Is there a link between postpartum anemia and discontinuation of breastfeeding?

PURPOSE: Factors associated with early cessation of breastfeeding were identified and patterns of infant feeding were examined. Feeding practices were compared with the 1998 guidelines in Nutrition for Healthy Term Infants and with recent Health Canada recommendations. METHODS: To recruit participants, a letter was sent to every mother (n=424) who gave birth at Dr. Georges-L. Dumont Regional Hospital in Moncton from April 1998 to February 1999. Eighty-five mothers agreed to participate with their infants. Information on infant feeding patterns and socioeconomic background was gathered with semi-structured questionnaires. Only healthy infants from singleton pregnancies were included in this study. RESULTS: At birth, almost 83% of infants were breastfed. The proportions of infants breastfed for at least four, six, and nine months were 43%, 22%, and 9%, respectively. As many as 34% of infants were introduced to baby cereals before age four months, and 21% were introduced to cow's milk before age nine months. Lower family income, lower level of parental education, and reduced postpartum hemoglobin level (below 95 g/L) were associated with discontinuation of breastfeeding before infants were four months old. CONCLUSIONS: Early postpartum nutrition interventions may be effective in ensuring follow-up care for mothers with compromised iron status, in supporting breastfeeding for at least six months, and in promoting better infant feeding practices.

Impact of maternal anemia on the infant's iron status at 9 months of age.

BACKGROUND: Iron-deficiency anemia during pregnancy is still common in developed countries. The aim of this study was to evaluate the influence of maternal anemia on the infant's iron status at 9 months of age in Moncton, NB. METHODS: Mothers giving birth between April 1998 and February 1999 were selected from medical records. A letter was sent to invite them to participate. In total, 75 mothers with their infants were examined. RESULTS: The proportion of iron-deficiency anemia was higher (p = 0.055) in the group born to anemic compared to non-anemic mothers. A positive association between the mother's haemoglobin and haematocrit during her 3rd trimester and her infant's haemoglobin and haematocrit was found at 9 months of age. These results are not explained by differences in feeding practices and socio-economic status between groups. INTERPRETATION: Infants born to mildly anemic mothers may be at risk of developing anemia.