title: Influence of Experiences and Perceptions Related to Breastfeeding One's First Child on Breastfeeding Initiation of Second Child.
abstract: Introduction Multiparas tend to initiate breastfeeding less than primiparas. While mothers often repeat the feeding method used for their first child with their second child, the way in which experiences and maternal perceptions related to breastfeeding one's first child may influence breastfeeding initiation with a second child remain underexplored. The objective of this study was to investigate whether physiological or social experiences, and related psychological factors, reported at the end of breastfeeding one's first child influence breastfeeding initiation with a second child. Methods Data from 174 multiparas who participated in the Infant Feeding Practices Study II, breastfed their first child, and completed the Year 6 Follow Up were analyzed using exact logistic regression. Results Mothers who reported experiencing trouble with the first baby's suck or latch had lower odds of initiating breastfeeding (OR 0.15, 95% CI 0.04-0.56) than those who did not report this experience, whereas mothers who agreed that breastfed children are less likely to become obese had greater odds of initiating breastfeeding with a second child (OR 11.49, 95% CI 1.56-513.18) than those who did not agree. Discussion Efforts to facilitate breastfeeding initiation among multiparas may consider mothers' previous experiences and beliefs associated with breastfeeding. Strategies to facilitate initiation may focus on addressing barriers mothers experienced while breastfeeding their first child and increasing awareness about how breastfeeding may prevent childhood obesity. Future research should explore how such approaches may impact breastfeeding outcomes with subsequent children.
authors.affiliation: Department of Community and Family Health, University of South Florida College of Public Health, 13201 Bruce B. Downs Blvd., MDC 56, Tampa, FL, 33612, USA. ejschafer@health.usf.edu.
authors.forename: Ellen J
authors.initials: EJ
authors.lastname: Schafer
authors.affiliation: Department of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, IA, 52242, USA.
authors.forename: Shelly
authors.initials: S
authors.lastname: Campo
authors.affiliation: Department of Pediatrics and Neonatology, University of Iowa Carver College of Medicine, Iowa City, IA, 52242, USA.
authors.forename: Tarah T
authors.initials: TT
authors.lastname: Colaizy
authors.affiliation: Department of Nursing, University of Iowa College of Nursing, Iowa City, IA, 52242, USA.
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Mulder
authors.affiliation: Department of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, IA, 52242, USA.
authors.forename: Sato
authors.initials: S
authors.lastname: Ashida
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000523:psychology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008425:Maternal Behavior; D009035:Mothers / Q000523:psychology*; D010298:Parity; D010465:Perception
keywords: Breastfeeding; Experiences; Multiparas; Response efficacy