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Clinical Pediatrics
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What's this?

Breast-Feeding Rates at an Inner-City Pediatric Practice

Lydia Furman, MD

Department of Pediatrics, Rainbow Babies and Children's Hospital, lydia.furman{at}uhhospitals.org

Bridget C. Combs, BA

School of Medicine, Case Western Reserve University Cleveland, Ohio

Ashley D. Alexander, BA

School of Medicine, Case Western Reserve University Cleveland, Ohio

Mary Ann O'riordan, MS

Department of Pediatrics, Rainbow Babies and Children's Hospital

Objective To determine rates of breast-feeding in the first 2 months of life at an inner-city pediatric practice.

Methods Using retrospective chart reviews, we examined all visits through 2 months of age for infants seen from April 1, 2007, to June 29, 2007, at the Pediatric Practice of Rainbow Babies and Children's Hospital, Cleveland, Ohio, which serves a low-income urban population. Rates of breast-feeding were analyzed by visit number and by infant age category.

Results We reviewed all 557 visits occurring between birth and 2 months of age for all 223 eligible infants. At visit 1 (median age 5 days), the rates of exclusive and any breast-feeding were 22.0% and 40.8%, respectively. By visit 3 (median age 43 days), the rates of exclusive and any breast-feeding were 10.6% and 24.5%, respectively.

Conclusions These inner-city breast-feeding rates are substantially below reported regional and national rates. Barriers to implementing urgently needed interventions are discussed.

Key Words: breast-feeding • breast-feeding exclusive • low-income population • adolescents

This version was published on November 1, 2008

Clinical Pediatrics, Vol. 47, No. 9, 873-882 (2008)
DOI: 10.1177/0009922808320601
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