Factors Associated with Very Early Weaning Among Primiparas Intending to Breastfeed Article DOI:
10.1023/A:1021879227044 Cite this article as: Avery, M., Duckett, L., Dodgson, J. et al. Matern Child Health J (1998) 2: 167. doi:10.1023/A:1021879227044 Abstract Objectives: The major objective of this study was to identify predictor variables that accurately differentiated breastfeeding women who weaned during the first 4 weeks, those who weaned between 5 and 26 weeks, and those who weaned after 26 weeks. Predictors were demographic variables, Theory of Planned Behavior (TPB) variables, breastfeeding knowledge, and difficulties experienced during the first month. Methods: Primiparas who delivered healthy infants in an urban midwestern hospital provided initial data prior to discharge. Follow-up occurred at 1,3,6,9, and 12 months. Following appropriate bivariate analyses, polychotomous logistic regression was used to determine predictors of weaning group. Linear multiple regression was used to predict intended duration. Results: Most of the 84 women who weaned very early had intended to breastfeed considerably longer. According to the multivariate analysis, women who weaned earlier were younger, had completed fewer years of education, had a more positive bottle-feeding attitude and a less positive breastfeeding attitude, intended to breastfeed less time, had lower knowledge scores, had higher perceived insufficient milk scores, and planned to work outside the home. Variables postulated by the TPB to be direct predictors of intention explained 36% of the variance in intended duration. Conclusions: Women at risk for early weaning can be identified with reasonable accuracy using a TPB-based conceptual framework expanded to include breastfeeding specific variables. Casefinding using empirically derived screening methods and careful postpartum follow-up, along with professional intervention, should be used to avert unintended early weaning. Breastfeeding early weaning Theory of Planned Behavior knowledge insufficient milk REFERENCES
American Academy of Pediatrics. Breastfeeding and the use of human milk.
American Academy of Pediatrics. Infant feeding practices and their possible relationship to the etiology of diabetes mellitus.
Lawrence RA. A review of the medical benefits and contraindications to breastfeeding in the United States. Washington, DC: Maternal & Child Health Bureau, 1997.
Newman J. How breast milk protects newborns.
Ross Products Division. Updated breast-feeding trend through 1997, Mothers Survey. (Available from Ross Products Division, Abbott Laboratories, 625 Cleveland Avenue, Columbus, Ohio, 43215–1724, 614–624–7677.), 1998.
Department of Health and Human Services (DHHS). Healthy people 2000: National health promotion and disease prevention objectives. Washington, DC: DHHS, 1991.
Coreil J, Murphy JE. Maternal commitment, lactation practices, and breastfeeding duration.
J Obstet Gynecol Neonat Nurs 1988;July/August:273–278.
Quarles A, Williams PD, Hoyle DA, Brimeyer M, Williams AR. Mothers' intention, age, education and the duration and management of breastfeeding.
Matern Child Nurs J
Janke JR. Development of the breast-feeding attrition prediction tool.
Bryant C. The impact of kin, friend and neighbor networks on infant feeding practices.
Soc Sci Med
Bryant C, Coriel J, D'Angelo S, Baily D, Lazarov M. A strategy for promoting breastfeeding among economically disadvantaged women and adolescents.
NAACOG's Clin Iss Perinat Women Health Nurs
O'Campo P, Faden RR, Gielen R, Gielen AC, Wang MC. Prenatal factors associated with breastfeeding duration: Recommendations for prenatal interventions.
Buxton KE, Gielen AC, Faden RR, Brown CH, Paige DM, Chwalow AJ. Women intending to breastfeed: Predictors of early infant feeding experience.
Amer J Prev Med
Rogers CS, Morris S, Taper LJ. Weaning from the breast: Influences on maternal decisions.
Hill PD. Insufficient milk supply syndrome.
NAACOG's Clin Iss Perin Women Health Nurs
Hill PD, Aldag JC. Insufficient milk supply among black and white breast-feeding mothers.
Res Nurs Health
Ford K, Labbok M. Who is breastfeeding? Implications of associated social and biomedical variables for research on the consequences of method of infant feeding.
Amer J Clin Nut
Ryan AS. The resurgence of breastfeeding in the United States.
Piper S, Parks PL. Predicting the duration of lactation: Evidence from a national survey.
Visness CM, Kennedy KI. Maternal employment and breast-feeding: Findings from the 1988 National Maternal and Infant Health Survey.
Amer J Pub Health
Duckett L. Maternal employment and breastfeeding.
NAACOG's Clin Iss Perin Women Health Nurs
Anlar Y, Anlar B, Tonyali A. Some factors influencing the time of lactation.
J Trop Ped
Hill PD. Predictors of breast-feeding duration among WIC and non-WIC mothers.
Pub Health Nurs
Hill PD, Humenick SS, Brennan ML, Woolley D. Does early supplementation affect long-term breastfeeding?
Mulford C. Swimming upstream: Breastfeeding care in a non-breastfeeding culture.
J Obstet Gynecol Neonat Nurs
Duckett L, Henly SJ, Garvis M: Predicting breast-feeding duration during the postpartum hospitalization.
West J Nurs Res
Dettwyler KA. Beauty and the breast: The cultural context of breastfeeding in the United States. In: Stuart-Macadam P, Dettwyler KA, eds.
Breastfeeding: Biocultural Perspectives
. New York: Aldine de Grutter, 1995
Dodgson J, Duckett L. Breastfeeding in the workplace: Building a support program for nursing mothers.
Am Assoc Occupa Health Nurses J
Ajzen I, Madden TJ. Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control.
J Exper Soc Psych
Attitudes, Personality, and Behavior
. Chicago: Dorsey Press, 1988.
Ajzen I, Fishbein M.
Understanding Attitudes and Predicting Social Behavior
. Englewood Cliffs, NJ: Prentice-Hall, 1980.
Fishbein M, Ajzen I.
Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research
. Phillippines: Addison-Wesley, 1975.
Manstead A, Proffitt C, Smart J. Attitudes and social cognition.
J Person Soc Psych
Manstead A, Plevin C, Smart J. Predicting mothers' choice of infant feeding method.
Brit J Soc Psych
Janke JR. Prediction of breast-feeding attrition: Instrument development.
Appl Nurs Res
Duckett L, Henly S, Avery M,
A theory of planned behavior-based structural model for breastfeeding.
Duckett L. Breastfeeding behaviors: Testing a structural model. Bethesda, MD: National Institute of Nursing Research, National Institute of Health, 1994.
Gielen AC, Faden RR, O'Campo P, Brown C, Paige DM. Maternal employment during the early postpartum period: Effects on initiation and continuation of breast-feeding.
Kurinij N, Chain PH, Ezrine SF, Rhoads GG. Does maternal employment affect breast feeding?
Amer J Pub Health
SPSS for Windows: Base System User's Guide Release 6.0
. Chicago: SPSS, 1993.
SAS/STAT Software: Changes and Enhancements
. Cary, NC: Author, 1996.
Hosmer DW, Lemeshow S.
Applied Logistic Regression
. New York: John Wiley & Sons, 1989.
Categorical Data Analysis
. New York: John Wiley & Sons, 1990
Bryant CA. Empowering women to breastfeed.
Int J Childbirth Ed
Bryant C, Lazarov M, Light R, Bailey D, Coreil J, D'Angelo SL. Best Start: Breastfeeding for healthy mothers, healthy babies—a new model for breastfeeding promotion.
J Tenn Med Assoc
Walker M. Management of selected early breastfeeding problems seen in clinical practice.
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