title: Reasons for giving up breastfeeding and support during problems with lactation in the north-western part of Poland.
abstract: BACKGROUND
  Breastfeeding is the optimal way of feeding for neonates and infants. Its duration is of vital importance for the child's development and health. The World Health Organization recommends exclusive breastfeeding until the end of the sixth month of life. Many mothers give up breastfeeding earlier than recommended. Professional and non-professional support plays a great role in motivation to start and continue breastfeeding. The aim of this study was to determine how long infants from Szczecin, the capital city of the North-Western region of Poland, are breastfed, what are the reasons for giving up breastfeeding, and whether mothers obtain support in case of problems with lactation.
  
  
  METHODS
  One hundred randomly chosen mothers with children aged 12-18 months, living in Szczecin, were examined. A questionnaire was administered to the mothers during a direct interview. Prior to the interview, consent of the mothers to participate in the study was obtained.
  
  
  RESULTS
  More than 8% of the mothers gave up breastfeeding during the first month after delivery, 68% were breastfeeding till the end of the third month, 31.5% were breastfeeding till the end of the sixth month, and only 2% continued to breastfeed for one year or longer. The most frequent reasons for giving up breastfeeding were: return to work (43.4%), small volume of milk (29.3%) and child's reluctance to suck (18.5%). 62% of breastfeeding women benefited from support during lactation problems but only 6% visited an outpatient breastfeeding service or joined a breastfeeding mothers support group. Support was obtained from the family midwife (37%), pediatrician (32%), and midwife at an outpatient clinic (25.8%). Most women (74.2%) were satisfied with the support.
  
  
  CONCLUSIONS
  (1) It is necessary to promote breastfeeding so that all women could decide to start breastfeeding after childbirth. 2. As the percentage of women who continue breastfeeding after the sixth month of the infant's life is unsatisfactory, mothers should be encouraged to breastfeed longer. (3) A system of professional lactation support for breastfeeding mothers should be developed.
authors.affiliation: Samodzielna Pracownia Pielegniarstwa Połozniczego Pomorskiej Akademii Medycznej w Szczecinie ul. Zołnierska 48, 71-210 Szczecin.
authors.forename: Dorota
authors.initials: D
authors.lastname: Cwiek
authors.forename: Dorota
authors.initials: D
authors.lastname: Branecka-Woźniak
authors.forename: Dorota
authors.initials: D
authors.lastname: Fryc
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Grochans
authors.forename: Witold
authors.initials: W
authors.lastname: Malinowski
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000453:epidemiology* / Q000706:statistics & numerical data*; D015897:Comorbidity; D005260:Female; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007774:Lactation / Q000502:physiology; D007775:Lactation Disorders / Q000453:epidemiology*; D011044:Poland / Q000453:epidemiology; D012944:Social Support; D014886:Weaning; D014931:Women, Working / Q000706:statistics & numerical data