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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
SUPPLEMENT ARTICLE

Why Mothers Stop Breastfeeding: Mothers' Self-reported Reasons for Stopping During the First Year

Ruowei Li, Sara B. Fein, Jian Chen and Laurence M. Grummer-Strawn
Pediatrics October 2008, 122 (Supplement 2) S69-S76; DOI: https://doi.org/10.1542/peds.2008-1315i
Ruowei Li
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Sara B. Fein
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Jian Chen
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Laurence M. Grummer-Strawn
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Article Figures & Data

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    TABLE 1

    Characteristics of the Study Sample According to Infants' Age at Weaning

    CharacteristicTotal (N = 1323), %Infants' Age When Breastfeeding Was Completely Stopped, mo
    <1 (n = 320), %1–2 (n = 302), %3–5 (n = 268), %6–8 (n = 183), %≥9 (n = 250), %
    Age, ya
        18–2422.635.324.821.313.711.6
        25–2934.032.233.834.735.035.2
        30–3428.021.924.529.532.235.6
        ≥3515.310.616.914.619.117.6
    Marital statusa
        Unmarried21.330.928.520.211.58.8
        Married78.769.171.579.988.591.2
    Paritya
        Primiparous32.741.633.433.626.224.4
        Multiparous67.358.466.666.473.875.6
    Educationa
        High school or less20.028.122.516.016.413.2
        Some college40.647.544.038.832.835.2
        College graduate39.524.433.445.250.851.6
    Income as percentage of federal poverty levela
        <185%39.046.642.034.332.835.2
        185%–349%35.031.933.834.739.337.6
        ≥350%26.021.624.231.027.927.2
    Postpartum WIC participationa
        No62.148.853.665.379.872.8
        Yes37.951.346.434.720.227.2
    Race
        Non-Hispanic white84.184.779.584.085.887.6
        Non-Hispanic black4.46.64.34.52.72.8
        Hispanic7.36.99.37.86.65.6
        Other4.21.97.03.74.94.0
    Regiona
        Northeast15.313.416.614.614.218.0
        Midwest30.834.729.531.729.028.0
        South33.237.535.432.130.628.0
        West20.614.418.521.626.226.0
    • ↵a P < .01 for association between characteristic and weaning age.

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    TABLE 2

    Percentage of Mothers Who Indicated That Specified Reasons Were Important in Their Decision to Stop Breastfeeding, According to Infants' Age at Weaning

    Reasons Cited as ImportantInfants' Age When Breastfeeding Was Completely Stopped, moAverage
    <11–23–56–8≥9
    Lactational factor
        My baby had trouble sucking or latching ona53.727.111.02.61.519.2
        My nipples were sore, cracked, or bleedinga36.823.27.25.74.215.4
        My breasts were overfull or engorgeda23.912.34.81.61.28.8
        My breasts were infected or abscesseda8.15.73.13.13.14.6
        My breasts leaked too mucha14.18.03.81.61.95.9
        Breastfeeding was too painfula29.315.83.43.74.211.3
    Psychosocial factor
        Breastfeeding was too tiringa19.817.211.07.85.312.2
        Breastfeeding was too inconvenienta20.422.418.612.54.215.6
        I wanted to be able to leave my baby for several hours at a timea11.224.118.215.67.315.3
        I had too many household dutiesa12.614.09.65.23.89.0
        I wanted or needed someone else to feed my babya16.423.221.017.26.116.8
        Someone else wanted to feed the babya13.515.512.05.73.410.0
        I did not want to breastfeed in publica14.918.615.14.74.611.6
    Nutritional factor
        Breast milk alone did not satisfy my baby49.755.649.149.543.549.5
        I thought that my baby was not gaining enough weighta23.018.311.014.18.415.0
        A health professional said my baby was not gaining enough weighta19.815.28.69.95.011.7
        I had trouble getting the milk flow to starta41.423.219.614.65.720.9
        I didn't have enough milka51.752.254.043.826.045.5
    Lifestyle factor
        I did not like breastfeedinga16.410.96.23.11.97.7
        I wanted to go on a weight-loss diet6.67.210.310.96.58.3
        I wanted to go back to my usual diet5.59.57.25.25.06.5
        I wanted to smoke again or more than I did while breastfeedinga6.05.23.41.00.83.3
        I wanted my body back to myselfa8.913.216.818.815.714.7
    Medical factor
        My baby became sick and could not breastfeeda9.57.45.56.31.96.1
        I was sick or had to take medicinea14.416.314.812.58.013.2
        I was not present to feed my baby for reasons other than work3.26.95.25.22.74.6
        I became pregnant or wanted to become pregnant againa1.73.43.46.812.25.5
    Milk-pumping factor
        I could not or did not want to pump or breastfeed at worka11.222.421.313.54.614.6
        Pumping milk no longer seemed worth the effort that it requireda16.721.223.717.711.518.2
    Infant's self-weaning factor
        My baby began to bitea5.25.713.438.531.718.9
        My baby lost interest in nursing or began to wean himself or herselfa13.219.733.147.947.332.2
        My baby was old enough that the difference between breast milk and formula no longer mattereda5.211.416.526.628.217.6
    • ↵a P < .01 for association between each reason and weaning age after adjustments for maternal age, marital status, parity, education, poverty, WIC participation, race, and region.

