The reported exclusive breastfeeding rate may be higher than the national average as the sample consisted of women with established intension to breastfeed exclusively.
Mothers of children aged four to seven months were interviewed; 90 % were breastfeeding their children, although only 8 of 125
reported exclusive breastfeeding.
Women who
reported exclusive breastfeeding during their baby's first couple of months were less likely to introduce solid foods earlier than recommended compared to formula - feeding mothers, the CDC researchers found.
USA Today reported that only 23 countries
report exclusive breastfeeding rates at six months above 60 %.
Not exact matches
That is a limitation, but the CDC
Report Card does report the rates in the following categories: (1) Ever Breastfed, (2) Breastfeeding at 6 mos, (3) Breastfeeding at 12 mos, (4) Exclusive Breastfeeding at 3 mos and (5) Exclusive Breastfeeding at
Report Card does
report the rates in the following categories: (1) Ever Breastfed, (2) Breastfeeding at 6 mos, (3) Breastfeeding at 12 mos, (4) Exclusive Breastfeeding at 3 mos and (5) Exclusive Breastfeeding at
report the rates in the following categories: (1) Ever
Breastfed, (2)
Breastfeeding at 6 mos, (3)
Breastfeeding at 12 mos, (4)
Exclusive Breastfeeding at 3 mos and (5)
Exclusive Breastfeeding at 6 mos.
When given exclusively,
breastfeeding reduces the risk of infectious diseases in infants in developing countries.21, 22 In industrialized countries,
exclusive breastfeeding during the first 6 months seems to decrease the risk of gastrointestinal tract infections, compared with
exclusive breastfeeding during only the first 3 to 4 months.23, 24 On the basis of these and other
reports, the World Health Organization recommended in 2001 that all children be exclusively
breastfeed for 6 months instead of 4 months.
Based on those
reports, we created two outcomes: discontinuation of
exclusive breastfeeding (i.e. introducing any foods other than breast milk) before 3 months and discontinuation of
breastfeeding to any degree (weaning) before 12 months.
Although not directly comparable, our findings are in broad agreement with those from routine data in Scotland that have indicated a positive association between Baby Friendly accreditation, but not certification, and
breastfeeding at 1 week of age.17 Our findings reinforce those of Coutinho and colleagues who
reported that high
exclusive breastfeeding rates achieved in Brazilian hospitals implementing staff training with the course content of the Baby Friendly Hospital Initiative were short - lived and not sustained at home unless implemented in combination with post-natal home visits.35 Similarly in Italy, training of staff with an adapted version of the Baby Friendly course content resulted in high
breastfeeding rates at discharge, with a rapid decrease in the days after leaving hospital.36 In contrast, a cluster randomized trial in Belarus (PROBIT) found an association between an intervention modelled on the Baby Friendly Initiative with an increased duration of
breastfeeding37 an association also
reported from an observational study in Germany.38 Mothers in Belarus stay in hospital post-partum for 6 — 7 days, and in Germany for 5 days, with post-natal support likely to be particularly important in countries where mothers stay in the hospital for a shorter time, with early discharge likely to limit the influence of a hospital - based intervention.
