In the United States, about 25% of women choose not to initiate breastfeeding, yet little
is known about how opinions of individuals in a woman’s support network influence
her decision to breastfeed. In the 2005-2007 Infant Feeding Practices Study II, women
completed questionnaires from the last trimester of pregnancy until 12 months postpartum.
Mothers indicated prenatally their family members’ and health care providers’
opinion on how newborns should be fed: breastfed only, formula fed only, breast and
formula fed, or no opinion/don’t know. Breastfeeding initiation was determined by
asking mothers around 4 weeks postpartum (n¼2,041) whether they ever breastfed.
Logistic regressionwas used to examine the association between mothers’ perception of
family members’ and health care providers’ opinion on how to feed the infant and the
initiation of breastfeeding, adjusting for sociodemographic characteristics. Nearly 14% of
mothers surveyed did not initiate breastfeeding. Mothers who believed their family
members or health care providers preferred breastfeeding only were least likely not to
initiate breastfeeding. Never breastfeeding was significantly associated with the
following perceptions: the infant’s father (odds ratio [OR]¼110.4; 95% CI 52.0 to 234.4)
or maternal grandmother (OR¼15.9; 95% CI 7.0 to 36.0) preferred only formula feeding;
the infant’s father (OR¼3.2; 95% CI 1.7 to 5.9) or doctor (OR¼2.7; 95% CI 1.2 to 6.2)
preferred both breast and formula feeding; and the infant’s father (OR¼7.6; 95% CI 4.5 to
12.7), maternal grandmother (OR¼5.4; 95% CI 2.6 to 11.0), or doctor (OR¼1.9; 95% CI 1.0
to 3.7) had no opinion/didn’t know their feeding preference. The prenatal opinions of
family members and health care providers play an important role in a woman’s
breastfeeding decisions after the infant’s birth.
In the United States, about 25% of women choose not to initiate breastfeeding, yet little
is known about how opinions of individuals in a woman’s support network influence
her decision to breastfeed. In the 2005-2007 Infant Feeding Practices Study II, women
completed questionnaires from the last trimester of pregnancy until 12 months postpartum.
Mothers indicated prenatally their family members’ and health care providers’
opinion on how newborns should be fed: breastfed only, formula fed only, breast and
formula fed, or no opinion/don’t know. Breastfeeding initiation was determined by
asking mothers around 4 weeks postpartum (n¼2,041) whether they ever breastfed.
Logistic regressionwas used to examine the association between mothers’ perception of
family members’ and health care providers’ opinion on how to feed the infant and the
initiation of breastfeeding, adjusting for sociodemographic characteristics. Nearly 14% of
mothers surveyed did not initiate breastfeeding. Mothers who believed their family
members or health care providers preferred breastfeeding only were least likely not to
initiate breastfeeding. Never breastfeeding was significantly associated with the
following perceptions: the infant’s father (odds ratio [OR]¼110.4; 95% CI 52.0 to 234.4)
or maternal grandmother (OR¼15.9; 95% CI 7.0 to 36.0) preferred only formula feeding;
the infant’s father (OR¼3.2; 95% CI 1.7 to 5.9) or doctor (OR¼2.7; 95% CI 1.2 to 6.2)
preferred both breast and formula feeding; and the infant’s father (OR¼7.6; 95% CI 4.5 to
12.7), maternal grandmother (OR¼5.4; 95% CI 2.6 to 11.0), or doctor (OR¼1.9; 95% CI 1.0
to 3.7) had no opinion/didn’t know their feeding preference. The prenatal opinions of
family members and health care providers play an important role in a woman’s
breastfeeding decisions after the infant’s birth.
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