Loughlin H H, Clapp-Channing N E, Gehlbach S H, Pollard J C, McCutchen T M
Pediatrics. 1985 Mar;75(3):508-13.
In a private pediatric practice, 94 infants who were breast-feeding were followed for the first 2 months of life in order to define the frequency of cessation of breast-feeding and to identify factors that would predict mothers and infants at risk for early cessation. At 8 weeks, 30% of the mothers had stopped nursing. Factors associated with cessation were: maternal lack of confidence in breast-feeding (P less than .001); anticipated duration of nursing less than 6 months (P = .002); ratings by the nursery staff of infant's excessive crying (P = .007), infant's demanding personality (P = .007), trouble with feeding (P = .001), and future trouble with feeding (P = .004). Together, these factors predicted 77% of the mothers who terminated breast-feeding. Supplementing with formula before the 2-week office visit also led to termination of breast-feeding by 8 weeks (P = .006). This decision was frequently made without medical advice. Nearly 64% (14/22) of the mothers who added formula within the first 2 weeks did so without contacting the pediatric practice.
在一家私人儿科诊所，对94名母乳喂养的婴儿进行了为期2个月的跟踪观察，以确定母乳喂养停止的频率，并找出能预测有早期停止母乳喂养风险的母亲和婴儿的因素。在8周时，30%的母亲停止了哺乳。与停止哺乳相关的因素有：母亲对母乳喂养缺乏信心（P<0.001）；预期哺乳时间少于6个月（P=0.002）；托儿所工作人员对婴儿过度哭闹的评价（P=0.007）、婴儿苛求的性格（P=0.007）、喂养困难（P=0.001）以及未来喂养困难（P=0.004）。这些因素共同预测了77%停止母乳喂养的母亲。在2周门诊前添加配方奶也导致8周时母乳喂养停止（P=0.006）。做出这个决定时往往没有医学建议。在最初2周内添加配方奶的母亲中，近64%（14/22）是在未联系儿科诊所的情况下这样做的。
