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Duration of Breast-feeding Patterns Established in the Hospital

Influencing Factors Results from a National Survey

Ross Laboratories, 625 Cleveland Avenue, Columbus, Ohio

Jeffrey L. Wysong, MS

Ross Laboratories, 625 Cleveland Avenue, Columbus, Ohio

Gilbert A. Martinez, BA

Ross Laboratories, 625 Cleveland Avenue, Columbus, Ohio

Stephen D. Simon, PhD

Ross Laboratories, 625 Cleveland Avenue, Columbus, Ohio

Data from a national survey of new mothers were analyzed to determine the effect that demographic characteristics, breast-feeding instructions, and infant formula discharge kits had on breast-feeding patterns established in the hospital. Results indicated that mothers who exclusively breast-fed their infant were more likely to be affluent, college educated, and not working outside the home. Mothers who exclusively breast-fed their infants in the hospital and subsequently practiced partial breast-feeding or formula, or cow's milk feeding were more likely to return to the work force within the first 6 postpartum months. Mothers who partially breast-fed their infants in the hospital were more likely to have a low-birth-weight neonate.

Stepwise logistic regression analysis indicated that greater total family income, a better education, and having more than one child had positive significant effects on exclusive breast-feeding by the first and fourth month. Women who received a formula discharge kit compared with those who did not had a slightly higher probability of initiating partial breast-feeding (10 vs. 7% by the first month; 27 vs. 25% by the fourth month). Maternal employment had a large impact on duration of exclusive breast-feeding. By the fourth month, mothers who were employed had a higher probability of initiating partial breast-feeding (43 vs. 19%) compared with mothers who were not in the work force.

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