Cited by 713Breastfeeding Practices and InfluencesInfant Nutrition and HealthMaternal and Perinatal Health Interventions

The DOI matches its Crossref record; 188 of the 188 references it cites were found in a registry or an index.

Breastfeeding Initiation and Duration: A 1990-2000 Literature Review

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Dennis, Cindy-Lee·2002·Journal of Obstetric, Gynecologic & Neonatal Nursing

DOI 10.1111/j.1552-6909.2002.tb00019.x

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Abstract

Objective To review the literature on breastfeeding initiation and duration and to delineate effective strategies for promoting positive breastfeeding behaviors.Data sources Computerized searches on MEDLINE, CINAHL, and the Cochrane Library.Study selection Articles from indexed journals relevant to the objective and published after 1990 (except for classic findings) were reviewed. Although a myriad of pertinent articles was located, referenced citations were limited to three per point. When article selection was required for a specific point, preferences were given to (a) randomized controlled trials; (b) meta-analyses; (c) studies with the largest, most representative samples; and (d) investigations conducted in North America.Data extraction Data were extracted and organized under the following headings: benefits of breastfeeding, breastfeeding initiation and duration, personal characteristics, attitudinal and intrapersonal characteristics, hospital policies and intrapartum experience, sources of support, breastfeeding interventions, and review implications.Data synthesis Although the health benefits of breastfeeding are well documented and initiation rates have increased over the past 20 years, most mothers wean before the recommended 6-months postpartum because of perceived difficulties with breastfeeding rather than due to maternal choice. Women least likely to breastfeed are those who are young, have a low income, belong to an ethnic minority, are unsupported, are employed full-time, decided to breastfeed during or late in pregnancy, have negative attitudes toward breastfeeding, and have low confidence in their ability to breastfeed. Support from the mother's partner or a nonprofessional greatly increases the likelihood of positive breastfeeding behaviors. Health care professionals can be a negative source of support if their lack of knowledge results in inaccurate or inconsistent advice. Furthermore, a number of hospital routines are potentially detrimental to breastfeeding. Although professional interventions that enhance the usual care mothers receive increase breastfeeding duration to 2 months, these supportive strategies have limited long-term effects. Peer support interventions also promote positive breastfeeding behaviors and should be considered.Conclusions A promising intervention is the complementation of professional services with peer support from a mother experienced in breastfeeding. This lay support appears to be an effective intervention with socially disadvantaged women.

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Authors: Dennis, C.-L.
Affiliations: University of Toronto (CA)
Corresponding author: Dennis, Cindy-Lee
ORCID: Dennis, Cindy-Lee
Venue: Journal of Obstetric, Gynecologic & Neonatal Nursing
Publisher: Elsevier BV
Published: 2002-01
Volume: 31
Issue: 1
Pages: 12-32
ISSN: 0090-0311 (ISSN-L)
0884-2175
DOI: 10.1111/j.1552-6909.2002.tb00019.x
OpenAlex: W2081239906
Cited by: 713
References: 188
Citations by year: 2026: 6 · 2025: 9 · 2024: 17 · 2023: 19 · 2022: 20 · 2021: 42 · 2020: 27 · 2019: 43 · 2018: 43 · 2017: 38 · 2016: 32 · 2015: 42 · 2014: 48 · 2013: 45 · 2012: 49
FWCI: 2.65
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords: breastfeeding initiation, breastfeeding duration, breastfeeding promotion, breastfeeding interventions, peer support, breastfeeding attitudes, maternal confidence, hospital policy, maternal employment, socioeconomic status, ethnic minority mothers, weaning
MeSH terms: Breast Feeding, Female, Health Promotion, Humans, Peer Group, Health Behavior, Randomized Controlled Trials as Topic, Maternal-Child Nursing

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Breastfeeding Initiation and Duration: A 1990-2000 Literature Review

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