Exclusive breastfeeding in hospital associated with longer breastfeeding duration

27 June 2018
Woman breastfeeding

New findings from a large Canadian longitudinal study have found that exclusive breastfeeding in the first few days of life is positively associated with longer-term breastfeeding.

The research, published in the journal Birth, also found that in-hospital formula use is associated with breastfeeding for a significantly shorter duration.

Dr. Meghan Azad, an epidemiologist at the University of Manitoba, led a research team which analysed the feeding practices of families enrolled in the CHILD study.

She found that breastfeeding ended earlier for infants who received formula supplementation in hospital, compared to those who received only breast milk during this critical period.

“Newborns who received only breast milk were ultimately breastfed for four months longer than those who received formula supplementation in hospital, and they were 63% more likely to meet the World Health Organization recommendation of exclusive breastfeeding for six months,” Dr. Azad says.

“This is important, because we know that breastfeeding has many established health benefits, including protection from asthma and obesity, and a reduced risk of diabetes in mothers who breastfeed.”

The researchers used data from more than 3,100 infants and their mothers participating in the CHILD Study—a Canadian birth cohort study that is tracking children from before birth to school age and beyond to identify the root causes of asthma, allergy and other chronic conditions.

Newborn feeding was documented from hospital records, and families enrolled in the CHILD study provided information about their babies’ breastfeeding status and diet at three, six, 12, 18 and 24 months of age.

Overall, 97% of newborns were breastfed initially. Of these, 74% were exclusively breastfed during their hospital stay, while 26% received supplementation with formula.

The exclusively breastfed newborns were ultimately breastfed for 11 months on average, compared to 7 months for those receiving formula supplementation.

Study author, Lorena Vehling says exclusive breastfeeding in hospital seemed to be particularly important for less educated women.

“We found that that among women with a lower education level, exclusive breastfeeding in hospital was particularly beneficial for extending breastfeeding duration. The beneficial effect was twice as great among mothers with lower education,” Ms Vehling says

“Our results suggest that programs supporting new mothers to exclusively breastfeed in hospital will facilitate sustained breastfeeding within and beyond the first year of life, and this will support a plethora of associated health benefits for these women and their children,” she says.

Lactation consultant, Marusia Kachkowski says the research is important.

“This study validates the importance of uninterrupted early exclusive breastfeeding to get breastfeeding established for the long haul.  It reaffirms that medically unnecessary supplements are worth avoiding whenever possible, to establish supply and demand and to bolster a mother’s confidence in her ability to nourish her child,” she says.