title: Breast milk feeding rates of mothers of multiples compared to mothers of singletons.
abstract: OBJECTIVE
  Over 3% of infants born annually in the United States are from a multiple gestation pregnancy, yet there is little data published about the feeding practices of their mothers. The objectives of this study were to determine and compare the rates of breast milk feeding of mothers of multiples and mothers of singletons.
  
  
  METHODS
  Stratified random sampling (n = 686) on the basis of plurality of pregnancy and gestational age at delivery was performed on a 1999 birth certificate database in the greater Cincinnati area. We collected information about infant feeding during the first 6 months of life using a retrospective, self-administered questionnaire and phone interview from mothers of term singletons (TS), preterm singletons (PS), term multiples (TM), and preterm multiples (PM). Data were analyzed using chi-square and logistic or multiple regression.
  
  
  RESULTS
  We obtained feeding information from 346 mothers (n = 81 TS, 80 PS, 90 TM, and 95 PM). By 3 days postpartum, PM provided breast milk less often than all other groups: TS = 69%, PS = 66%, TM = 73%, PM = 57% (P =.035). Among mothers who initiated breast milk feeding, the geometric mean duration of at least some breast milk feeding was significantly shorter for PM than for all other groups: TS = 23 weeks, PS = 19 weeks, TM = 24 weeks, and PM = 12 weeks (P =.002).
  
  
  CONCLUSIONS
  Further evaluation of the potential causes for the lower breast milk feeding rates among PM is needed to develop effective intervention strategies and increase the number of preterm multiple gestation infants receiving breast milk.
authors.affiliation: Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio 45229, USA. sheela.geraghty@cchmc.org
authors.forename: Sheela R
authors.initials: SR
authors.lastname: Geraghty
authors.forename: Susan M
authors.initials: SM
authors.lastname: Pinney
authors.forename: Gopalan
authors.initials: G
authors.lastname: Sethuraman
authors.forename: Ashwini
authors.initials: A
authors.lastname: Roy-Chaudhury
authors.forename: Heidi J
authors.initials: HJ
authors.lastname: Kalkwarf
mesh_terms: D001942:Breast Feeding / Q000706:statistics & numerical data*; D016009:Chi-Square Distribution; D005248:Feeding Methods; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009099:Multiple Birth Offspring; D015999:Multivariate Analysis; D011897:Random Allocation; D012044:Regression Analysis; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors