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Breastfeeding rates and duration in Germany: a Bavarian cohort study

  • Martina Kohlhuber (a1), Barbara Rebhan (a1), Ursula Schwegler (a1), Berthold Koletzko (a2) and Hermann Fromme (a1)...

Abstract

Breastfeeding is the recommended feeding for all healthy infants. The aim of our study was to assess the current state of breastfeeding prevalence, duration and behaviour in Bavaria, Germany as a basis for targeting breastfeeding promotion measures. The Bavarian Breastfeeding Study is a prospective cohort study of 3822 mothers who delivered in April 2005 in Bavaria, Germany. Breastfeeding duration and determinants such as socioeconomic status, attitudes towards breastfeeding, birth mode and breastfeeding problems were assessed by questionnaires 2–6 d after birth and 2, 4, 6, and 9 months after birth. The initial breastfeeding rate was 90 %. After 4 months 61 % still breastfed (any breastfeeding). In the multivariate analyses the main influencing factor reducing breastfeeding initiation was the partner's negative attitude towards breastfeeding (OR 21·79; 95 % CI 13·46, 35·27). No initial breastfeeding was also associated with lower education, maternal grandmother's negative attitude and pre-term birth. Protective factors were primary breastfeeding experience and information on breastfeeding before birth. Breastfeeding duration < 4 months was strongly associated with breastfeeding problems (OR 7·56; 95 % CI 6·21, 9·19), smoking, lower education, partner's negative attitude and Caesarean section. Since the attitude of family members is an important influencing factor on breastfeeding rates, breastfeeding promotion should also target the partners of pregnant women and the families of newborn infants. Public health interventions such as more effective support for the management of breastfeeding problems, especially in lower social status families, should be implemented and their effectiveness should be critically evaluated.

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Corresponding author

*Corresponding author: Martina Kohlhuber, fax +49 89 31560 835, email Martina.Kohlhuber@lgl.bayern.de

