Breast milkcolostrum ref 494 42 30 33 667 42

Breast milkcolostrum ref 494 42 30 33 667 42

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Breast milk/colostrum (ref) 494 86.1 3.0 63.2 4.2 44.6 4.4 13.1 3.0 97.7 1.3 83.0 3.3 66.7 4.2 49.0 4.4 20.1 3.5 24 hour rooming-in in hospital No 279 71.7 5.3 52.4 5.9 38.1 5.7 11.2 3.7 92.7 3.0 75.5 5.0 59.0 5.8 43.4 5.8 18.5 4.6 Yes (ref) 306 78.5 6.5 47.5 7.9 a 24.9 6.8 a 6.8 3.9 92.2 3.0 80.9 4.4 65.0 5.3 48.0 5.6 20.0 4.5 Infant demand fed No 155 67.5 7.4 48.0 7.9 a 36.4 7.6 6.2 3.8 84.2 5.7 68.5 7.3 a 52.0 7.9 a 38.2 7.7 13.8 5.4 Yes (ref) 428 78.0 3.9 61.4 4.6 42.0 4.7 14.2 3.3 91.7 2.6 81.6 3.7 65.6 4.5 48.6 4.7 21.2 3.9 Early infant-to-breast contact 30 min after birth (ref) 241 76.9 4.6 57.9 5.4 39.4 5.4 14.9 3.9 97.0 2.2 87.0 4.3 67.8 5.9 50.0 6.3 17.8 4.8 30 min after birth 316 84.8 4.5 66.1 6.0 47.4 6.3 9.8 3.8 97.1 1.8 79.1 4.5 63.8 5.3 47.0 5.5 22.2 4.6 e650 SCOTT, et al at State Univ of New York @ Buffalo on August 19, 2019 Downloaded from
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51.5%, and 45.9% vs 35.1%, respectively) than that of a national sample of women from the United States whose children were born between 1999 and 2001. 33 Surprising, however, with the exception of the percent- age of women who were fully breastfeeding at 1 week, which was higher among women in our study (76.0% vs 63.4%), the percentage of Australian women who were fully breastfeeding at 1, 3, and 6 months was virtually the same as that of the American women. It should be noted that Li et al 33 described their sample as exclusively breastfeeding but, as their definition of exclusivity al- lowed for infants to receive water, it is equivalent to the WHO definition 26 for full breastfeeding used in this study. Therefore, although significantly more Australian women than American women continue to initiate breastfeeding, rates of full breastfeeding are similar from 1 month postpartum. Maternal age 6 8 and level of maternal education 6–8,10,11 have been shown repeatedly to be positively associated with both breastfeeding initiation and duration. We pre- viously failed, in this cohort of women, to find an asso- ciation between any sociodemographic factor and the initiation of breastfeeding and suggested that social ine- qualities in breastfeeding initiation are less apparent as breastfeeding initiation approaches universality. 34 Simi- larly, in this investigation of duration, with the excep- tion of maternal age, we found no association between mother’s level of education, ethnic background, and marital status and the likelihood of discontinuing full breastfeeding by 6 months and breastfeeding overall by 12 months. Lawson and Tulloch 12 in an earlier study of Australian women showed that breastfeeding duration up to 3 months was related to the timing of the first breastfeed- ing and the extent of mother–infant contact in the 72 hours after birth. We failed, however, to show any in- dependent association between duration of breastfeed- ing and hospital ward practices, such as 24-hour room- ing-in, demand feeding, and early infant-to-breast contact. This is not to say, however, that hospitals should not continue to encourage these practices. Especially as it has been shown that the Baby-Friendly Hospital Ini- tiative, 35 which promotes these practices as part of the 10 Steps to Successful Breastfeeding, can increase both the duration and the exclusivity of breastfeeding in the first year of life.
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  • Wilson,JX
  • State Univ of New York

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