The impact of exclusive breastfeeding on breastfeeding duration

Background: While breastfeeding is globally recommended, its duration still represents a public health issue.
Aim: To examine the association between the period of exclusive breastfeeding (EBF) and the duration of overall
human milk nutrition, and to identify determinants associated with the duration of EBF and overall human milk
nutrition length.
Study design: The presented study is a cross-sectional study. A total of 209 healthy Polish women of Caucasian
origin, aged 19–42 years, who were the mother of a child aged 3–12 months, were enrolled in the study. Data
were collected from 2018 to 2020 using an anonymous questionnaire. Statistical analyses included one way
ANOVA and liner regression.
Results: After birth almost all newborns were exclusively breastfed (96.7 %), but the supply of mother’s milk
declined as the children’s ages increased. The duration of breastfeeding is strongly associated with EBF, especially until the child is six months old (p < 0.001). Mother’s breastfeeding self-efficiency and her will for
breastfeeding, comfortable latch, younger infant age, avoiding of a pacifier and excluding additional food may
explain 36 % of variation of EBF duration (p < 0.001) and could be useful information for exclusive breastfeeding
support.
Conclusions: The practice of exclusive breastfeeding strongly affects overall breastfeeding duration. The promotion of exclusive breastfeeding, rather than of overall breast milk supply, is crucial.