Article: Breastfeeding and weaning practices among Hong Kong mothers: A prospective study

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TitleBreastfeeding and weaning practices among Hong Kong mothers: A prospective study
AuthorsTarrant, M2
Fong, DYT2
Wu, KM2
Lee, ILY6
Wong, EMY3
Sham, A1
Lam, C5
Dodgson, JE4
Issue Date2010
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpregnancychildbirth/
CitationBmc Pregnancy And Childbirth, 2010, v. 10 [How to Cite?]
DOI: http://dx.doi.org/10.1186/1471-2393-10-27
AbstractBackground: Breastfeeding provides optimal and complete nutrition for newborn babies. Although new mothers in Hong Kong are increasingly choosing to breastfeed their babies, rates of exclusive breastfeeding are low and duration remains short. The purpose of this study was to describe the breastfeeding and weaning practices of Hong Kong mothers over the infant's first year of life to determine the factors associated with early cessation.Methods: A cohort of 1417 mother-infant pairs was recruited from the obstetric units of four public hospitals in Hong Kong in the immediate post-partum period and followed prospectively for 12 months or until weaned. We used descriptive statistics to describe breastfeeding and weaning practices and multiple logistic regression to investigate the relationship between maternal characteristics and breastfeeding cessation.Results: At 1 month, 3 months, 6 months and 12 months only 63%, 37.3%, 26.9%, and 12.5% of the infants respectively, were still receiving any breast milk; approximately one-half of breastfeeding mothers were exclusively breastfeeding. Younger mothers, those with a longer duration of residence in Hong Kong, and those returning to work postpartum were more likely to wean before 1 month. Mothers with higher education, previous breastfeeding experience, who were breastfed themselves and those who were planning to exclusively breastfeed and whose husbands preferred breastfeeding were more likely to continue breastfeeding beyond 1 month. The introduction of infant formula before 1 month and returning to work postpartum were predictive of weaning before 3 months.Conclusions: Breastfeeding promotion programs have been successful in achieving high rates of breastfeeding initiation but the focus must now shift to helping new mothers exclusively breastfeed and sustain breastfeeding for longer. © 2010 Tarrant et al; licensee BioMed Central Ltd.
ISSN1471-2393
2011 Impact Factor: 2.834
2011 SCImago Journal Rankings: 0.334
DOIhttp://dx.doi.org/10.1186/1471-2393-10-27
ISI Accession Number IDWOS:000296435700001
Funding AgencyGrant Number
Government of the Hong Kong Special Administrative Region05060721
University of Hong Kong10207306
Funding Information:

Funding for this study was provided by the Health and Health Services Research Fund, Government of the Hong Kong Special Administrative Region (Grant: #05060721) and the University of Hong Kong (Grant: # 10207306). We also thank colleagues at the participating hospitals for their assistance and collaboration. Finally, we would like to express our heartfelt appreciation to all the mothers and infants who have participated in this study.

PubMed Central IDPMC2887376
ReferencesReferences in Scopus
GrantsChanging infant feeding models: impact of cessation of complimentary infant formula in public hospitals on the duration and exclusivity of breastfeeding
DC Field
Value
dc.contributor.authorTarrant, M
dc.contributor.authorFong, DYT
dc.contributor.authorWu, KM
dc.contributor.authorLee, ILY
dc.contributor.authorWong, EMY
dc.contributor.authorSham, A
dc.contributor.authorLam, C
dc.contributor.authorDodgson, JE
dc.date.accessioned2010-10-27T06:20:29Z
dc.date.available2010-10-27T06:20:29Z
dc.date.issued2010
dc.description.abstractBackground: Breastfeeding provides optimal and complete nutrition for newborn babies. Although new mothers in Hong Kong are increasingly choosing to breastfeed their babies, rates of exclusive breastfeeding are low and duration remains short. The purpose of this study was to describe the breastfeeding and weaning practices of Hong Kong mothers over the infant's first year of life to determine the factors associated with early cessation.Methods: A cohort of 1417 mother-infant pairs was recruited from the obstetric units of four public hospitals in Hong Kong in the immediate post-partum period and followed prospectively for 12 months or until weaned. We used descriptive statistics to describe breastfeeding and weaning practices and multiple logistic regression to investigate the relationship between maternal characteristics and breastfeeding cessation.Results: At 1 month, 3 months, 6 months and 12 months only 63%, 37.3%, 26.9%, and 12.5% of the infants respectively, were still receiving any breast milk; approximately one-half of breastfeeding mothers were exclusively breastfeeding. Younger mothers, those with a longer duration of residence in Hong Kong, and those returning to work postpartum were more likely to wean before 1 month. Mothers with higher education, previous breastfeeding experience, who were breastfed themselves and those who were planning to exclusively breastfeed and whose husbands preferred breastfeeding were more likely to continue breastfeeding beyond 1 month. The introduction of infant formula before 1 month and returning to work postpartum were predictive of weaning before 3 months.Conclusions: Breastfeeding promotion programs have been successful in achieving high rates of breastfeeding initiation but the focus must now shift to helping new mothers exclusively breastfeed and sustain breastfeeding for longer. © 2010 Tarrant et al; licensee BioMed Central Ltd.
dc.description.grantChanging infant feeding models: impact of cessation of complimentary infant formula in public hospitals on the duration and exclusivity of breastfeeding
dc.description.grantcode97223
dc.description.naturepublished_or_final_version
dc.identifier.citationBmc Pregnancy And Childbirth, 2010, v. 10 [How to Cite?]
DOI: http://dx.doi.org/10.1186/1471-2393-10-27
dc.identifier.citeulike7303978
dc.identifier.doihttp://dx.doi.org/10.1186/1471-2393-10-27
dc.identifier.hkuros172959
dc.identifier.isiWOS:000296435700001
Funding AgencyGrant Number
Government of the Hong Kong Special Administrative Region05060721
University of Hong Kong10207306
Funding Information:

Funding for this study was provided by the Health and Health Services Research Fund, Government of the Hong Kong Special Administrative Region (Grant: #05060721) and the University of Hong Kong (Grant: # 10207306). We also thank colleagues at the participating hospitals for their assistance and collaboration. Finally, we would like to express our heartfelt appreciation to all the mothers and infants who have participated in this study.

dc.identifier.issn1471-2393
2011 Impact Factor: 2.834
2011 SCImago Journal Rankings: 0.334
dc.identifier.openurl
dc.identifier.pmcidPMC2887376
dc.identifier.pmid20509959
dc.identifier.scopuseid_2-s2.0-77952684180
dc.identifier.urihttp://hdl.handle.net/10722/124153
dc.identifier.volume10
dc.languageeng
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpregnancychildbirth/
dc.publisher.placeUnited Kingdom
dc.relation.ispartofBMC Pregnancy and Childbirth
dc.relation.referencesReferences in Scopus
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
dc.subject.meshAdult
dc.subject.meshAttitude to Health - ethnology
dc.subject.meshBreast Feeding - ethnology - statistics and numerical data
dc.subject.meshMothers - education - psychology - statistics and numerical data
dc.subject.meshWeaning - ethnology
dc.titleBreastfeeding and weaning practices among Hong Kong mothers: A prospective study
dc.typeArticle
Author Affiliations
  1. Kwong Wah Hospital
  2. The University of Hong Kong Li Ka Shing Faculty of Medicine
  3. Hong Kong Institute of Education
  4. Arizona State University at the Downtown Phoenix campus
  5. Queen Elizabeth Hospital Hong Kong
  6. Queen Mary Hospital Hong Kong