers of 1230 children who discontinued breast-feeding at least 15 d before the last visit were asked to fill out a questionnaire about the discontinuation process. Logistic regression analysis was performed to assess the independent effects of factors that might influence breast-feeding discontinuation.
Results:
Mean breast-feeding duration of the study group was 11.04 (SD 7.45) months. Introduction of bottle-feeding correlated with discontinuation of breast-feeding (r=0.507, P = 0.001). Important risk factors for discontinuation of breast-feeding before the first 12 months were not exclusively breast-feeding at 3 and 6 months, prematurity, not having a plan about breast-feeding duration and maternity leave duration of
Conclusion:
The factors that improve long-term breast-feeding are successful exclusive breast-feeding in the first few months, intention of the mother to breast-feed and sufficient duration of maternity leave. This study emphasizes the importance of successful breast-feeding counselling during the first few months to achieve the desired long-term breast-feeding.
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