Child Health USA 2002

Text: Maternal and Child Health
HEALTH STATUS - Infant

 18


INFANT FEEDING

Throughout the 1970's and early 1980's, the percentage of mothers who began breastfeeding in the hospital increased steadily to 61.9 percent, but then gradually declined to 51.5 percent by 1990. Since 1991, the breastfeeding initiation rates steadily increased among black, Hispanic, and white women. In 2000, breastfeeding rates in the hospital reached 68.4 percent, the highest rate recorded since national breastfeeding data has been collected.

Since 1990, rates of breastfeeding immediately after delivery grew the most among groups of mothers that have traditionally been the least likely to breastfeed, such as black and Hispanic women. Over the past ten years, the rate of breastfeeding initiation has more than doubled among black women and has increased 48 percent among Hispanic mothers. These increases have contributed to a substantial reduction in the gap in breastfeeding rates between white and non-white women.

Breastfeeding rates for women of all races decrease substantially between delivery and 6 months postpartum, the breastfeeding period recommended as most critical for the infant's health by the Surgeon General of the United States. The percentage of women who report that they are still breastfeeding at 6 months postpartum reached a high of 31.4 percent in 2000. At six months postpartum, 33.8 percent, 27.7 percent, and 20.6 percent of white, Hispanic, and black women, respectively were still breastfeeding. These rates represent a sharp decline from rates immediately after delivery of 71.5 percent among whites, 70.8 percent among Hispanics, and 50.8 percent among blacks.

Breastfeeding rates were highest among women over 35 years of age, white, college educated, not participating in the Women, Infants, and Children (WIC) dietary supplement program, and/or living in the western states. Women were also more likely to initiate breastfeeding with their first child, but women with more than one child were more likely to continue breastfeeding at 6 and 12 months postpartum. Women least likely to breastfeed were younger than 20 years of age, black, low-income, and/or living in the southeastern United States.

Graph: "Breastfeeding by Race: 2000"[d]


Graph: "Breastfeeding by Race: 1990-2000"[d


Logo: Maternal and Child Health Bureau