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Maternal intention to breastfeed, duration of breastfeeding and reasons for weaning: a cohort study, Pelotas, RS, Brazil, 2014* * Article derived from the Master’s Degree thesis entitled ‘Intention to breastfeed, maternal breastfeeding and reasons for weaning among mothers in Southern Brazil’, defended by Sheila Afonso do Amaral at the Federal University of Pelotas Postgraduate Nutrition and Food Program Nutrition Course in 2018. Study funded by the International Atomic Energy Agency (IAEA): Coordinated Research Project [CRP] process No. E43028.

Abstract

Objective:

to evaluate maternal intention to breastfeed, duration of breastfeeding up to 24 months-of-age and reasons for weaning in the first year of life.

Methods:

this was a cohort study conducted in Pelotas, RS, Brazil, with participants from the Multi-Center Body Composition Study; a life table was used to analyze duration of breastfeeding.

Results:

of the 1377 mothers screened, 74.3% reported intending to exclusively breastfeed up until 6 months, while 91.1% intended to prolong breastfeeding until at least 12 months; 58.0% of children were breastfed up to at least 6 months; median breastfeeding duration was 10.8 months (IQR: 5.8 - 23.0); the main reasons reported for weaning were insufficient breast milk (57.3%), return to work/school (45.5%), and unexplained refusal by the baby (40.1%).

Conclusion:

the results show that despite the intention to breastfeed, there are still structural and social barriers that interfere with successful breastfeeding, especially those related to working mothers.

Keywords:
Breast Feeding; Intention; Weaning; Longitudinal Studies

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