Breastfeeding practices in a cohort of inner-city women: the role of contraindications

England, Lucinda; Brenner, Ruth; Bhaskar, Brinda; Simons-Morton, Bruce; Das, Abhik; Revenis, Mary; Mehta, Nitin; Clemens, John
January 2003
BMC Public Health;2003, Vol. 3 Issue 1, p28
Academic Journal
Background: Little is known about the role of breastfeeding contraindications in breastfeeding practices. Our objectives were to 1) identify predictors of breastfeeding initiation and duration among a cohort of predominately low-income, inner-city women, and 2) evaluate the contribution of breastfeeding contraindications to breastfeeding practices. Methods: Mother-infant dyads were systematically selected from 3 District of Columbia hospitals between 1995 and 1996. Breastfeeding contraindications and potential predictors of breastfeeding practices were identified through medical record reviews and interviews conducted after delivery (baseline). Interviews were conducted at 3-7 months postpartum and again at 7-12 months postpartum to determine breastfeeding initiation rates and duration. Multivariable logistic regression analysis was used to identify baseline factors associated with initiation of breastfeeding. Cox proportional hazards models were generated to identify baseline factors associated with duration of breastfeeding. Results: Of 393 study participants, 201 (51%) initiated breastfeeding. A total of 61 women (16%) had at lease one documented contraindication to breastfeeding; 94% of these had a history of HIV infection and/or cocaine use. Of the 332 women with no documented contraindications, 58% initiated breastfeeding, vs. 13% of women with a contraindication. In adjusted analysis, factors most strongly associated with breastfeeding initiation were presence of a contraindication (adjusted odds ratio [AOR], 0.19; 95% confidence interval [CI], 0.08-0.47), and mother foreign-born (AOR, 4.90; 95% CI, 2.38-10.10). Twenty-five percent of study participants who did not initiate breastfeeding cited concern about passing dangerous things to their infants through breast milk. Factors associated with discontinuation of breastfeeding (all protective) included mother foreign-born (hazard ratio [HR], 0.55; 95% CI 0.39-0.77) increasing maternal age (HR for 5-year increments, 0.80; 95% CI, 0.69-0.92), and infant birth weight ≥ 2500 grams (HR, 0.45; 95% CI, 0.26-0.80). Conclusions: Breastfeeding initiation rates and duration were suboptimal in this inner-city population. Many women who did not breastfeed had contraindications and/or were concerned about passing dangerous things to their infants through breast milk. It is important to consider the prevalence of contraindications to breastfeeding when evaluating breastfeeding practices in high-risk communities.


Related Articles

  • Estimates of exclusive breastfeeding rates among mother-infant dyads in Quetzaltenango, Guatemala, vary according to interview method and time frame. van Beusekom, Ilse; Vossenaar, Marieke; Montenegro-Bethancourt, Gabriela; Doak, Colleen M.; Solomons, Noel W. // Food & Nutrition Bulletin;Jun2013, Vol. 34 Issue 2, p160 

    Background. The World Health Organization (WHO) recommends exclusive breastfeeding, defined as receiving only breastmilk, through the first 6 months of life to optimize survival, health, and development. Objective. To assess exclusive and predominant breastfeeding rates, as defined by WHO, in a...

  • NEWBORNNUTRITION.  // Countdown;Fall2005, Vol. 26 Issue 4, p40 

    The article discusses nutrition for newborns. Breast milk is the healthiest diet for a newborn as it has an adequate amount of nutrients and prevent the newborn from various diseases. Breastfeeding also helps mothers in the form of maternal weight loss, a decrease in the risk of several cancers...

  • Personalised iron supply for prophylaxis and treatment of pregnant women as a way to ensure normal iron levels in their breast milk. Marin, G. H.; Mestorino, N.; Errecalde, J.; Huber, B.; Uriarte, A.; Orchuela, J. // Journal of Medicine & Life;Jan-Mar2012, Vol. 5 Issue 1, p29 

    Rationale: Because the characteristics of all body fluids depends on patient's health status, is it possible that disadvantaged and socially vulnerable mothers may have lower amounts of iron in their breast milk, and that their babies receive lower content of the mineral for their normal growth...

  • EMZÄ°RME DÖNEMÄ°NDEKÄ° KADINLARIN GÄ°YSÄ° SORUNLARININ ARAÅžTIRILMASI. ÜNAL, Zümrüt BAHADIR // Journal of Textile & Apparel / Tekstil ve Konfeksiyon;2009, Vol. 19 Issue 4, p323 

    Maternal milk is the healthiest way for feeding babies. Every healthy mother wants to feed her baby with maternal milk instead of commercial milk. Benefit of this can not be discussed for both parties. However some mothers want to return to their working life after few months. Even sometimes...

  • Back to the Breast.  // Time;7/19/1968, Vol. 92 Issue 3, p59 

    The article focuses on the assistance for women regarding breastfeeding provided by the Chicago, Illinois-based La Leche League International. It mentions that surplus milk is volunteered by La Leche members to babies allergic to cow's milk and milk of their mothers. It also states that La Leche...

  • Prenatal breastfeeding intervention program to increase breastfeeding duration among low income women. Hatamleh, Wajed // Health (1949-4998);Mar2012, Vol. 4 Issue 3, p143 

    Extensive research confirms the nutritional, economic, biomedical, immunological, and psychological advantages of breast milk. Despite the clear benefits of breastfeeding to mother and infant, breastfeeding rates today continue to remain below the recommended levels in the United States, most...

  • working without weaning. Sears, William; Sears, Martha // Baby Talk;Dec2005, Vol. 70 Issue 10, p88 

    The article offers tips to mothers to make breastfeeding and working easier at the same time. The first thing to do is to realize that adjusting to the new demands of working and pumping breast milk is about handling oneself. Prioritize taking care of oneself. Eat well, get enough sleep and have...

  • Does Ramadan fasting influence breastmilk? Gunduz, Suzan; Usak, Esma; Karacan, Candemir // HealthMed;2013, Vol. 7 Issue 3, p837 

    Objective: Ramadan is the holiest month of Islam and muslims fast during this month, however, pregnant and nursing women are not obliged to fast. They can postpone this religious duty to a further time. Despite this flexibility a great number of nursing and pregnant women fast. The aim of this...

  • Behind the headlines: Do labour drugs reduce breastfeeding? Moberly, Tom // GP: General Practitioner;9/11/2009, p20 

    The article focuses on a study conducted by researcher Sue Jordan and colleagues regarding the impact of clotting agents and painkillers on women's health. The study found that women's ability to breastfeed their babies may be reduced by painkillers. According to the study, to support women at...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics