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Journal of Human Lactation
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Breastfeeding Initiation Rates Derived From Electronic Birth Certificate Data in New Jersey

Lori Feldman-Winter, MD

Department of Pediatrics at the University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine; 40 East Laurel Road Suite 100, Stratford, NJ 08084, USA.

Lakota Kruse, MD, MPH

Division of Family Health Services at the New Jersey Department of Health and Senior Services, Trenton, New Jersey.

Chris Mulford, RN, IBCLC

Southern New Jersey Perinatal Cooperative, Pennsauken, New Jersey.

Florence Rotondo, IBCLC

WIC Services at the New Jersey Department of Health and Senior Services, Trenton, New Jersey.

Increasing breastfeeding initiation has been a national goal since Healthy People targets were first set in 1979. Sensitive methods used to measure incidence of breastfeeding initiation are important in the evaluation of breastfeeding trends. The authors used the statewide electronic birth certificate (EBC) as a surveillance system to measure breastfeeding initiation rates in New Jersey from 1997 to 2000. Overall breastfeeding initiation rates rose over the 4 years surveyed, yet exclusive breastfeeding rates remained stable. Trends demonstrated persistent racial and ethnic disparities in breastfeeding practices. The EBC was a valuable tool for monitoring breastfeeding initiation rates and evaluating the statewide goal of increasing exclusive breastfeeding.

Key Words: breastfeeding • exclusive breastfeeding • data collection • birth certificate

Journal of Human Lactation, Vol. 18, No. 4, 373-378 (2002)
DOI: 10.1177/089033402237911
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