Journal
JOURNAL OF HUMAN LACTATION
Volume 27, Issue 1, Pages 33-40Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0890334410386955
Keywords
breastfeeding initiation; smoking; failure to breastfeed
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Funding
- Tennessee Governor's Office on Children's Care Coordination
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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. J Hum Lact. 27(1):33-40.
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