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Reasons given by mothers for discontinuing breastfeeding in Iran. | LitMetric

Reasons given by mothers for discontinuing breastfeeding in Iran.

Int Breastfeed J

Unit for Public Health Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden.

Published: May 2012

AI Article Synopsis

Article Abstract

Background: We have previously shown that in Iran, only 28% of infants were exclusively breastfed at six months, despite a high prevalence of breastfeeding at two years of age. The primary aim of this study was to investigate the reasons women discontinued exclusive breastfeeding.

Method: This retrospective study was based on questionnaires and interviews with 63,071 mothers of infants up to 24 months of age, divided into two populations: infants younger than six months and six months or older. The data were collected in 2005-2006 from all 30 provinces of Iran.

Results: Only 5.3% of infants less than six months of age stopped breastfeeding (mean age of 3.2 months); more commonly in urban than rural areas. The most frequently cited reasons mothers gave for discontinuing exclusive breastfeeding were physicians' recommendation (54%) and insufficient breast milk (self-perceived or true, 28%). Breastfeeding was common after six months of age: only 11% of infants discontinued breastfeeding, at a mean of 13.8 months. The most common reason for discontinuation at this age was insufficient breast milk (self-perceived or true, 45%). Maternal illness or medication (10%), infant illness (6%), and return to work (3%) were uncommon causes. Use of a pacifier was correlated with breastfeeding discontinuation. Maternal age and education was not associated with duration of breastfeeding. Multivariate analysis showed that using a pacifier and formula or other bottle feeding increased the risk of early cessation of breastfeeding.

Conclusions: Physicians and other health professionals have an important role to play in encouraging and supporting mothers to maintain breastfeeding.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3407704PMC
http://dx.doi.org/10.1186/1746-4358-7-7DOI Listing

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