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Influences on breast feeding initiation and duration
G Sayers1, L Thornton, R Corcoran
1Eastern Health Board, Naas, Co. Kildare.
Irish Journal of Medical Science
|October 1, 1995
Summary
Breastfeeding initiation was 38% at birth, with higher social class and maternal breastfeeding history being key factors. Duration was shorter for smokers, but this effect diminished after adjusting for social class.
Area of Science:
- Public Health
- Maternal and Child Health
- Epidemiology
Background:
- Understanding breastfeeding initiation and duration is crucial for infant health.
- Socioeconomic and familial factors may influence breastfeeding practices.
Purpose of the Study:
- To determine the prevalence of breastfeeding at birth, 4, and 12 weeks.
- To identify factors associated with breastfeeding initiation and duration.
Main Methods:
- A cohort study of 145 mother-infant pairs in Kildare, born in May 1993.
- Interviewer-administered questionnaires were used during home visits.
- Data collected at birth, 4-6 weeks, and 12-14 weeks postpartum.
Main Results:
- Breastfeeding initiation was 38% at birth.
- Prevalence decreased to 8% at 4 weeks and 7% at 12 weeks.
- Higher social class and maternal grandmother's breastfeeding history were associated with initiation.
- Smoking and unemployment were linked to lower initiation and shorter duration, but these effects were confounded by social class.
Conclusions:
- Breastfeeding rates declined significantly in the first 12 weeks postpartum.
- Social class and family history are important determinants of breastfeeding initiation.
- Targeted interventions considering socioeconomic factors may improve breastfeeding duration.