title: Breastfeeding outcomes of women following uncomplicated birth in Hamilton-Wentworth.
abstract: OBJECTIVE
  To examine infant feeding practices up to 8 weeks postpartum in Hamilton-Wentworth.
  
  
  METHODS
  A cross-sectional survey of 227 women using a pre-discharge, self-administered questionnaire, medical record review and follow-up telephone interview.
  
  
  RESULTS
  Breastfeeding initiation rate was 85%. By 6-8 weeks postpartum, 30% of women had stopped breastfeeding; 55% had switched to formula within the first 14 days. Infants who did not receive supplementation in hospital were 2.49 times more likely than infants who received supplementation to breastfeed for at least 6 weeks. Although 54% of mothers who initiated breastfeeding reported receiving formula gift packs, no association was found.
  
  
  CONCLUSIONS
  The breastfeeding initiation rate appears to have increased in Hamilton-Wentworth since 1995. However, this study reinforces the need to address early cessation and infant supplementation, and raises concern about violation of the WHO/UNICEF International Code of Marketing of Breastmilk Substitutes through mailing of formula coupons.
authors.affiliation: Hamilton-Wentworth Social and Public Health Services Division, Dundas, ON. dsheehan@hamilton-went.on.ca
authors.forename: D
authors.initials: D
authors.lastname: Sheehan
authors.forename: B
authors.initials: B
authors.lastname: Bridle
authors.forename: T
authors.initials: T
authors.lastname: Hillier
authors.forename: K
authors.initials: K
authors.lastname: Feightner
authors.forename: S
authors.initials: S
authors.lastname: Hayward
authors.forename: K S
authors.initials: KS
authors.lastname: Lee
authors.forename: P
authors.initials: P
authors.lastname: Krueger
authors.forename: W
authors.initials: W
authors.lastname: Sword
authors.forename: M
authors.initials: M
authors.lastname: James
mesh_terms: D000328:Adult; D001903:Bottle Feeding / Q000523:psychology* / Q000706:statistics & numerical data*; D001942:Breast Feeding / Q000523:psychology* / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007225:Infant Food; D007902:Length of Stay / Q000706:statistics & numerical data; D009035:Mothers / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data*; D009864:Ontario; D049590:Postpartum Period; D011795:Surveys and Questionnaires; D013997:Time Factors