Association of Child Care Providers Breastfeeding Support with Breastfeeding Duration at 6 Months
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Many lactating mothers participate in the workforce and have their infants cared for outside of their home, yet little is known about their child care providers’ (CCPs’) support of breastfeeding. This study examines the association between CCPs’ breastfeeding support as reported by mothers at 3 months and mother’s breastfeeding at 6 months. Infant Feeding Practices Study II, a longitudinal study, followed mothers of infants via mail questionnaires almost monthly from late pregnancy throughout the first year. This study consisted of 183 mothers who breastfed and had their infant in child care at 3 months and answered 5 questions regarding CCPs’ supports. Total number of CCPs’ support was a summary of responses to individual items and categorized into 3 levels (0–2, 3–4, or 5 total supports). Multiple logistic regressions examined how each breastfeeding support and total number were associated with breastfeeding at 6 months. Breastfeeding at 6 months was significantly associated with CCP support to feed expressed breast milk (AOR = 4.55; 95 % CI = 1.09, 18.95) and allow mothers to breastfeed at the child care place before or after work (AOR = 6.23; 95 % CI = 1.33, 29.16). Compared to mothers who reported fewer than 3 total supports, mothers who reported 5 supports were 3 times as likely to be breastfeeding at 6 months (AOR = 3.00, 95 % CI = 1.11, 8.13). Our findings suggest that CCPs’ breastfeeding support at 3 months, particularly feeding expressed breast milk and allowing mothers to breastfeed before or after work, may help mothers maintain breastfeeding at 6 months.
KeywordsBreast Feeding Child care Duration Supports
- 1.Centers for Disease Control and Prevention. (2011). Breastfeeding report card—United States, 2011. Accessed November 4, 2011, at http://www.cdc.gov/breastfeeding/pdf/2011BreastfeedingReportCard.pdf.
- 4.Ip, S., Chung, M., Raman, G., Chew, P., Magula, N., DeVine, D., et al. (2007). Breastfeeding and maternal and infant health outcomes in developed countries. Evidence Reports Technology Assessments (Full Report), 153, 1–186.Google Scholar
- 7.U.S. Department of Labor, Bureau of Labor Statistics. (2011). Table 6. Employment status of mothers with own children under 3 years old by single year of age of youngest child and marital status, 2009–10 annual averages. http://www.bls.gov/news.release/famee.t06.htm. Accessed 20 July 2011.
- 9.Laughlin, L. (2010). Who’s minding the kids? Child care arrangements: Spring 2005/Summer 2006. Current Population Reports, 70–121. http://www.census.gov/prod/2010pubs/p70-121.pdf. Accessed 4 Nov 2011.
- 19.Internal Revenue Service (2012). Part IV—items of general interest. lactation expenses as medical expenses, http://www.irs.gov/pub/irs-drop/a-11-14.pdf. Accessed 14 Mar 2012.
- 20.United States Department of Labor. Wage and Hour Division. (2010). Fact Sheet #73: Break Time for Nursing Mothers under the Fair Labor Standards Act (FLSA). http://www.dol.gov/whd/regs/compliance/whdfs73.htm. Accessed 14 Mar 2012.
- 21.American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education. (2010). Preventing Childhood Obesity in Early Care and Education: Selected Standards from Caring for Our Children: National Health and Safety Performance Standards; guidelines for early care and education programs, 3rd Edition. http://nrckids.org/CFOC3/PDFVersion/preventing_obesity.pdf. Accessed 4 Nov 2011.
- 22.The Surgeon General’s Call to Action to Support Breastfeeding. (2011). U.S. Department of Health and Human Services, Office of the Surgeon General, http://www.surgeongeneral.gov/topics/breastfeeding/calltoactiontosupportbreastfeeding.pdf. Accessed 20 July 2011.