A quasi-experimental six months longitudinal study of women planning to breastfeed was carried out in Vancouver, B.C., Canada. The purpose was to increase breastfeeding duration through the provision of nursing support, and information about breastfeeding. This paper reports on the patterns of infant feeding by 131 mothers for six months postpartum. Included are data on initiation of breastfeeding, feeding intervals, supplementation, initiating semi-solids and duration of breastfeeding. Unsupplemented breastfeeding declined from 90.8%, at the time of discharge from hospital to 65% at one month, 45% at three months and 3.9% at six months. For some infants, semi-solids were introduced at one month and by three months 11.4%, were being fed semi-solids. The implications for health care professionals caring for breastfeeding women are outlined.
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References
1.
American Academy of Pediatrics (1978). Pediatrics, 62, 591–601.
2.
AhnC.H.MacLeanW.C. (1980). Growth of the exclusively breast-fed infant. American Journal of Clinical Nutrition, 33, 183–192.
3.
BaerF.C. (1981). Promoting breastfeeding: a national responsibility. Studies in Family Planning, 12, 198–206.
4.
BeskeE.J.GarvisM.S. (1982). Important factors in breastfeeding success. M.C.N., 7, 174–179.
5.
CeruttiF.R. (1981). The management of breastfeeding. Birth and the Family Journal, 8, 251–256.
6.
ColeJ. (1977). Breastfeeding in the Boston suburbs in relation to personal-social factors. Clinical Pediatrics16, 352–356.
7.
DavisD.P. (1981). The physiology of lactation and its clinical application. Maternal Child Health, 6, 212–217.
8.
DelvoyeP.DemaegdM.Delogne-DesnockJ. (1977). The influence of the frequency of nursing and of previous lactation experience on serum prolactin in lactating mothers. Journal of Biosocial Science, 9, 447.
9.
de ChâteauP.WinbergJ. (1978). Immediate postpartum suckling contact and duration of breastfeeding. Journal of Maternal and Child Health, 3, 392–395.
10.
EgliG.E.EgliN.S.NewtonM. (1966). The influence of the number of breast feedings on milk production. Pediatrics, 27, 314.
11.
EllisD.J.HewatR.J. (1983). Do nurses help or hinder mothers who breastfeed? Journal of Advanced Nursing, 8, 281–288.
12.
EllisD.J.HewatR.J. (1984). Factors related to breastfeeding duration. Canadian Family Physician, 30, 1479–1484.
13.
FieldhouseP. (1984). A revival in breastfeeding. Canadian Journal of Public Health, 75, 128–132.
14.
FomonS.J.FilerL.J.AndersI.A.ZieglerE.E. (1979). Recommendations for feeding normal infants. Pediatrics, 63, 52.
15.
GillieL. (1976). Difficulties and discouragements encountered by mothers. Journal of Human nutrition, 30, 248–252.
16.
GramsK.E. (1978). Breast-feeding: a means of imparting immunity? The American Journal of Maternal Child Nursing, 3, 340–344.
17.
HartmannP.E.KulskiJ.K.RattiganS.ProsserC.G.SaintL. (1981). Breastfeeding and reproduction in women in Western Australia — a review. Birth and the Family Journal, 8, 215–226.
18.
IllingworthR.S.StoneD.C.H.JowettG.H.ScottJ.F. (1952). Self-demand feeding in a maternity unit. Lancet, 1, 683–687.
19.
JelliffeD.B.JelliffeE.F.P. (1977). Current concepts in nutrition: breast is best: modern meanings. The New England Journal of Medicine, 297, 912–915.
20.
KlausM.H.KennellJ.H. (1982). Parent-Infant Bonding, 2nd ed. St. Louis, The C.Y. Mosby Co., p.48.
21.
LadasA.K. (1970). How to help mothers breastfeed: directions from a survey. Clinical Pediatrics, 9, 702–705.
22.
MartinJ.MonkJ. (1983). Trends in breastfeeding. Maternal and Child Health, Feb., 72–78.
23.
McNallyE.HendricksS.HorowitzI. (1985). A look at breast-feeding trends in Canada (1963–1982). Canadian Journal of Public Health, 76, 101–107.
24.
MyresA.W.WatsonJ.HarrisonC. (1981). The national breastfeeding promotion program 1. Professional phase—a note on its development, distribution and impact. Canadian Journal of Public Health, 72, 307–311.
25.
NewtonM.NewtonN. (1951). Postpartum engorgement of the breast. American Journal of Obstetrics and Gynecology, 61, 664.
26.
NewtonN. (1971). Psychologic differences between breast and bottle feeding. American Journal of Clinical Nutrition, 24, 993–1004.
27.
OlmsteadR.W.JacksonE.B. (1950). Self-demand feeding in the first week of life. Pediatrics, 6, 396.
28.
PipesP.L. (1977). When should semisolid foods be fed to infants? Journal of Nutrition Education, 9, 57–59.
29.
SalariyaE.M.EastonP.M.CaterJ.I. (1978). Duration of breastfeeding after early initiation and frequent feeding. Lancet, 2, 1141.
30.
SjölinS.HofvanderY.HillervikC. (1979). A prospective study of individual courses of breastfeeding. ACTA Paediatrica Scandinavica, 68, 521–529.
31.
SloperK.McKeanL.BaumJ.D. (1975). Factors influencing breastfeeding. Archives of Diseases in Childhood, 50, 165–170.
32.
StrongR.A. (1949). Rooming-in the newborn with its lying-in mother. Diplomate, 21, 301.
33.
WHO/UNICEF (1979). Infant and young child feeding. WHO Chronicle, 33, 435–443.
34.
WingJ. (1977). Human versus cow's milk in infant nutrition and health: update 1977. Current Problems in Pediatrics, 8, 3–50.
35.
WinikoffB.BaerE.C. (1980). The obstetrician's opportunity: translating “breast is best” from theory to practice. American Journal of Obstetrics and Gynecology, 138, 105–115.
36.
YeungD.L.PennellM.D.LeungM.HallJ. (1981). Breastfeeding: prevalence and influencing factors. Canadian Journal of Public Health, 72, 323–330.
