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- Title
Determinants of breast-feeding in a Finnish birth cohort.
- Authors
Erkkola M; Salmenhaara M; Kronberg-Kippilä C; Ahonen S; Arkkola T; Uusitalo L; Pietinen P; Veijola R; Knip M; Virtanen SM; Erkkola, Maijaliisa; Salmenhaara, Maija; Kronberg-Kippilä, Carina; Ahonen, Suvi; Arkkola, Tuula; Uusitalo, Liisa; Pietinen, Pirjo; Veijola, Riitta; Knip, Mikael; Virtanen, Suvi M
- Abstract
<bold>Objective: </bold>To assess milk feeding on the maternity ward and during infancy, and their relationship to sociodemographic determinants. The validity of our 3-month questionnaire in measuring hospital feeding was assessed.<bold>Design: </bold>A prospective Finnish birth cohort with increased risk to type 1 diabetes recruited between 1996 and 2004. The families completed a follow-up form on the age at introduction of new foods and age-specific dietary questionnaires.<bold>Setting: </bold>Type 1 Diabetes Prediction and Prevention (DIPP) project, Finland.<bold>Subjects: </bold>A cohort of 5993 children (77 % of those invited) participated in the main study, and 117 randomly selected infants in the validation study.<bold>Results: </bold>Breast milk was the predominant milk on the maternity ward given to 99 % of the infants. Altogether, 80 % of the women recalled their child being fed supplementary milk (donated breast milk or infant formula) on the maternity ward. The median duration of exclusive breast-feeding was 1.4 months (range 0-8) and that of total breast-feeding 7.0 months (0-25). Additional milk feeding on the maternity ward, short parental education, maternal smoking during pregnancy, small gestational age and having no siblings were associated with a risk of short duration of both exclusive and total breast-feeding. In the validation study, 78 % of the milk types given on the maternity ward fell into the same category, according to the questionnaire and hospital records.<bold>Conclusions: </bold>The recommendations for infant feeding were not achieved. Infant feeding is strongly influenced by sociodemographic determinants and feeding practices on the maternity wards. Long-term breast-feeding may be supported by active promotion on the maternity ward.
- Publication
Public Health Nutrition, 2010, Vol 13, Issue 3, p504
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S1368980009991777