To investigate the duration of breastfeeding and the impact of maternal factors for cessation of breastfeeding in twin infants, the authors undertook a population-based cohort study. Breastfeeding data obtained from Child Health Centres were matched with data on infant and maternal demographics from Swedish national registers. A total of 1.657 twins were included, of whom 695 were born preterm. Breastfeeding frequencies in preterm twins were 79% at 2 months, 58% at 4 months, 39% at 6 months, 14% at 9 months, and 6% at 12 months. In term twins, the corresponding frequencies were 84%, 63%, 45%, 18%, and 6%, respectively. In both preterm and term mothers, mothers who had a lower educational level or smoked at first antenatal care visit were subject to earlier cessation of breastfeeding by 6 months of age. In addition, in mothers of term infants, mothers who were < 23 years old or primiparous had a higher risk for cessation of breastfeeding before 6 months. Thus, mothers of twins have a good potential to breastfeed, but additional support is needed for those more susceptible to early cessation of breastfeeding. J Hum Lact. 26(3):235-241.
Hoddinott P. , Tappin D., Wright C.Breast feeding. BMJ. 2008;336:881-887.
2.
Schanler RJ, Shulman RJ, Lau C.Feeding strategies for premature infants: beneficial outcomes of feeding fortified human milk versus preterm formula. Pediatrics. 1999;103:1150-1157.
3.
World Health Organization (WHO).Global Strategy for Infant and Young Child Feeding. Geneva , Switzerland: WHO; 2003.
4.
Kramer MS, Guo T., Platt RW, et al. Breastfeeding and infant growth: biology or bias?Pediatrics. 2002;110(pt 1):343-347.
5.
National Board of Health and Welfare.Breast-Feeding, Children Born 2005. Stockholm: Centre for Epidemiology; 2007.
6.
Flacking R., Nyqvist KH, Ewald U.Effects of socioeconomic status on breastfeeding duration in mothers of preterm and term infants. Eur J Public Health. 2007 ;17:579-584.
7.
Dennis CLBreastfeeding initiation and duration: a 1990-2000 literature review. J Obstet Gynecol Neonatal Nurs. 2002;31:12-32.
8.
Callen J., Pinelli J.Incidence and duration of breastfeeding for term infants in Canada, United States, Europe, and Australia: a literature review. Birth . 2004;31:285-292.
9.
Hill PD, Aldag JC, Zinaman M., Chatterton RTPredictors of preterm infant feeding methods and perceived insufficient milk supply at week 12 postpartum. J Hum Lact.2007;23:32-38; quiz 39-43.
10.
Donath S., Amir L.Rates of breastfeeding in Australia by state and socio-economic status: evidence from the 1995 National Health Survey. J Paediatr Child Health.2000;36:164-168.
11.
Butler S., Williams M., Tukuitonga C., Paterson J.Factors associated with not breastfeeding exclusively among mothers of a cohort of Pacific infants in New Zealand. N Z Med J.2004;117:U908.
12.
Visness CM, Kennedy KIMaternal employment and breast-feeding: findings from the 1988 National Maternal and Infant Health Survey. Am J Public Health. 1997;87:945-950.
13.
Flacking R. , Nyqvist KH, Ewald U., Wallin L.Long-term duration of breastfeeding in Swedish low birth weight infants. J Hum Lact. 2003 ; 19:157-165.
14.
Lande B., Andersen LF, Baerug A., et al. Infant feeding practices and associated factors in the first six months of life: the Norwegian infant nutrition survey. Acta Paediatr. 2003;92:152-161.
15.
Kelly YJ, Watt RG, Nazroo JYRacial/ethnic differences in breastfeeding initiation and continuation in the United Kingdom and comparison with findings in the United States. Pediatrics. 2006;118:} e1428-e1435.
16.
Ryan AS, Pratt WF, Wysong JL, Lewandowski G., McNally JW, Krieger FWA comparison of breast-feeding data from the National Surveys of Family Growth and the Ross Laboratories Mothers Surveys. Am J Public Health . 1991;81:1049-1052.
17.
Branum AM, Schoendorf KCChanging patterns of low birthweight and preterm birth in the United States, 1981-98. Paediatr Perinat Epidemiol. 2002;16:8-15.
18.
Yokoyama Y., Yamashiro M., Ooki S.Birth weight and height characteristics of triplets [in Japanese]. Nippon Koshu Eisei Zasshi. 2003;50: 216-224.
19.
Damato EG, Dowling DA, Standing TS, Schuster SDExplanation for cessation of breastfeeding in mothers of twins. J Hum Lact. 2005;21: 296-304.
20.
Yokoyama Y. , Wada S., Sugimoto M., Katayama M., Saito M., Sono J.Breastfeeding rates among singletons, twins and triplets in Japan: a population-based study. Twin Res Hum Genet. 2006;9:298-302.
21.
Yokoyama Y. , Ooki S.Breast-feeding and bottle-feeding of twins, triplets and higher order multiple births. Jpn J Public Health . 2004;51: 969-974.
22.
Leonard LGBreastfeeding rights of multiple birth families and guidelines for health professionals. Twin Res. 2003;6:34-45.
23.
Damato EG, Dowling DA, Madigan EA, Thanattherakul C.Duration of breastfeeding for mothers of twins. J Obstet Gynecol Neonatal Nurs. 2005;34:201-209.
24.
Uvnas-Moberg K., Widstrom AM, Werner S., Matthiesen AS, Winberg J.Oxytocin and prolactin levels in breast-feeding women: correlation with milk yield and duration of breast-feeding. Acta Obstet Gynecol Scand. 1990;69:301-306.
25.
Nissen E., Gustavsson P., Widstrom AM, Uvnas-Moberg K.Oxytocin, prolactin, milk production and their relationship with personality traits in women after vaginal delivery or Cesarean section. J Psychosom Obstet Gynaecol.1998;19:49-58.
26.
Scott JA, Binns CWFactors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeeding Rev. 1999 ;7:5-16.
27.
Bar-Yam NB, Darby L.Fathers and breastfeeding: a review of the literature. J Hum Lact. 1997;13:45-50.
28.
Flacking R. , Ewald U., Nyqvist KH, Starrin B.Trustful bonds: a key to "becoming a mother" and to reciprocal breastfeeding: stories of mothers of very preterm infants at a neonatal unit. Soc Sci Med. 2006;62:70-80.
29.
Flacking R. , Ewald U., Starrin B. "I wanted to do a good job": experiences of becoming a mother and breastfeeding in mothers of very preterm infants after discharge from a neonatal unit. Soc Sci Med. 2007;64:2405-2416.
30.
Ekstrom A., Widstrom AM, Nissen E.Breastfeeding support from partners and grandmothers: perceptions of Swedish women. Birth. 2003;30:261-266.
31.
Roller CGGetting to know you: mothers’ experiences of kangaroo care. J Obstet Gynecol Neonatal Nurs. 2005;34:210-217.
32.
Flacking R.Breastfeeding and Becoming a Mother: Influences and Experiences of Mothers of Preterm Infants [PhD thesis]. Uppsala, Sweden: Uppsala University; 2007.
33.
Kohlhuber M. , Rebhan B., Schwegler U., Koletzko B., Fromme H.Breastfeeding rates and duration in Germany: a Bavarian cohort study. Br J Nutr. 2008;99:1127-1132.
Ekstrom A., Nissen E.A mother’s feelings for her infant are strengthened by excellent breastfeeding counseling and continuity of care. Pediatrics. 2006;118:e309-e314.
Blyth R., Creedy DK, Dennis CL, Moyle W., Pratt J., De Vries SMEffect of maternal confidence on breastfeeding duration: an application of breastfeeding self-efficacy theory. Birth. 2002;29:278-284.
38.
Laaksonen M. , Rahkonen O., Karvonen S., Lahelma E.Socioeconomic status and smoking: analysing inequalities with multiple indicators. Eur J Public Health . 2005;15:262-269.
39.
Donath SM, Amir LHThe relationship between maternal smoking and breastfeeding duration after adjustment for maternal infant feeding intention. Acta Paediatr . 2004;93:1514-1518.
40.
Waldenstrom U., Aarts C.Duration of breastfeeding and breastfeeding problems in relation to length of postpartum stay: a longitudinal cohort study of a national Swedish sample. Acta Paediatr. 2004;93:669-676.
41.
Lucas A., Cole TJ, Morley R., et al. Factors associated with maternal choice to provide breast milk for low birthweight infants. Arch Dis Child. 1988;63:48-52.
42.
Killersreiter B., Grimmer I., Buhrer C., Dudenhausen JW, Obladen M.Early cessation of breast milk feeding in very low birthweight infants. Early Hum Dev. 2001;60:193-205.
