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• W2165733407 abstract "Abstract Objective To investigate what factors relate most strongly to breast-feeding duration in order to successfully support breast-feeding mothers. Design Prospective birth cohort study using questionnaires, routinely collected weights and health check at age 13 months. Setting Gateshead, UK. Subjects Parents of 923 term infants born in a defined geographical area and recruited shortly after birth, 50% of whom were breast-feeding initially. Results Only 225 (24%) infants were still breast-fed at 6 weeks, although 136 (15%) continued beyond 4 months. Infants in the most affluent quintile were three times more likely to be initially breast-fed ( P < 0.001) and five times more likely to still be feeding at 4 months ( P = 0.001) compared with infants in the most deprived quintile. A third of breast-fed infants were given supplementary feeds in the maternity unit and this was associated with a 10-fold increase in odds of giving up breast-feeding by discharge ( P = 0.001). Frequent feeding was reported as a reason for giving up in 70% of mothers at 6 weeks and 55% at 4 months. Those infants who stopped breast-feeding earliest showed the most rapid weight gain and were tallest at age 13 months. Non-breast-fed infants had 50% more family doctor contacts up to age 4 months ( P = 0.005). Conclusions Initiation of breast-feeding in urban Britain remains strongly determined by socio-economic background and early cessation seems to be related to frequent feeding and rapid growth as well as a continuing failure to eradicate health practices that undermine breast-feeding. Those infants not receiving breast milk suffered increased morbidity, but the apparent association between breast-feeding duration and growth probably reflects reverse causation." @default.
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• W2165733407 date "2006-09-01" @default.
• W2165733407 modified "2023-09-28" @default.
• W2165733407 title "Breast-feeding in a UK urban context: who breast-feeds, for how long and does it matter?" @default.
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• W2165733407 doi "https://doi.org/10.1079/phn2005888" @default.
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