Breast feeding, fertility and infant mortality: An analysis of some early German data.

Abstract Concern about high infant mortality and its suspected connection with the lack of breast-feeding stimulated the collection of statistics about the frequency of breast-feeding in several German states during the late roth and early 20th centuries. Contrary to the assumption that universal and extended breast-feeding is customary among rural agricultural populations, large regional variations existed both in the proportion of children who were breast-fed and in the average duration of the period for which they were breast-fed. An analysis of these data in connection with statistics of infant mortality and marital fertility confirms the association between high infant mortality and the absence of breast-feeding. An hypothesis linking breast-feeding and fertility, however, is not confirmed. Marital fertility appears to be much more closely associated with infant mortality than with breast-feeding.