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The Ontario Mother and Infant Survey: Breastfeeding OutcomesCity of Hamilton Social and Public Health Services Department, Dundas Office, P.O. Box 897, 2 King StreetWest, Dundas, Ontario, L9H6Z1 Canada
Clinical Epidemiology and Biostatistics, McMaster University, Ontario, Canada
School of Social Work, Faculty of Social Sciences, McMaster University, Ontario, Canada
School of Nursing, Faculty of Health Sciences, McMaster University, Ontario, Canada
City of Hamilton Social and Public Health Services Department, Ontario, Canada Across-sectional survey of postpartumwomen following discharge from five hospitals in Ontario, Canada, examined breastfeeding patterns and risk factors for early discontinuation. Consenting mothers completed self-administered questionnaires prior to discharge (n = 1250) and telephone interviews at 4 weeks postdischarge (n = 875). Breastfeeding initiation rates for women completing the interview varied from 82% to 96% across the sites. Continuation rates rapidly declined, with 13% to 24% ofwomen who had initiated breastfeeding switching to formula by 4 weeks postpartum. Perceived inadequate milk supply, difficulty with breastfeeding techniques, and sore nipples were the main reasons reported. Risk factors for breastfeeding cessation included not completing high school; intention to breastfeed less than 4 months; not anticipating the use of a "mom's group" or "drop-in center"; one or more maternal visits to a family physician; length of postpartum stay greater than 48 hours; unmet need for care or help with breastfeeding; and received advice, information, or support about formula feeding.
Key Words: breastfeeding • initiation • duration • survey • risk factors
Journal of Human Lactation, Vol. 17, No. 3,
211-219 (2001) This article has been cited by other articles:
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