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      Why Chinese mothers stop breastfeeding: Mothers' self-reported reasons for stopping during the first six months.

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          Abstract

          The reasons why mothers in mainland China stop breastfeeding before their infants were six months old was investigated. Five hundred sixty-two mothers within two to three days after delivery in a hospital in Guangzhou, China, were followed up via telephone interview at one, four, and six months postpartum between January and August 2015 to assess their infant's feeding patterns and mother's reasons for breastfeeding cessation. Measures included the questionnaire about sociodemographic, psychosocial, and perinatal characteristics, the Breastfeeding Outcome Questionnaire and the Breastfeeding Self-efficacy Scale-Short Form. Compared with mothers who continued breastfeeding for at least six months, the mothers who stopped breastfeeding were less likely to have attended the perinatal classes, used more inhospital formula, and were less self-efficacious regarding breastfeeding and less intention to exclusive breastfeeding. The reasons that 180 mothers stopped breastfeeding before their infants were six months old were analyzed with content analysis. The reasons given for breastfeeding cessation were insufficient milk supply, medical reasons, lactational factors, and return to work. Lactational factors were nipple soreness and mastitis. In order to prolong breastfeeding, pregnant women should be encouraged to attend more prenatal classes. Attendance would enhance self-efficacy and intention to breastfeed longer. Strategies helping working mothers to continue breastfeeding are also needed.

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          Author and article information

          Journal
          J Child Health Care
          Journal of child health care : for professionals working with children in the hospital and community
          SAGE Publications
          1741-2889
          1367-4935
          Sep 2017
          : 21
          : 3
          Affiliations
          [1 ] 1 Department of Obstetrics, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
          [2 ] 2 School of Nursing, Sun Yat-sen University, Guangzhou, China.
          Article
          10.1177/1367493517719160
          29119825
          15546a94-0614-4b43-886f-c671d1bb6ad9
          History

          Breastfeeding cessation,breastfeeding self-efficacy,insufficient milk supply

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