P51 A Comparison of Breastfeeding Cessation Between Preterm and Term Infants During the First Year of Life

Background Breastfeeding positively influences maternal and infant health. Considerable research with preterm infants is available, however, differences between preterm and term infants’ breastfeeding duration and factors influencing cessation has not been fully evaluated. This information is needed for developing focused interventions. Objective To compare factors affecting breastfeeding duration/cessation in preterm and term infants, including infant (latching, eating, food intolerance, weight gain), maternal (medications, weight loss concerns, stress/fatigue), and environmental (convenience, time, returning to work, family support) factors. Study Design, Setting, Participants A cross-sectional survey using SurveyMonkey distributed through social media and online breastfeeding support groups included mothers ≥18 years old, with a child 12-24 months old, US born, who received breastmilk at any point during the first year of life. Measurable Outcome/Analysis Breastfeeding rates at 0 through 12 months, reasons for cessation, breastfeeding education and demographics are reported. Chi-square was used for comparisons. Results The majority of respondents (n = 531) were non-Hispanic White (78.7%), college-educated (61.6%), and from southern states (63.3%). Fifty had preterm ( 37 weeks) infants. No significant difference was found for exclusive breastfeeding between preterm and term infants at any point, 0-5 months; a significant difference at 6 months (40.0% vs 22.7%), χ² (1, n = 531) = 7.4, P Conclusion Differences exist in exclusive breastfeeding rates between preterm and term infants at 6 months. Maternal medications and multiple births may influence early breastfeeding cessation. Participation in WIC may positively influence breastfeeding duration. Research is needed to confirm findings in a more diverse sample.