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Journal of Human Lactation
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A Description of the Relationship between Breastfeeding Experiences, Breastfeeding Satisfaction, and Weaning in the First 3 Months after Birth

Margaret Cooke, RN, CM, BA (Psych), PhD

Athena Sheehan, RN, CM, BN, MN

Virginia Schmied, RN, CM, BA, MA, PhD

This longitudinal study describes the relationships among breastfeeding experiences, maternal breastfeeding satisfaction (measured by the Maternal Breastfeeding Evaluation Scale [MBFES]), and weaning in the first 3 months postpartum. Postal surveys were used to collect data antenatally and at 2 weeks, 6 weeks, and 3 months postpartum from 365 women recruited from 3 public hospitals in Australia. Breastfeeding problems were associated with a reduction in MBFES subscale scores (P < .05) but not with weaning. Infant breastfeeding satisfaction subscale score was negatively associated with perceived inadequate milk supply (P < .05) and positively associated with engorgement (P < .05). Significant predictors of weaning at all points were total MBFES score in the lowest tertile (adjusted odds ratios [ORs]: 2 weeks, 21.9; > 2-6 weeks, 14.6; > 6 weeks to 3 months, 6.4) and leaking milk (adjusted ORs: ≤ 2 weeks, 0.23;>2-6 weeks, 0.19;>6 weeks to 3 months, 0.15). Perceived inadequate milk was a significant predictor only for weaning > 2 to 6 weeks (adjusted OR=4.2). J Hum Lact. 19(2):145-156.

Key Words: breastfeeding • weaning • breastfeeding problems • MBFES

Journal of Human Lactation, Vol. 19, No. 2, 145-156 (2003)
DOI: 10.1177/0890334403252472
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