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Using a breastfeeding prevalence survey to identify a population for targeted programs
C M Barber1, T Abernathy, B Steinmetz
1Toronto Public Health Department, Ontario.
Summary
Most mothers in Toronto initiate breastfeeding, but rates decline significantly by four months postpartum. Targeted programs are needed to support breastfeeding duration among specific high-risk populations.
Area of Science:
- Public Health
- Maternal and Child Health
- Epidemiology
Background:
- Improving population health often necessitates targeted interventions for high-risk groups.
- Breastfeeding initiation and duration are key indicators of infant and maternal health outcomes.
Purpose of the Study:
- To determine breastfeeding initiation and duration rates in Toronto.
- To identify factors impacting breastfeeding duration among diverse maternal groups.
Main Methods:
- A random sample of 434 mothers with four-month-old infants in Toronto was surveyed.
- Data collected on breastfeeding prevalence, exclusivity, and supplementation.
Main Results:
- 83% of mothers initiated breastfeeding at birth; rates declined significantly within the first month.
- At four months postpartum, 57% continued breastfeeding (35% exclusively, 22% supplemented).
- Key factors influencing duration included support, parity, education, formula use, and country of birth.
Conclusions:
- Specific maternal groups in Toronto require targeted breastfeeding support programs.
- Strategies are proposed to improve breastfeeding duration and address identified disparities.