154030 Breast pump use at two, five, and seven months postpartum

Monday, November 5, 2007: 5:00 PM

Judith Labiner-Wolfe, PhD , Center for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD
Cunlin Wang, MD, PhD , Center for Device and Radiologic Health, U.S. Food and Drug Administration, Silver Spring, MD
Sara B. Fein, PhD , Center for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD
Katherine Shealy, MPH, IBCLC, RLC , Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Atlanta, GA
Breast milk is universally recognized as the best nutrition source for infants. The American Academy of Pediatrics section on breastfeeding recommends exclusive breastfeeding for the first six months and continued breastfeeding for at least one year. Breast pumps may be important tools to aid mothers in reaching their breastfeeding goals. Mothers express their milk for a wide variety of reasons. Those who express milk while separated from their infants or when otherwise not feeding at the breast can maintain their milk supply and store milk for later feedings. Other indications for expressing milk include relieving engorgement or plugged lactiferous ducts and reversion of flat or inverted nipples. As medical devices, breast pumps are regulated by FDA for their effectiveness and safety. Currently, although there are a wide variety of breast pumps available on the market, the scientific literature about breast pump use is scarce. Using data from the Infant Feeding Practices Study II, a longitudinal survey of 2,250 mothers, we determined (1) the prevalence of breast pump use; (2) what types of pumps mothers use to express milk; (3) the frequency and volume of milk expression; and (4) the reasons for expressing milk at two, five, and seven months postpartum. We analyze these topics by mother and infant characteristics and the regularity of pump use. This presentation will provide public health professionals with a contemporary perspective on breast pump practices and can be used to inform successful outreach to increase both the duration and exclusivity of breastfeeding.

Learning Objectives:
1. Identify breast pump practices among a nationally distributed sample of mostly middle-class mothers from the early postpartum period through seven months. 2. Define the mother and infant characteristics associated with varying levels of breast pump use. 3. Assess the reasons for breast pump use at two, five and seven months postpartum.

Keywords: Breastfeeding, Medical Devices

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.