BACKGROUND The World Health Organization recommends exclusive breastfeeding for 6 months and total breastfeeding for at least 2 years. Despite this and multiple interventions promoting breastfeeding, early breastfeeding cessation remains high with little data as to the ongoing barriers contributing to early cessation. METHODS Two groups of Nicaraguan mothers in an urban hospital were approached to complete a questionnaire to determine what newborn, maternal, and socioeconomic factors contributed to early cessation of breastfeeding. Group 1 participants were mothers of newborns in the newborn units, while group 2 were mothers of children 5 years or younger in the emergency room and pediatric ward. Descriptive statistics summarized the data. Fisher's exact test evaluated factors associated with early breastfeeding cessation. RESULTS In group 1, 97 participants were enrolled with 81% of mothers planning to fulfill the guideline for exclusive breastfeeding for 6 months. In group 2, there were 139 mothers of which 58% reported they had exclusively breastfed for 6 months. Only 25 and 27% of mothers in group 1 and 2 respectively planned to breastfeed or breastfed for 2 years. In group 1, mothers reported lack of knowledge regarding breastfeeding techniques and older mothers tended to plan for early cessation of exclusive breastfeeding. In group 2, mothers reported feeling uncomfortable with breastfeeding in public or had difficulty with latching. Cessation of any breastfeeding prior to 12 months was associated with being uncomfortable breastfeeding in public and knowing the WHO guidelines. In both groups, social media represented an expanding platform for receiving breastfeeding information. CONCLUSIONS Interventions focusing on reaching younger mothers and addressing breastfeeding knowledge and techniques while leveraging the increasing influence of social media platforms may help improve compliance with breastfeeding recommendations.

中文翻译：

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尼加拉瓜马萨亚的母乳喂养实践：基于设施的横断面研究。

背景世界卫生组织建议纯母乳喂养6个月，全母乳喂养至少2年。尽管采取了这种措施以及采取多种干预措施来促进母乳喂养，但早期母乳喂养的戒烟仍然很高，关于促进母乳喂养的持续障碍的数据很少。方法与城市医院的两组尼加拉瓜母亲联系，以完成问卷调查，以确定哪些新生儿，孕产妇和社会经济因素导致了早期停止母乳喂养。第一组的参与者是新生儿科的新生儿母亲，而第二组的是急诊室和儿科病房的5岁或5岁以下儿童的母亲。描述性统计汇总数据。Fisher的精确测试评估了与早期母乳喂养停止有关的因素。结果在第1组中 共有97名参与者参加，其中81％的母亲计划满足6个月纯母乳喂养的准则。在第二组中，有139名母亲，其中58％的母亲报告说他们纯母乳喂养了6个月。第一组和第二组中分别只有25％和27％的母亲计划母乳喂养或母乳喂养2年。在第一组中，母亲报告缺乏对母乳喂养技术的了解，而年龄较大的母亲倾向于计划尽早停止纯母乳喂养。在第二组中，母亲报告在公共场所母乳喂养时感到不舒服或or锁困难。在12个月前停止任何母乳喂养都会导致公众不舒服的母乳喂养并了解WHO指南。在这两个群体中，社交媒体都是接收母乳喂养信息的扩展平台。