Abstract
Objective
To describe the prevalence of breastfeeding and sleep location practices among US
mothers and the factors associated with these behaviors, including advice received
regarding these practices.
Methods
A nationally representative sample of 3218 mothers who spoke English or Spanish were
enrolled at a sample of 32 US birth hospitals between January 2011 and March 2014.
Results
Exclusive breastfeeding was reported by 30.5% of mothers, while an additional 29.5%
reported partial breastfeeding. The majority of mothers, 65.5%, reported usually room
sharing without bed sharing, while 20.7% reported bed sharing. Compared to mothers
who room shared without bed sharing, mothers who bed shared were more likely to report
exclusive breastfeeding (adjusted odds ratio 2.46, 95% confidence interval 1.76, 3.45)
or partial breastfeeding (adjusted odds ratio 1.75, 95% confidence interval 1.33,
2.31). The majority of mothers reported usually room sharing without bed sharing regardless
of feeding practices, including 58.2% of exclusively breastfeeding mothers and 70.0%
of nonbreastfeeding mothers. Receiving advice regarding sleep location or breastfeeding
increased adherence to recommendations in a dose response manner (the adjusted odds
of room sharing without bed sharing and exclusive breastfeeding increased as the relevant
advice score increased); however, receiving advice regarding sleep location did not
affect feeding practices.
Conclusions
Many mothers have not adopted the recommended infant sleep location or feeding practices.
Receiving advice from multiple sources appears to promote adherence in a dose response
manner. Many women are able to both breastfeed and room share without bed sharing,
and advice to adhere to both of these recommendations did not decrease breastfeeding
rates.
Keywords
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Article Info
Publication History
Published online: February 03, 2016
Accepted:
January 29,
2016
Received:
September 20,
2015
Footnotes
The authors declare that they have no conflict of interest.
Identification
Copyright
Copyright © 2016 by Academic Pediatric Association
