Psychosocial factors associated with the abandonment of breastfeeding prior to hospital discharge.

A prospective study of 556 women from Perth, Western Australia, and 503 women from the Darling Downs area, Queensland, Australia, was conducted to identify factors associated with the abandonment of breastfeeding prior to hospital discharge. In total, 88% of women initiated breastfeeding, but 5% discontinued breastfeeding while still in the hospital. Discontinuation of breastfeeding prior to discharge was associated with a number of psychosocial factors, namely, infant feeding method being chosen after becoming pregnant, a perception by the mother that the infant's father either preferred formula feeding or was ambivalent about how the infant was fed, and whether the mother's own mother had ever breastfed. Judicious questioning prenatally regarding a women's commitment to, social support for, and prior exposure to breastfeeding will help identify those women most at risk of abandoning breastfeeding prematurely. Such women should be targeted for additional support while in the hospital.