PEDIATRICS Vol. 75 No. 3 March 1985, pp. 508-513
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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


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