Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • State of the Art
  • Published:

Breast-Feeding Promotion Interventions: Good Public Health and Economic Sense

Abstract

The health benefits of breast-feeding are well documented, as are the positive effects of breast-feeding promotion interventions. There is a clear dose–response relationship between breast-feeding and infant health in the first year of life, and beyond. Further, nearly all breast-feeding promotion interventions improve — at least minimally — breast-feeding initiation and duration rates. However, the extent to which the costs of such interventions might be offset by the potential health care cost savings during the infant's first year of life has not been examined. From a health policy perspective, such an economic analysis is indicated.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Notes

  1. Work conducted for the Weiler Hospital Breast-feeding Committee of MMC found that of the plans surveyed, four do not cover the service, while one will authorize it for teen mothers or after a complicated delivery. A large Medicaid managed care plan in the area decides on a case-by-case basis. The medical center's IPA does not cover these services.

References

  1. Wright AL, Bauer M, Naylor A, Sutcliffe E, Clark L . Increasing breastfeeding rates to reduce illness at the community level Pediatrics 1998 101: 837–44

    Article  CAS  Google Scholar 

  2. American Academy of Pediatrics, Work Group on Breastfeeding. Breastfeeding and the use of human milk Pediatrics 1997 100: 6 1035–9

  3. Piscane A, Impagliazzo N, De Caprio C, Criscuolo L, Inglese A, Pereira de Silva MC . Breastfeeding and tonsillectomy Br Med J 1996 312: 7033 746–7

    Article  Google Scholar 

  4. Duncan B, Ey J, Holberg CJ, Wright AL, Martinez Ed, Taussig LM . Exclusive breastfeeding for at least 4 months protects against otitis media Pediatrics 1993 91: 5 867–72

    CAS  PubMed  Google Scholar 

  5. Knishkowy B, Palti H, Adler B, Tepper D . Effect of otitis media on development: A community based study Early Hum Dev 1991 26: 101–11

    Article  CAS  Google Scholar 

  6. Alho P, Koivu M, Sorri M, Rantakallio P . Risk factor for recurrent otitis media and respiratory infection in infancy Int J Otolaryngol 1990 19: 151–1

    Article  CAS  Google Scholar 

  7. Burr ML, Limb ES, Maguire MJ et al. Infant feeding, wheezing, and allergy: A prospective study Arch Dis Child 1993 68: 724–8

    Article  CAS  Google Scholar 

  8. Beaudry M, Dufour R, Marcoux S . Relation between infant feeding and infections during the first six months of life J Pediatr 1995 126: 2 191–7

    Article  CAS  Google Scholar 

  9. Pisicane A, Graziano L, Zona G et al. Breastfeeding and acute lower respiratory infection Acta Paediatr 1994 83: 7 714–8

    Article  Google Scholar 

  10. Ste-Marie MT . Breast milk and the prevention of infections HINS articles

  11. Kramer MS, Chalmers B, Hodnett ED et al. Promotion of breastfeeding intervention trial (PROBIT): A randomized trial in the Republic of Belarus JAMA, J Am Med Assoc 2001 285: 413–20

    Article  CAS  Google Scholar 

  12. Schapport SM . Office visits for otitis media: United States, 1975–1990 CDC Adv Data 1992 214: 1–18

    Google Scholar 

  13. Wright AL, Taussing LM, Ray CG, Harrison HR, Holberg CJ . The Tucson children's respiratory study: II. Lower respiratory tract illness in the first year of life Am J Epidemiol 1989 129: 6 1232–46

    Article  CAS  Google Scholar 

  14. Howie PW, Forsyth JS, Ogston SA, Clark A, du V Florey C . Protective effects of breast-feeding against infection Br Med J 1990 300: 11–6

    Article  CAS  Google Scholar 

  15. Pediatric Length of Stay by Diagnosis and Operation, United States, 1994 Baltimore MD: HCIA 1994

  16. US Department of Health and Human Services. HHS Blueprint for Action on Breastfeeding Washington, DC: US Department of Health and Human Services, Office on Women's Health October 30, 2000

  17. Ryan AS . The resurgence of breastfeeding in the United States Pediatrics 1997 99: 4 E12

    Article  CAS  Google Scholar 

  18. Humphreys AS, Thompson NJ, Miner KR . Intention to breastfed in low-income pregnant women: The role of social support and previous experience Birth 1998 25: 3 169–74

    Article  CAS  Google Scholar 

  19. Jacobsen SW, Jacobsen JL, Frye KF . Incidence and correlates of breastfeeding in socio-economically disadvantaged women Pediatrics 1991 88: 728–36

    Google Scholar 

  20. Robinson JB, Hunt AE, Pope J, Garner B . Attitudes toward infant feeding among adolescent mothers from a WIC population in northern Louisiana J Am Diet Assoc 1993 93: 1311–3

