Women who do not breastfeed their infants are nearly four times more likely
to neglect and abuse their child, a study of Australian women has found.
The analysis of about 6000 Queensland mothers and their children also
discovered that the longer a woman breastfeeds, the less likely she is to
neglect or hurt her child.
To reach their findings, researchers from the University of Queensland
linked data from Australia's largest longitudinal study tracking mothers and
their children with substantiated reports of maltreatment recorded by the
state's child protection authorities.
They found that of the 1421 women who did not breastfeed their children in
the group, 102 women - or 7.2 per cent - neglected or abused their child in
some way. This compared with 4.8 per cent of the 2584 women who breastfed
for less than four months and 1.6 per cent of the 2616 women who breastfed
for more than four months.
Maltreatment included neglect, emotional abuse, physical abuse and sexual
assault. Neglect was the most common form identified in the study, but the
prevalence of all types increased as the duration of breastfeeding
decreased.
Other variables found to increase the likelihood of maltreatment were
unmarried status, low education, smoking and binge-drinking during pregnancy
and symptoms of prenatal anxiety.
When the researchers adjusted the statistics for 5890 cases to filter out
the influence of other factors, they concluded that women who did not
breastfeed were 3.8 times more likely to maltreat their child. For mothers
who breastfed for less than four months, the risk was about 2.3 times that
of women who breastfed for longer than four months.
Lane Strathearn, author of the research due to be published in the journal
Pediatrics next month, said the promotion of breastfeeding could be a simple
and cost-effective way of strengthening the relationship between mothers and
babies to prevent child neglect and abuse.
The deputy director of the Women's and Children's Health Research Institute
in South Australia, Maria Makrides, said that while she had not read the
study, people should not interpret the absence of breastfeeding or low rates
as a direct cause of neglect and abuse.
Querida David of the Australian Breastfeeding Association said that although
the majority of mothers could breastfeed with the right support, it was
important not to alienate or ostracise those who did not. "Lots of mothers
who don't breastfeed don't do it for a reason, and they are still good
mothers."