Breastfeeding in the Mohawk community of Kahnawake: revisited and redefined.

Breastfeeding in Kahnawake, Québec, increased to 64% in 1985/1986 from 45% in 1978, and duration of breastfeeding at three and six months also improved. Breastfeeding was significantly associated with birthweight, previous nursing experience and support from baby's father. The majority of mothers chose the method of feeding prior to pregnancy and did not perceive professional advice as important. Mothers chose breastfeeding for their babies' health, and bottlefeeding for "other" reasons or so "others can feed the baby". Those who chose to breastfeed prepregnancy, breastfed significantly longer. "Lack of milk" was the predominant reason for terminating breastfeeding before three months. 29% of breastfed babies and 46% of bottlefed babies received cereal before three months. These results will be incorporated into an extended breastfeeding promotion in this community to increase the understanding of the national recommendations for universal breastfeeding, and to re-create a culturally supportive environment for breastfeeding mothers.