Integrated Management of Childhood Illness (IMCI)- Part III - Chapter 11 -
Breastfeeding Nutrient adequacy of exclusive breastfeeding for the term infant during the first six months of life (2002) Geneva, World Health Organization Full text [pdf 278kb] The optimal duration of exclusive breastfeeding: a systematic review Geneva, World Health Organization, 2001 Full text [pdf 1.06 Mb] Report of the expert consultation of the optimal duration of exclusive breastfeeding Report of an expert consultation Geneva, World Health Organization, 28 - 30 March 2001 Full text [pdf 122kb] The WHO Global Data Bank on Infant and Young Child Feeding Breastfeeding and Complementary Feeding Feeding Your Baby From Six Months To One Year Your guide to help you introduce food to your baby Adapted and reproduced with permission of Peel Public Health, Region of Peel A Practical Workbook to Protect, Promote and Support Breastfeeding in Community Based Projects Health Canada, Ottawa, 2002 This workbook is intended to assist the Canada Prenatal Nutrition Program (CPNP) or similar community based prenatal projects to identify strategies and specific actions to protect, promote and support breastfeeding in a population he
Breastfeeding Nutrient adequacy of
exclusive breastfeeding for the term infant during the first six months of life (2002) Geneva, World Health Organization Full text [pdf 278kb] The optimal duration of exclusive breastfeeding: a systematic review Geneva, World Health Organization, 2001 Full text [pdf 1.06 Mb] Report of the expert consultation of the optimal duration of exclusive breastfeeding Report of an expert consultation Geneva, World Health Organization, 28 - 30 March 2001 Full text [pdf 122kb] The WHO Global Data Bank on Infant and Young Child Feeding Breastfeeding and Complementary Feeding Feeding Your Baby From Six Months To One Year Your guide to help you introduce food to your baby Adapted and reproduced with permission of Peel Public Health, Region of Peel A Practical Workbook to Protect, Promote and Support Breastfeeding in Community Based Projects Health Canada, Ottawa, 2002 This workbook is intended to assist the Canada Prenatal Nutrition Program (CPNP) or similar community based prenatal projects to identify strategies and specific actions to protect, promote and support breastfeeding in a population he
breastfeeding for the term infant during the first six months of life (2002) Geneva, World Health Organization Full text [pdf 278kb] The optimal duration of
exclusive breastfeeding: a systematic review Geneva, World Health Organization, 2001 Full text [pdf 1.06 Mb] Report of the expert consultation of the optimal duration of exclusive breastfeeding Report of an expert consultation Geneva, World Health Organization, 28 - 30 March 2001 Full text [pdf 122kb] The WHO Global Data Bank on Infant and Young Child Feeding Breastfeeding and Complementary Feeding Feeding Your Baby From Six Months To One Year Your guide to help you introduce food to your baby Adapted and reproduced with permission of Peel Public Health, Region of Peel A Practical Workbook to Protect, Promote and Support Breastfeeding in Community Based Projects Health Canada, Ottawa, 2002 This workbook is intended to assist the Canada Prenatal Nutrition Program (CPNP) or similar community based prenatal projects to identify strategies and specific actions to protect, promote and support breastfeeding in a population he
breastfeeding: a systematic review Geneva, World Health Organization, 2001 Full text [pdf 1.06 Mb]
Report of the expert consultation of the optimal duration of
exclusive breastfeeding Report of an expert consultation Geneva, World Health Organization, 28 - 30 March 2001 Full text [pdf 122kb] The WHO Global Data Bank on Infant and Young Child Feeding Breastfeeding and Complementary Feeding Feeding Your Baby From Six Months To One Year Your guide to help you introduce food to your baby Adapted and reproduced with permission of Peel Public Health, Region of Peel A Practical Workbook to Protect, Promote and Support Breastfeeding in Community Based Projects Health Canada, Ottawa, 2002 This workbook is intended to assist the Canada Prenatal Nutrition Program (CPNP) or similar community based prenatal projects to identify strategies and specific actions to protect, promote and support breastfeeding in a population he
breastfeeding Report of an expert consultation Geneva, World Health Organization, 28 - 30 March 2001 Full text [pdf 122kb] The WHO Global Data Bank on Infant and Young Child Feeding
Breastfeeding and Complementary Feeding Feeding Your Baby From Six Months To One Year Your guide to help you introduce food to your baby Adapted and reproduced with permission of Peel Public Health, Region of Peel A Practical Workbook to Protect, Promote and Support Breastfeeding in Community Based Projects Health Canada, Ottawa, 2002 This workbook is intended to assist the Canada Prenatal Nutrition Program (CPNP) or similar community based prenatal projects to identify strategies and specific actions to protect, promote and support breastfeeding in a population he
Breastfeeding and Complementary Feeding Feeding Your Baby From Six Months To One Year Your guide to help you introduce food to your baby Adapted and reproduced with permission of Peel Public Health, Region of Peel A Practical Workbook to Protect, Promote and Support
Breastfeeding in Community Based Projects Health Canada, Ottawa, 2002 This workbook is intended to assist the Canada Prenatal Nutrition Program (CPNP) or similar community based prenatal projects to identify strategies and specific actions to protect, promote and support breastfeeding in a population he
Breastfeeding in Community Based Projects Health Canada, Ottawa, 2002 This workbook is intended to assist the Canada Prenatal Nutrition Program (CPNP) or similar community based prenatal projects to identify strategies and specific actions to protect, promote and support
breastfeeding in a population he
breastfeeding in a population health context.
