Breast-feeding at maternity hospital discharge in France in 1995

The objectives of the study were to estimate the current level of breast-fe eding at hospital discharge in France, and to identify maternal factors and characteristics of the pregnancy and delivery associated with breast-feedi ng. Data and methods. - The sample included all births during 1 week in France in 1995 (n = 12,179 babies). The data were collected during the postnatal s tay in hospital. Factors associated with breast-feeding were identified usi ng bivariate analysis and multiple logistic regression As the relation betw een the studied factors and breast-feeding differed between French women an d women of foreign nationality, multivariate analysis war carried out separ ately in the two groups. Results. - In 1995, 52% of babies were breastfed at hospital discharge, inc luding 10% of babies partially breastfed Breastfeeding was more common amon g women of foreign nationality than among French women, 76 vs 49%. In both groups, breastfeeding was more common among older women, women with a high level of education or a qualified occupation; breastfeeding war also more f requent among non smokers during pregnancy and among women who attended ant enatal classes. On the contrary among French women induction of labour and delivery in a small hospital were associated with a low level of breastfeed ing; among women of foreign nationality, a low level of breastfeeding was o bserved for unmarried women, women who had an induction or a caesarean sect ion, and those who delivered in a private hospital. Conclusion. - France was at the lowest level among Western countries for wh ich national data on breastfeeding were available. Efforts to promote breas tfeeding are needed both towards sub-groups of pregnant women and towards h ealth professionals Maternity hospitals should provide support to breastfee ding mothers, and avoid practices which may affect breastfeeding. (C) 1998 Elsevier, Paris.