PEDIATRICS Vol. 90 No. 5 November 1992, pp. 760-766
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Single Daily Bottle Use in the Early Weeks Postpartum and Breast-Feeding Outcomes

Linda Cronenwett PhD, RN1, Therese Stukel PhD1, Margaret Kearney MS. RN1, Jane Barrett MSc1, Chandice Covington PhD, RN2, Kristen Del Monte MS, RN3, Robert Reinhardt MD4, and Laurie Rippe RN1

1 From the Department of Nursing and Community & Family Medicine, Dartmouth-Hitchcock Medical Center, Hanover, NH
2 From the Wayne State University College of Nursing, Detroit, MI; School of Nursing and Department of Family Practice, The University of Michigan
3 From the School of Nursing and Department of Family Practice, The University of Michigan
4 From the Family Practice Residency Program, Michigan State University-Kalamazoo Center for Medical Studies, Kalamazoo; and at time of study, School of Nursing and Department of Family Practice, The University of Michigan

A prospective study of breast-feeding mothers was undertaken to determine the effects of limited bottle use and infant temperament on breast-feeding outcomes. White, married, primigravida women who were committed prenatally to breast-feeding for at least 6 weeks (n = 121) were randomly assigned to one of two groups: a planned bottle group that would offer one bottle daily between the second and sixth weeks postpartum and a total breast-feeding group that would avoid bottles during the same period. Group assignment had no effect on the occurrence of breast-feeding problems, on mothers' achievement of 90% of their prenatal breast-feeding duration goals, or on weeks to weaning across the study period. At 6 months postpartum, 59% of the planned bottle group and 69% of the total breast-feeding group were still breast-feeding. No main or interactive effects of infant temperament on breast-feeding outcomes were found.

Key Words: breast-feeding • supplementation • infant temperament • infant feeding • breast-feeding duration

Submitted on August 5, 1991
Accepted on June 1, 1992




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