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Frequencies and demographic determinants of breastfeeding and DHA supplementation in a nationwide sample of mothers in Germany

  • Data derived from a nationwide consumer survey of 986 mothers with children between 5 and 36 months of age in Germany. 78.3 % reported that they ever breastfed their children, and 55.6 % of the mothers exclusively breastfed for at least 4 months. Mothers who did not breastfeed were less likely to be informed by their paediatrician or midwife and were more often not informed at all; 27.8 % of mothers used DHA supplements during pregnancy, 16.8 % postnatal. DHA supplementation was more common in women with a high versus a low fish intake. The social status was the major determinant of breastfeeding initiation and exclusivity and also DHA supplementation. Breastfeeding initiation and duration of exclusive breastfeeding in Germany need to be improved. Professional counselling and support, with a focus on mothers from lower social classes, appears necessary to increase current rates of breastfeeding initiation, duration, and exclusiveness, but also to ensure a sufficient supply with DHA in pregnant and lactating women, particularly inData derived from a nationwide consumer survey of 986 mothers with children between 5 and 36 months of age in Germany. 78.3 % reported that they ever breastfed their children, and 55.6 % of the mothers exclusively breastfed for at least 4 months. Mothers who did not breastfeed were less likely to be informed by their paediatrician or midwife and were more often not informed at all; 27.8 % of mothers used DHA supplements during pregnancy, 16.8 % postnatal. DHA supplementation was more common in women with a high versus a low fish intake. The social status was the major determinant of breastfeeding initiation and exclusivity and also DHA supplementation. Breastfeeding initiation and duration of exclusive breastfeeding in Germany need to be improved. Professional counselling and support, with a focus on mothers from lower social classes, appears necessary to increase current rates of breastfeeding initiation, duration, and exclusiveness, but also to ensure a sufficient supply with DHA in pregnant and lactating women, particularly in women with low fish consumption.show moreshow less

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Author details:Lars Libuda, Madlen Stimming, Christina Mesch, Petra WarschburgerORCiDGND, Hermann Kalhoff, Berthold Viktor Koletzko, Mathilde Kersting
DOI:https://doi.org/10.1007/s00394-013-0633-4
ISSN:1436-6207
ISSN:1436-6215
Pubmed ID:https://pubmed.ncbi.nlm.nih.gov/24292819
Title of parent work (English):European journal of nutrition
Publisher:Springer
Place of publishing:Heidelberg
Publication type:Article
Language:English
Year of first publication:2014
Publication year:2014
Release date:2017/03/27
Tag:Breastfeeding; DHA supplements; Determinants; Exclusiveness; Initiation
Volume:53
Issue:6
Number of pages:10
First page:1335
Last Page:1344
Funding institution:German federal ministry of education and research [Forderkennzeichen 01EA1335]
Organizational units:Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Psychologie
Peer review:Referiert
Institution name at the time of the publication:Humanwissenschaftliche Fakultät / Institut für Psychologie
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