Risk factors related to intention to breastfeed, early weaning and suboptimal duration of breastfeeding
Article first published online: 10 SEP 2007
©2007 The Author(s)/Journal Compilation © 2007 Foundation Acta Pædiatrica/Acta Pædiatrica
Volume 96, Issue 10, pages 1441–1444, October 2007
How to Cite
Ladomenou, F., Kafatos, A. and Galanakis, E. (2007), Risk factors related to intention to breastfeed, early weaning and suboptimal duration of breastfeeding. Acta Paediatrica, 96: 1441–1444. doi: 10.1111/j.1651-2227.2007.00472.x
- Issue published online: 10 SEP 2007
- Article first published online: 10 SEP 2007
- Received 12 February 2007; revised 10 July 2007; accepted 17 July 2007.
- Breastfeeding duration;
- Breastfeeding promotion;
- Early weaning
Aim: To identify maternal and infantile factors affecting intention to breastfeed, early weaning and duration of breastfeeding.
Design/subjects: In a prospective cohort study, 1049 mothers were interviewed after delivery and at 1, 3, 6, 9 and 12 months post-partum.
Results: Of 1049 mothers, 942 (89.7%) intended to breastfeed. Negative attitude was associated with lack of breastfeeding previous offspring, multiparity, admission to neonatal ward, tobacco use, prematurity and male gender (OR: 10.1, 2.67, 3.02, 2.63, 2.40 and 1.54, respectively). Six hundred and twenty-three mothers (60.7%) were breastfeeding at month 1. Early weaning was associated with lack of breastfeeding previous offspring, tobacco use, prematurity, admission to neonatal ward, caesarean section (OR: 12.3, 3.39, 2.33, 2.22, 1.34), low education (p < 0.0001) and young age (p = 0.034). Factors negatively affecting total duration of breastfeeding included lack of breastfeeding previous offspring (3.91 vs. 16.2 weeks, p < 0.001), tobacco use (6.78 vs. 15.9 weeks, p < 0.001), low education (p < 0.001), early re-employment (12.5 vs. 15.1 weeks, p < 0.01) and prematurity (p < 0.005).
Conclusion: Maternal negative attitude, tobacco use and early re-employment are factors negatively affecting breastfeeding that can be liable to intervention. All health professionals involved in perinatal medicine share a part of responsibility in sustaining breastfeeding, particularly in high-risk groups of mothers.