References

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1van Rossum, CTM, Büchner, FL & Hoekstra, J (2006) Quantification of health effects of breastfeeding. Review of the literature and model simulation. RIVM report 350040001/2005. Bilthoven: RIVM.
2Ip, S, Chung, M, Raman, G, Chew, P, Magula, N, DeVine, D, Trikalinos, T & Lau, J (2007) Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries. Evidence Report/Technology Assessment No. 153 (Prepared by Tufts-New England Medical Center Evidence-based Practice Center, under Contract No. 290-02-0022). AHRQ Publication No. 07-E007. Rockville, MD: Agency for Healthcare Research and Quality.
3Horta, BL, Bahl, R, Martines, JC & Victora, CG (2007) Evidence on the long-term effects of breastfeeding. Systematic reviews and meta-analyses Geneva: World Health Organization.
4Arenz, S, Ruckerl, R, Koletzko, B & von Kries, R (2004) Breast-feeding and childhood obesity – a systematic review. Int J Obes Relat Metab Disord 28, 12471256.
5Harder, T, Bergmann, R, Kallischnigg, G & Plagemann, A (2005) Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epidemiol 162, 397403.
6Kersting, M, Wember, T, Goddemeier, T, Koester, H, Wennemann, J & Schoch, G (1987) Breast feeding studies 1981–1983 in 1,500 mothers in Dortmund and Haltern. III. Rates of breast feeding and duration of breast feeding in the first half year (in German). Monatsschr Kinderheilkd 135, 314319.
7Kersting, M & Dulon, M (2002) Breastfeeding in Germany. Results of the SuSe-Study (in German). Monatsschr Kinderheilkd 150, 11961201.
8World Health Organisation (2004) Infant and young child feeding: a tool for assessing national practices, policies and programmes. Geneva: WHOhttp://www.who.int/child-adolescent-health/New_Publications/NUTRITION/icyf.pdf.
9Federal Institute for Risk Assessment (2004) Recommendations for Breastfeeding Duration, Press release 1 March 2004. Berlin: German National Breastfeeding Committee.
10Bergmann, RL, Bergmann, KE, Lau-Schadensdorf, S, et al. (1994) Atopic diseases in infancy. The German multicenter atopy study (MAS-90). Pediatr Allergy Immunol 5, Suppl. 6, 1925.
11Yngve, A & Sjostrom, M (2001) Breastfeeding in countries of the European Union and EFTA: current and proposed recommendations, rationale, prevalence, duration and trends. Public Health Nutr 4, 631645.
12Lande, B, Andersen, LF, Baerug, A, Trygg, KU, Lund-Larsen, K, Veierod, MB & Bjorneboe, GE (2003) Infant feeding practices and associated factors in the first six months of life: the Norwegian infant nutrition survey. Acta Paediatr 92, 152161.
13Cattaneo, A, Yngve, A, Koletzko, B & Guzman, LR (2005) Protection, promotion and support of breast-feeding in Europe: current situation. Public Health Nutr 8, 3946.
14Giovannini, M, Riva, E, Banderali, G, Scaglioni, S, Veehof, SHE, Sala, M, Radaelli, G & Agostoni, C (2004) Feeding practices of infants through the first year of life in Italy. Acta Paediatr 93, 492497.
15Lozano de la Torre, MJ, Martín-Calama, J & Hernandez-Aguilar, MT (2001) Breast-feeding in Spain. Public Health Nutr 4, 13471351.
16Bulk-Bunschoten, AMW, van Bodegom, S, Reerink, JD, Pasker-de Jong, PCM & de Groot, CJ (2001) Reluctance to continue breastfeeding in The Netherlands. Acta Paediatr 90, 10471053.
17Yngve, A & Sjostrom, M (2001) Breastfeeding determinants and a suggested framework for action in Europe. Public Health Nutr 4, 729739.
18Scott, JA, Binns, CW & Aroni, RA (1997) The influence of reported paternal attitudes on the decision to breast-feed. J Paediatr Child Health 33, 305307.
19Littman, H, VanderBrug Medendorp, S & Goldfarb, J (1994) The decision to breastfeed: the importance of father's approval. Clin Pediatrics 33, 214219.
20Dulon, M, Kersting, M & Schach, S (2001) Duration of breastfeeding and associated factors in Western and Eastern Germany. Acta Paediatr 90, 931935.
21Scott, JA, Landers, MCG & Binns, CW (2001) Factors associated with breastfeeding at discharge and duration of breastfeeding. J Paediatr Child Health 37, 254261.
22Bertini, G, Perugi, S, Dani, C, Pezzati, M, Tronchin, M & Rubaltelli, FF (2003) Maternal education and the incidence and duration of breast feeding: a prospective study. J Pediatr Gastroenterol Nutr 37, 447452.
23Wolf, JH (2000) Low breastfeeding rates and public health in the United States. Am J Public Health 93, 20002010.
24Heck, KE, Braveman, P, Cubbin, C, Chavez, GF & Kiely, JL (2006) Socioeconomic factors and breastfeeding initiation among Californian mothers. Public health report 121, 5159.
25Noble, S, ALSPAC Study Team (2001) Maternal employment and the initiation of breastfeeding. Acta Paediatr 90, 423428.
26Lawrence, RA & Lawrence, RM (2005) Breastfeeding: a Guide for the Medical Profession. Philadelphia: Elsevier Mosby.
27Dennis, CL (2002) Breastfeeding initiation and duration: a 1990–2000 literature review. J Obstet Gynecol Neonatal Nurs 31, 1232.
28Donath, SM & Amir, LH (2003) Relationship between prenatal infant feeding intention and initiation and duration of breastfeeding: a cohort study. Acta Paediatr 92, 352356.
29Scott, JA, Binns, CW, Oddy, WH & Graham, KI (2007) Predictors of breastfeeding duration: evidence from a cohort study. Pediatrics 117, e646e655.
30Merten, S, Dratva, J & Ackermann-Liebrich, U (2005) Do baby-friendly hospitals influence breastfeeding duration on a national level? Pediatrics 116, 702708.
31Centuori, S, Burmaz, T, Ronfani, L, Fragiacomo, M, Quintero, S, Pavan, C, Davanzo, R & Cattaneo, A (1999) Nipple care, sore nipples, and breastfeeding: a randomized trial. J Hum Lact 15, 125130.

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