
According to the U.S.
government's Healthy People 2010 report, 64
percent of all mothers breastfed their babies in early postpartum in
1998. One of the goals of Healthy People 2010, a national prevention
initiative to improve the health of all Americans, is to see that
percentage increase to 75 percent in the next 10 years.
The first set of national health initiatives was published in 1979.
It
was a set of challenging goals with 1990 targets that drove action.
Healthy People 2010, which was released earlier this year, builds on
initiatives pursued over the last two decades.
Following is a chart tracking the breastfeeding goals of Healthy
People 2010 as well as the latest breastfeeding demographics. Also
below you will find excerpts from the Healthy People 2010 report. You
can access the complete report at http://www.health.gov/healthypeople/Default.htm
Healthy People 2010
Goals:
| |
1998
Baseline |
2010
Target |
|
In early postpartum |
64% |
75% |
|
At 6 months |
29% |
50% |
|
At 1 year |
16% |
25% |
Breastfeeding demographics by race
(1998):
| |
Early postpartum |
At 6 months |
At 1 year |
|
Black/
African American |
45% |
19% |
9% |
|
White |
68% |
31% |
17% |
|
Hispanic or
Latino |
66% |
28% |
19% |
Breastfeeding demographics according to education
level (1998):
| |
Early
postpartum |
At 6
months |
At 1 year |
|
Less than high
school |
48% |
23% |
17% |
|
High school
graduate |
55% |
21% |
12% |
|
Some college |
55% |
21% |
12% |
|
College graduate |
78% |
40% |
22% |
"Breast milk is widely acknowledged to be the most complete form of nutrition for infants, with a range of benefits for infants'
health, growth, immunity, and development. The benefits of breastfeeding include decreased new cases or severity of
diarrhea,19,20, 21, 22, 30 respiratory
infections,23, 24 and ear
infections,20, 25, 26 among others, and reduced cost to the
family.27, 28
In addition, breastfeeding has been shown to improve maternal health, with demonstrated effects, including reduction in postpartum
bleeding,29 earlier return to prepregnancy
weight,30 reduced risk of premenopausal breast
cancer,31 and reduced risk of
osteoporosis,32 continuing long after the postpartum period.
In general, the American Academy of Pediatrics considers breastfeeding to be
"the
ideal method of feeding and nurturing infants."10
Universal breastfeeding is not recommended in the United States. Women who use illicit drugs, who have active, untreated
tuberculosis, or who test positive for HIV, as well as those who use certain prescribed drugs, should not
breastfeed.11, 88
In general, however, increasing the rate of breastfeeding, particularly among the
low-income, racial, and ethnic populations less likely
to begin breastfeeding in the hospital or to sustain it throughout the infant's first year, is an important public health goal.
Rates of breastfeeding are highest among college-educated women, and those aged 35 years and older.
The lowest rates of breastfeeding are found among those whose infants are at highest risk of poor health and development: those aged 21 years and
younger and those with low educational levels. However, many of these groups have shown the greatest increase in breastfeeding
rates since 1989.
Rates of breastfeeding among African American women during the postpartum period increased 65 percent, and
rates of African American women breastfeeding at 6 months grew 81 percent between 1988 and 1997.
Breastfeeding rates
among women aged 20 years and under at both periods also increased substantially, as did those among women with a
grade-school education. 12 While these improvements are encouraging, education of new mothers and their partners; education of
health providers; changes in routine maternity ward practices; social support, including support from employers; and greater media
portrayal of breastfeeding as the normal method of infant feeding are needed to increase breastfeeding rates among those at
highest risk."
Original
source and references
|