The key finding of the research was that part - time work is important for mothers to sustain
exclusive breastfeeding to 6 months and where employees
reported more workplace support for
breastfeeding, more had exclusively
breastfed at 6 months.
Stopping any
breastfeeding before four to six weeks postpartum, stopping
exclusive breastfeeding before four to six weeks postpartum, stopping any
breastfeeding before six months postpartum andstopping
exclusive breastfeeding before six months postpartum were not explicitly
reported, and there were insufficient data to draw any meaningful conclusions from survival data.
Likewise, stopping
exclusive breastfeeding before four to six weeks postpartum was not explicitly
reported, however, it appears that 12 out of 16 women in the telephone support group and six out of six women in the usual care group stopped
exclusive breastfeeding before four weeks.
The Centers for Disease control and Prevention have
reported: ``... for each month of
exclusive breastfeeding, up to 9 months, the risk of obesity is decreased by 4 %.»
Two studies
reported «
breastfeeding» rates, but did not specify whether this was any or
exclusive; Serwint 1996
reported rates at 30 and 60 days, while Winterburn 2003
reported initiation at birth, and duration at 10 days, one month, six weeks, three months and six months.
Larger randomized trials of
exclusive breastfeeding for the first six months are needed to confirm the findings
reported here, and to exclude differences in the risk of malnutrition in developing countries.
«Duration of
exclusive and nonexclusive
breastfeeding was derived from the first time that the mother
reported to WIC that she had stopped
breastfeeding or introduced formula and the timing of each.»
Observational studies of prolonged (> 6 months)
exclusive versus mixed
breastfeeding, developed countries Infant outcomes No differences in gains in weight and length were
reported in the first 12 months of life in an observational study of infants who were exclusively
breastfed beyond six months versus those exclusively
breastfed for less than six months and mixed
breastfed thereafter (actual data not
reported).
Likewise, stopping
exclusive breastfeeding before four to six weeks postpartum was not explicitly
reported, however it appears that five out of five women in the home nurse visit group and five out of seven women in the usual care group stopped
exclusive breastfeeding before four weeks.
Although professional lactation support can improve the duration of overall breast feeding, its effect in improving
exclusive breast feeding is unclear.11 18 22 Thus far, studies that
report improvement of rates of
exclusive breastfeeding have involved mainly community based peer counselling strategies.23 24 25 Even then, a randomised trial in the UK recently cast doubt on the efficacy of this approach.26 There are current recommendations from NICE for the UK - wide implementation of the baby friendly initiative.4 5 6 The 2006 NICE costing
report on routine postnatal care of women and their babies estimates that efforts to improve rates of breast feeding will result in substantial cost savings for the NHS.6
Studies also
reported individual constraints, especially the perception of having insufficient milk for the baby [11, 20] and the inconvenience of
exclusive breastfeeding especially for mothers returning to work [11, 20, 21].
Only few mothers who intended to exclusively
breastfeed in the first few weeks postpartum and who
reported strong value of
exclusive breastfeeding could exclusively
breastfeed for 3 months.
The United States
Breastfeeding Committee [6] reported misperceptions and fears of exclusive breastfeeding as barriers to exclusive b
Breastfeeding Committee [6]
reported misperceptions and fears of
exclusive breastfeeding as barriers to exclusive b
breastfeeding as barriers to
exclusive breastfeedingbreastfeeding.
The highest
exclusive breastfeeding rates are
reported in eastern and southern regions in Africa (51 %)[9].
In adjusted results, women who
reported that they strongly value
exclusive breastfeeding had more than twice the odds of
exclusive breastfeeding for at least 3 months (Adjusted Odds Ratio [AOR] 2.29; 95 % confidence interval [CI] 1.84, 2.85) and for 6 months (AOR 2.49; 95 % CI 1.76, 3.53) compared to those who did not strongly value
exclusive breastfeeding.