    Article  CAS  Google Scholar 

  21. US Department of Health and Human Services. Healthy People 2010 Objectives Draft for Public Comment Washington, DC: US Department of Health and Human Services September 15, 1998

  22. Brent NB, Redd B, Dworetz A, D'Amico F, Greenberg J . Breast-feeding in a low-income population: Program to increase incidence and duration Arch Pediatr Adolesc Med 1995 149: 798–803

    Article  CAS  Google Scholar 

  23. Serafino-Cross P, Donovan PR . Effectiveness of professional breastfeeding home support J Nurs Educ 1992 24: 117–22

    Google Scholar 

  24. Tuttle CR, Dewey KG . Impact of a breastfeeding promotion program for Hmong women at selected sites in Northern California J Nurs Educ 1995 27: 69–74

    Google Scholar 

  25. Sciacca JP, Phipps B, Dube DA, Ratliff M . Influences on breast-feeding by lower-income women: An incentive-based partner-supported educational program J Am Diet Assoc 1995 95: 323–8

    Article  CAS  Google Scholar 

  26. Caulfield LE, Gross SM, Bentley ME et al. WIC-based interventions to promote breastfeeding among African–American women in Baltimore: Effects on breastfeeding initiation and continuation J Hum Lactation 1998 14: 1 35–40

    Article  Google Scholar 

  27. Schwartz JB, Popkin BM, Tognetti J, Zohoori N . Does WIC participation improve breast-feeding practices? Am J Public Health 1995 85: 729–31

    Article  CAS  Google Scholar 

  28. Serdula MK, Cairns KA, Williamson DF, Brown JE . Correlates of breast-feeding in a low-income population of whites, blacks and Southeast Asians J Am Diet Assoc 1991 91: 41–5

    CAS  PubMed  Google Scholar 

  29. Schy DS, Maglaya CF, Mendelson SG, Race K, Ludwig-Beymer P . The effects of an in-hospital lactation education on breast-feeding practice J Hum Lactation 1996 12: 117–22

    Article  CAS  Google Scholar 

  30. Grossman LK, Harter Cx, Sachs L, Kay A . The effect of postpartum lactation counseling on the duration of breast-feeding in low-income women J Am Diet Assoc 1990 144: 471–4

    CAS  Google Scholar 

  31. Porteous R, Kaufman K, Rush J . The effect of individualized professional support on duration of breastfeeding: A randomized controlled trial J Hum Lactation 2000 16: 4 303–8

    Article  CAS  Google Scholar 

  32. Bennett RL, Tandy LJ . Postpartum home visits: Extending the continuum of care from hospital to home Home Healthcare Nurse 1998 16: 5 295–303

    Article  Google Scholar 

  33. Hill P, Humenick S, Argubright TM, Aldag JC . Effects of parity and weaning practices on breastfeeding duration Public Health Nurs 1997 14: 4 227–34

    Article  CAS  Google Scholar 

  34. Weiler Hospital Breast-feeding Committee. Minutes of the May 6, 1999 meeting

  35. Ball TM, Bennett DM . The economic impact of breastfeeding Pediatr Clin North Am 2001 48: 1 253–62

    Article  CAS  Google Scholar 

  36. Tuttle CR, Dewey KG . Potential cost savings for Medi-Cal, AFDC, Food Stamps, and WIC programs associated with increasing breast-feeding among low-income Hmong women in California J Am Diet Assoc 1996 96: 885–90

    Article  CAS  Google Scholar 

  37. Hoey C, Ware JL . Economic advantages of breastfeeding in an HMO setting: A pilot study Am J Managed Care 1997 3: 861–5

    CAS  Google Scholar 

  38. Montgomery DL, Splett PL . Economic benefit of breast feeding infants enrolled in WIC J Am Diet Assoc 1997 97: 379–85

    Article  CAS  Google Scholar 

  39. Jarosz LA . Breast-feeding versus formula: Cost comparison Hawaii Med J 1993 52: 1 14–8

    CAS  PubMed  Google Scholar 

  40. Perrin JM, Ball TM, Wright AL . Health care costs of formula feeding in the first year of life J Ambulatory Pediatr Assoc 1999 103: suppl 870–6

    Google Scholar 

  41. American Academy of Pediatrics, Work Group on Breastfeeding. Breastfeeding and the use of human milk Pediatrics 1997 100: 1035–9

Download references

Acknowledgements

The authors thank Neil Leibowitz, JD, for his editorial assistance.

Author information

Authors and Affiliations

Authors

Additional information

This work was supported by a grant from the Robert Wood Johnson Foundation.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bonuck, K., Arno, P., Memmott, M. et al. Breast-Feeding Promotion Interventions: Good Public Health and Economic Sense. J Perinatol 22, 78–81 (2002). https://doi.org/10.1038/sj.jp.7210620

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jp.7210620

This article is cited by

Search

Quick links