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May 2003 • Volume 142 • Number 5
Original Articles
Who is
breast-feeding? Recent trends from the pregnancy risk assessment and monitoring
system
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| Abstract | TOP |
Objective To examine breast-feeding initiation and continuation among
women with recent live births in 10 states.
Study design By using Pregnancy Risk Assessment and Monitoring System
surveillance data (n = 96,204), we assessed breast-feeding initiation and
continuation for 
10 weeks
among women with recent deliveries from 1993 to 1998. We used 1993 as the base
for comparing results by using univariate and multivariate analyses.
Results Ten states showed a significant increase of 18% in initiation of
breast-feeding from 1993 to 1998, from 57.0% (95% confidence interval [CI],
55.6-58.4) to 67.5% (95% CI, 66.1-68.9). Initiation increased among vulnerable
groups such as low-income and black women, participants in the Special
Supplemental Nutrition Program for Women, Infants, and Children program, and
mothers of infants admitted to the neonatal intensive care unit. The percentage
of women predominantly breast-feeding at 10 weeks among women who initiated remained stable: 58.5% (95% CI,
56.5-60.5) in 1993 and 57.9% (95% CI, 56.0-59.8) in 1998. More women in
vulnerable groups initiated breast-feeding, but those from higher socioeconomic
groups continued breast-feeding.
Conclusions Breast-feeding initiation significantly increased, and
several states exceeded the year 2010 objective. Breast-feeding continuation
among women who initiated remained stable; however, gaps remained, indicating a
continued need to implement breast-feeding promotion programs. (J Pediatr
2003;142:486-91)
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