Maternal self -
report of data could have been prone to bias and non-differential misclassification because of the tendency of women to be influenced by their social preferences and or social desirability; thus, women may have over-reported their value and duration of
exclusive breastfeeding.
Obese mothers as well as mothers who had emergency cesarean section deliveries
reported the least odds of
exclusive breastfeeding for 3 or 6 months [33, 34].
Thirty - six percent of women
reported strongly valuing
exclusive breastfeeding out of which 46 % exclusively
breastfeed to three months.
***
Reporting of this measure might help increase awareness of the importance of
exclusive breastfeeding, and reduce hospital provision of non — breast milk fluids to
breastfeeding infants when there is no medical indication for it.
The
report card gives the average
exclusive breastfeeding rate for babies between 0 and 5 months, which is 17 %.
Although some SIDS experts and policy - makers endorse pacifier use recommendations that are similar to those of the AAP, 272,273 concerns about possible deleterious effects of pacifier use have prevented others from making a recommendation for pacifier use as a risk reduction strategy.274 Although several observational studies275, — , 277 have found a correlation between pacifiers and reduced
breastfeeding duration, the results of well - designed randomized clinical trials indicated that pacifiers do not seem to cause shortened
breastfeeding duration for term and preterm infants.278, 279 The authors of 1 study
reported a small deleterious effect of early pacifier introduction (2 — 5 days after birth) on
exclusive breastfeeding at 1 month of age and on overall
breastfeeding duration (defined as any
breastfeeding), but early pacifier use did not adversely affect
exclusive breastfeeding duration.
The percentage point differences between white and black infants in
exclusive breastfeeding through 6 months ranged from − 4.2 in Rhode Island to 17.8 in Wisconsin, and at 12 months duration, the difference ranged from − 4.4 in Minnesota to 31.6 in DC, the
report detailed.
Learning from large - scale community - based programmes to improve
breastfeeding practices (2008) Nutrient adequacy of
exclusive breastfeeding for the term infant during the first six months of life (2002)
Report of the expert consultation of the optimal duration of
exclusive breastfeeding (2001) Geneva, Switzerland, 28 - 30 March 2001 The optimal duration of
exclusive breastfeeding: a systematic review (2001) Complementary feeding
Most studies (29/52)
reported the effect of the intervention on rates of both any and
exclusive breastfeeding.
The feeding groups were defined as being mutually
exclusive (ie, exclusively
breastfed and exclusively formula fed) in 10 of the 23 studies that
reported data (5, 10, 15, 26 — 29, 32, 34, 35, 37).
Authors
reported that «the patterns of
exclusive breastfeeding in the 2 groups for days 3 to 180 differed significantly (P < 0.0001) with a mean aggregated of 67.72 % among the group assigned home visits compared with 31.78 % for the group assigned none».
Background rates of
breastfeeding initiation: data from an inner - city Cleveland clinic with a similar population
reported lower rates with any and
exclusive breastfeeding at 5 days at 40.8 % and 22.0 %, respectively.
National baseline prevalence
reported in paper was similar to the control group rates; UNICEF quoted higher rates - 53 %
exclusive breastfeeding at 0 - 3 months
31 July 2008: UNICEF correspondent Elizabeth Kiem
reports on the role of support groups in promoting
exclusive breastfeeding.
Authors
reported the number of days, not the number of participants, for
exclusive breastfeeding.
However, even where an attempt is made to blind outcome assessment, there is still a risk of response bias for outcomes relying on self -
report such as any or
exclusive breastfeeding.
However, rates of
exclusive breastfeeding for children younger than six months vary widely; Peru and Rwanda
report rates of 72 % and 85 % respectively (UNICEF 2012), while in Nigeria the rate is only 17 %.
In addition, one study from 2016
reported that, among 121 Latino children in California,
exclusive breastfeeding in the first six weeks after birth was associated with longer telomeres at age 4 or 5.
Results indicated that exposure to the intervention did not affect mother
report of any
breastfeeding (ABF) during the first week postpartum, but it did affect mother
report of
exclusive breastfeeding (EBF).