PEDIATRICS Vol. 75 No. 3 March 1985, pp. 508-513
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Loughlin, H. H.
Right arrow Articles by McCutchen, T. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Loughlin, H. H.
Right arrow Articles by McCutchen, T. M.

Early Termination of Breast-Feeding: Identifying Those at Risk

Howard H. Loughlin MD1, Nancy E. Clapp-Channing RN, MPH1, Stephen H. Gehlbach MD, MPH1, John C. Pollard MD1, and Thomas M. McCutchen MD1

1 From Valley Pediatrics, Fayetteville, and the Department of Community and Family Medicine, Duke University Medical Center, Durham, North Caroilna

In a private pediatric practice, 94 infants who were breast-feeding were followed for the first 2 months of life in order to define the frequency of cessation of breast-feeding and to identify factors that would predict mothers and infants at risk for early cessation.

At 8 weeks, 30% of the mothers had stopped nursing. Factors associated with cessation were: maternal lack of confidence in breast-feeding (P < .001); anticipated duration of nursing less than 6 months (P = .002); ratings by the nursery staff of infant's excessive crying (P = .007), infant's demanding personality (P = .007), trouble with féeding (P = .001), and future trouble with feeding (P = .004). Together, these factors predicted 77% of the mothers who terminated breast-feeding. Supplementing with formula before the 2-week office visit also led to termination of breast-feeding by 8 weeks (P = .006). This decision was frequently made without medical advice. Nearly 64% (14/22) of the mothers who added formula within the first 2 weeks did so without contacting the pediatric practice.

Key Words: breast-feeding • ambulatory care

Submitted on August 15, 1983
Accepted on April 16, 1984




This article has been cited by other articles:


Home page
 J Hum LactHome page
A. J. Gagnon, G. Leduc, K. Waghorn, H. Yang, and R. W. Platt
In-Hospital Formula Supplementation of Healthy Breastfeeding Newborns
J Hum Lact, November 1, 2005; 21(4): 397 - 405.
[Abstract] [PDF]

Home page
 J Hum LactHome page
R. J. Blyth, D. K. Creedy, C.-L. Dennis, W. Moyle, J. Pratt, S. M. De Vries, and G. N. Healy
Breastfeeding Duration in an Australian Population: The Influence of Modifiable Antenatal Factors
J Hum Lact, February 1, 2004; 20(1): 30 - 38.
[Abstract] [PDF]

Home page
 PediatricsHome page
C. R. Howard, F. M. Howard, B. Lanphear, S. Eberly, E. A. deBlieck, D. Oakes, and R. A. Lawrence
Randomized Clinical Trial of Pacifier Use and Bottle-Feeding or Cupfeeding and Their Effect on Breastfeeding
Pediatrics, March 1, 2003; 111(3): 511 - 518.
[Abstract] [Full Text] [PDF]

Home page
 J Hum LactHome page
M. M. Torres, R. R. D. Torres, A. M. P. Rodriguez, and C.-L. Dennis
Torres et al Spanish Breastfeeding Self-Efficacy Scale Translation and Validation of the Breastfeeding Self-Efficacy Scale Into Spanish: Data From a Puerto Rican Population
J Hum Lact, February 1, 2003; 19(1): 35 - 42.
[Abstract] [PDF]

Home page
 Obstet GynecolHome page
G. M. Leung, T.-H. Lam, and L.-M. Ho
Breast-Feeding and Its Relation to Smoking and Mode of Delivery
Obstet. Gynecol., May 1, 2002; 99(5): 785 - 794.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
I. O. Ertem, N. Votto, and J. M. Leventhal
The Timing and Predictors of the Early Termination of Breastfeeding
Pediatrics, March 1, 2001; 107(3): 543 - 548.
[Abstract] [Full Text]

Home page
 J. Nutr.Home page
D. J. Chapman and R. Perez-Escamilla
Maternal Perception of the Onset of Lactation Is a Valid, Public Health Indicator of Lactogenesis Stage II
J. Nutr., December 1, 2000; 130(12): 2972 - 2980.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
S. Arora, C. McJunkin, J. Wehrer, and P. Kuhn
Major Factors Influencing Breastfeeding Rates: Mother's Perception of Father's Attitude and Milk Supply
Pediatrics, November 1, 2000; 106(5): 67e - 67.
[Abstract] [Full Text]

Home page
 J Hum LactHome page
N. Register, M. Eren, D. Lowdermilk, R. Hammond, and M. R. Tully
Knowledge and Attitudes of Pediatric Office Nursing Staff About Breastfeeding
J Hum Lact, August 1, 2000; 16(3): 210 - 215.
[Abstract] [PDF]

Home page
 J Hum LactHome page
D. J. Chapman and R. Perez-Escamilla
Does Delayed Perception of the Onset of Lactation Shorten Breastfeeding Duration?
J Hum Lact, June 1, 1999; 15(2): 107 - 111.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
P. D. Hill, S. S. Humenick, M. L. Brennan, and D. Woolley
Does Early Supplementation Affect Long-Term Breastfeeding?
Clinical Pediatrics, June 1, 1997; 36(6): 345 - 350.
[Abstract] [PDF]

Home page
 J Hum LactHome page
H. Kim
Support of Breastfeeding through Telephone Counseling in Korea
J Hum Lact, March 1, 1997; 13(1): 29 - 32.
[Abstract] [PDF]

Home page
 J Hum LactHome page
S. S. Humenick and P. D. Hill
Salespeople and the Lactation Army: Taking a Stand for Health and Human Milk
J Hum Lact, March 1, 1996; 12(1): 5 - 8.
[PDF]

Home page
 J Hum LactHome page
P. H. Isabella and R. A. Isabella
Correlates of Successful Breastfeeding: A Study of Social and Personal Factors
J Hum Lact, December 1, 1994; 10(4): 257 - 264.
[Abstract] [PDF]

Home page
 J Hum LactHome page
N. Kistin, R. Abramson, and P. Dublin
Effect of Peer Counselors on Breastfeeding Initiation, Exclusivity, and Duration Among Low-income Urban Women
J Hum Lact, March 1, 1994; 10(1): 11 - 15.
[Abstract] [PDF]

Home page
 J Hum LactHome page
J. E. Bagwell, O. W. Kendrick, K. R. Stitt, J. D. Leeper, M. L. Espy, and M. L. Gedel
Breastfeeding Among Women in the Alabama WIC Program
J Hum Lact, December 1, 1992; 8(4): 205 - 208.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
A. S. Ryan, J. L. Wysong, G. A. Martinez, and S. D. Simon
Duration of Breast-feeding Patterns Established in the Hospital: Influencing Factors Results from a National Survey
Clinical Pediatrics, February 1, 1990; 29(2): 99 - 107.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
L. K. Grossman, S. M. Fitzsimmons, J. B. Larsen-Alexander, L. Sachs, and C. Harter
The Infant Feeding Decision in Low and Upper Income Women
Clinical Pediatrics, January 1, 1990; 29(1): 30 - 37.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
G. F. Hayden, G. A. Nowacek, W. Koch, and J. Kattwinkel
Providing Free Samples of Baby Items to Newly Delivered Parents: An Unintentional Endorsement?
Clinical Pediatrics, March 1, 1987; 26(3): 111 - 115.
[Abstract] [PDF]