TY - JOUR
T1 - Breastfeeding initiation in a rural sample
T2 - Predictive factors and the role of smoking
AU - Bailey, Beth A.
AU - Wright, Heather N.
PY - 2011/2
Y1 - 2011/2
N2 - The study objective was to identify demographic, medical, and health behavior factors that predict breastfeeding initiation in a rural population with low breastfeeding rates. Participants were 2323 women who experienced consecutive deliveries at 2 hospitals, with data obtained through detailed chart review. Only half the women initiated breastfeeding, which was significantly associated with higher levels of education, private insurance, nonsmoking and non-drug-using status, and primiparity, after controlling for confounders. Follow-up analyses revealed that smoking status was the strongest predictor of failure to breastfeed, with nonsmokers nearly twice as likely to breastfeed as smokers and with those who had smoked a pack per day or more the least likely to breastfeed. Findings reveal many factors placing women at risk for not breastfeeding and suggest that intervention efforts should encourage a combination of smoking cessation and breastfeeding while emphasizing that breastfeeding is not contraindicated even if the mother continues to smoke.
AB - The study objective was to identify demographic, medical, and health behavior factors that predict breastfeeding initiation in a rural population with low breastfeeding rates. Participants were 2323 women who experienced consecutive deliveries at 2 hospitals, with data obtained through detailed chart review. Only half the women initiated breastfeeding, which was significantly associated with higher levels of education, private insurance, nonsmoking and non-drug-using status, and primiparity, after controlling for confounders. Follow-up analyses revealed that smoking status was the strongest predictor of failure to breastfeed, with nonsmokers nearly twice as likely to breastfeed as smokers and with those who had smoked a pack per day or more the least likely to breastfeed. Findings reveal many factors placing women at risk for not breastfeeding and suggest that intervention efforts should encourage a combination of smoking cessation and breastfeeding while emphasizing that breastfeeding is not contraindicated even if the mother continues to smoke.
KW - Breastfeeding initiation
KW - Failure to breastfeed
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=79953899875&partnerID=8YFLogxK
U2 - 10.1177/0890334410386955
DO - 10.1177/0890334410386955
M3 - Article
C2 - 21177987
AN - SCOPUS:79953899875
VL - 27
SP - 33
EP - 40
JO - Journal of Human Lactation
JF - Journal of Human Lactation
SN - 0890-3344
IS - 1
ER -