Lauren A Smith1, Nicole L Geller2, Ann L Kellams3, Eve R Colson4, Denis V Rybin5, Timothy Heeren6, Michael J Corwin2. 1. FSG, Boston, Mass. Electronic address: lauren.a.smith@fsg.org. 2. Slone Epidemiology Center at Boston University, Boston, Mass. 3. Well Newborn and Breastfeeding Medicine Services, University of Virginia, Charlottesville, Va. 4. Department of Pediatrics, Yale University, Yale School of Medicine, New Haven, Conn. 5. Data Coordinating Center, Boston University School of Public Health, Boston, Mass. 6. Department of Biostatistics, Boston University School of Public Health, Boston, Mass.
Abstract
OBJECTIVE: To describe the prevalence of breastfeeding and sleep location practices among US mothers and the factors associated with these behaviors, including advice received regarding these practices. METHODS: A nationally representative sample of 3218 mothers who spoke English or Spanish were enrolled at a sample of 32 US birth hospitals between January 2011 and March 2014. RESULTS: Exclusive breastfeeding was reported by 30.5% of mothers, while an additional 29.5% reported partial breastfeeding. The majority of mothers, 65.5%, reported usually room sharing without bed sharing, while 20.7% reported bed sharing. Compared to mothers who room shared without bed sharing, mothers who bed shared were more likely to report exclusive breastfeeding (adjusted odds ratio 2.46, 95% confidence interval 1.76, 3.45) or partial breastfeeding (adjusted odds ratio 1.75, 95% confidence interval 1.33, 2.31). The majority of mothers reported usually room sharing without bed sharing regardless of feeding practices, including 58.2% of exclusively breastfeeding mothers and 70.0% of nonbreastfeeding mothers. Receiving advice regarding sleep location or breastfeeding increased adherence to recommendations in a dose response manner (the adjusted odds of room sharing without bed sharing and exclusive breastfeeding increased as the relevant advice score increased); however, receiving advice regarding sleep location did not affect feeding practices. CONCLUSIONS: Many mothers have not adopted the recommended infant sleep location or feeding practices. Receiving advice from multiple sources appears to promote adherence in a dose response manner. Many women are able to both breastfeed and room share without bed sharing, and advice to adhere to both of these recommendations did not decrease breastfeeding rates.
OBJECTIVE: To describe the prevalence of breastfeeding and sleep location practices among US mothers and the factors associated with these behaviors, including advice received regarding these practices. METHODS: A nationally representative sample of 3218 mothers who spoke English or Spanish were enrolled at a sample of 32 US birth hospitals between January 2011 and March 2014. RESULTS: Exclusive breastfeeding was reported by 30.5% of mothers, while an additional 29.5% reported partial breastfeeding. The majority of mothers, 65.5%, reported usually room sharing without bed sharing, while 20.7% reported bed sharing. Compared to mothers who room shared without bed sharing, mothers who bed shared were more likely to report exclusive breastfeeding (adjusted odds ratio 2.46, 95% confidence interval 1.76, 3.45) or partial breastfeeding (adjusted odds ratio 1.75, 95% confidence interval 1.33, 2.31). The majority of mothers reported usually room sharing without bed sharing regardless of feeding practices, including 58.2% of exclusively breastfeeding mothers and 70.0% of nonbreastfeeding mothers. Receiving advice regarding sleep location or breastfeeding increased adherence to recommendations in a dose response manner (the adjusted odds of room sharing without bed sharing and exclusive breastfeeding increased as the relevant advice score increased); however, receiving advice regarding sleep location did not affect feeding practices. CONCLUSIONS: Many mothers have not adopted the recommended infant sleep location or feeding practices. Receiving advice from multiple sources appears to promote adherence in a dose response manner. Many women are able to both breastfeed and room share without bed sharing, and advice to adhere to both of these recommendations did not decrease breastfeeding rates.
Authors: Sally A Baddock; Barbara C Galland; David P G Bolton; Sheila M Williams; Barry J Taylor Journal: Pediatrics Date: 2006-05 Impact factor: 7.124
Authors: Barbara M Ostfeld; Harold Perl; Linda Esposito; Katherine Hempstead; Robert Hinnen; Alissa Sandler; Paula Goldblatt Pearson; Thomas Hegyi Journal: Pediatrics Date: 2006-11 Impact factor: 7.124
Authors: Iná S Santos; Denise M Mota; Alicia Matijasevich; Aluísio J D Barros; Fernando C F Barros Journal: J Pediatr Date: 2009-10 Impact factor: 4.406
Authors: Robert Carpenter; Cliona McGarvey; Edwin A Mitchell; David M Tappin; Mechtild M Vennemann; Melanie Smuk; James R Carpenter Journal: BMJ Open Date: 2013-05-28 Impact factor: 2.692
Authors: Peter S Blair; Peter Sidebotham; Carol Evason-Coombe; Margaret Edmonds; Ellen M A Heckstall-Smith; Peter Fleming Journal: BMJ Date: 2009-10-13
Authors: Rachel Y Moon; Fern R Hauck; Ann L Kellams; Eve R Colson; Nicole L Geller; Timothy C Heeren; Stephen M Kerr; Michael J Corwin Journal: Acad Pediatr Date: 2017-06-10 Impact factor: 3.107
Authors: Ann Kellams; Fern R Hauck; Rachel Y Moon; Stephen M Kerr; Timothy Heeren; Michael J Corwin; Eve Colson Journal: Pediatrics Date: 2020-02-07 Impact factor: 7.124
Authors: Rachel Y Moon; Fern R Hauck; Eve R Colson; Ann L Kellams; Nicole L Geller; Timothy Heeren; Stephen M Kerr; Emily E Drake; Kawai Tanabe; Mary McClain; Michael J Corwin Journal: JAMA Date: 2017-07-25 Impact factor: 56.272
Authors: Cicely W Fadel; Eve R Colson; Michael J Corwin; Denis Rybin; Timothy C Heeren; Colin Wang; Rachel Y Moon Journal: J Pediatr Date: 2017-03-03 Impact factor: 6.314