title: Practical Support from Fathers and Grandmothers Is Associated with Lower Levels of Breastfeeding in the UK Millennium Cohort Study.
abstract: Mothers face trade-offs between infant care and subsistence/economic activities. In traditional populations, allomothers such as fathers and grandmothers support mothers with young infants, allowing them to reduce labour activities and focus on breastfeeding. Similarly, the positive impact of social support on breastfeeding has been highlighted in developed populations. However, these studies have generally focused on emotional support from fathers, peers and healthcare professionals. Given the availability of formula milk in developed populations, an evolutionary anthropological perspective highlights that practical support, unlike emotional support, may have negative associations with breastfeeding by enabling substitution of maternal care. Other kin, mainly grandmothers, may also be important allomothers influencing maternal breastfeeding levels. Here we explore the associations between different types of social support mothers receive from fathers/grandmothers and breastfeeding in the UK Millennium Cohort Study. We find frequent grandmother contact and father's parenting involvement are both associated with lower levels of breastfeeding, suggesting a negative relationship between practical support and breastfeeding. In contrast, father presence, potentially capturing emotional support, is associated with greater breastfeeding initiation. Our findings suggest that practical support and emotional support functions differently, and practical support may not encourage breastfeeding in developed populations.
authors.affiliation: Department of Anthropology, University College London, London, England.
authors.forename: Emily H
authors.initials: EH
authors.lastname: Emmott
authors.affiliation: Department of Anthropology, University College London, London, England.
authors.forename: Ruth
authors.initials: R
authors.lastname: Mace
mesh_terms: D001942:Breast Feeding / Q000706:statistics & numerical data* / Q000639:trends*; D005190:Family; D005220:Fathers; D005260:Female; D000066502:Grandparents; D006801:Humans; D007223:Infant; D007224:Infant Care; D007231:Infant, Newborn; D008297:Male; D009035:Mothers; D016487:Parenting; D012044:Regression Analysis; D012189:Retrospective Studies; D012944:Social Support; D006113:United Kingdom