    • View popup
    TABLE 3

    Relative Likelihood (Adjusted Odds Ratio) That Women in Various Sociodemographic Categories Considered Selected Reasons as Important in Their Decision to Stop Breastfeeding

    VariableMy Baby Had Trouble Sucking or Latching OnI Wanted or Needed Someone Else to Feed the BabyBreast Milk Alone Did not Satisfy My BabyI Wanted My Body Back to MyselfI Was Sick or Had to Take MedicinePumping Milk no Longer Seemed Worth the Effort That It RequiredMy Baby Lost Interest in Nursing or Began to wean Himself or Herself
    Age, y
        18–240.901.460.781.730.751.370.73
        25–291.111.050.941.210.871.330.88
        30–340.611.051.121.000.951.271.07
        ≥35ReferentReferentReferentReferentReferentReferentReferent
    Marital status
        Unmarried0.751.191.001.081.141.011.08
        MarriedReferentReferentReferentReferentReferentReferentReferent
    Parity
        Primiparous1.70a0.881.080.56a0.791.41a1.39a
        MultiparousReferentReferentReferentReferentReferentReferentReferent
    Education
        High school or less0.950.670.890.52a0.990.33a0.87
        Some college0.840.730.840.65a0.880.61a0.93
        College graduateReferentReferentReferentReferentReferentReferentReferent
    Income as percentage of federal poverty level
        <185%1.061.191.45a0.821.380.731.40
        185%–349%0.931.141.36a0.741.040.941.40
        ≥350%ReferentReferentReferentReferentReferentReferentReferent
    Postpartum WIC participation
        NoReferentReferentReferentReferentReferentReferentReferent
        Yes1.150.991.180.771.110.961.10
    Race
        Non-Hispanic whiteReferentReferentReferentReferentReferentReferentReferent
        Non-Hispanic black1.070.941.061.361.000.401.84
        Hispanic1.100.981.63a1.350.920.980.89
        Other1.121.351.121.281.500.721.09
    Region
        Northeast0.721.210.800.991.241.100.88
        Midwest0.821.390.910.940.641.040.82
        South0.56a1.020.930.810.960.850.93
        WestReferentReferentReferentReferentReferentReferentReferent
    • Adjusted Odds ratios listed for each sociodemographic category were obtained after controlling for all the others shown plus weaning age.

    • ↵a Significantly different from the referent category (95% confidence interval did not include 1).

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Why Mothers Stop Breastfeeding: Mothers' Self-reported Reasons for Stopping During the First Year
Ruowei Li, Sara B. Fein, Jian Chen, Laurence M. Grummer-Strawn
Pediatrics Oct 2008, 122 (Supplement 2) S69-S76; DOI: 10.1542/peds.2008-1315i

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Why Mothers Stop Breastfeeding: Mothers' Self-reported Reasons for Stopping During the First Year
Ruowei Li, Sara B. Fein, Jian Chen, Laurence M. Grummer-Strawn
Pediatrics Oct 2008, 122 (Supplement 2) S69-S76; DOI: 10.1542/peds.2008-1315i
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