Factors Associated with Early Breastfeeding Cessation and Initiation of Artificial Milk in 0-18-Month Old Infants and Children from Isfahan City, Iran

Breast milk contains organic nutrients necessary for the growth and development of infants and children. Since various factors are effective in the early discontinuation of breast milk, the accurate identification of these factors in various cultural contexts can play an important role in providing, maintaining, and promoting the health of children. Thus, the present study was conducted to determine the causes of breast milk discontinuation and use of artificial milk in children aged 0-18 months in Isfahan, Iran.

This was a cross-sectional descriptive analytical study with the study population including 600 mothers with 18-month old children in 20 centers and health centers in Isfahan City. Data were collected using questionnaires and interview with mothers.

The most important reasons for discontinuation of breastfeeding were motherschr('39') lack of breast milk, infant’s unwillingness to breastfeed, mother’s disease or specific drug use, childhood diseases, maternal occupation, and early onset of supplementary foods. The most important reasons for using synthetic milk from the viewpoint of mothers were lack of breast milk, child crying and restlessness, and the recommendation by a pediatrician.

The main reason for early breastfeeding and the use of artificial milk is the inadequacy of breast milk. It seems that educational interventions are essential considering the importance, benefits, nutrition manner, the way to resolve breast-feeding problems, and the adequacy of milk in the child.