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Office of the Surgeon General (US); Centers for Disease Control and Prevention (US); Office on Women's Health (US). The Surgeon General's Call to Action to Support Breastfeeding. Rockville (MD): Office of the Surgeon General (US); 2011.

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The Surgeon General's Call to Action to Support Breastfeeding.

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Appendix 2Excess Health Risks Associated with Not Breastfeeding

OutcomeExcess Risk* (%)(95% CI)Comparison Groups
Among full-term infants
 Acute ear infections (otitis media)2100 (56, 233)EFF vs. EBF§ for 3 or 6 mos
 Eczema (atopic dermatitis)1147 (14, 92)EBF <3 mos vs. EBF ≥3 mos
 Diarrhea and vomiting (gastrointestinal infection)3178 (144, 213)Never BF vs. ever BF
 Hospitalization for lower respiratory tract diseases in the first year4257 (85, 614)Never BF vs. EBF ≥4 mos
 Asthma, with family history267 (22, 133)BF <3 mos vs. ≥3 mos
 Asthma, no family history235 (9, 67)BF <3 mos vs. ≥3 mos
 Childhood obesity732 (16, 49)Never BF vs. ever BF
 Type 2 diabetes mellitus664 (18, 127)Never BF vs. ever BF
 Acute lymphocytic leukemia223 (10, 41)Never BF vs. >6 mos
 Acute myelogenous leukemia518 (2, 37)Never BF vs. >6 mos
 Sudden infant death syndrome256 (23, 96)Never BF vs. ever BF
Among preterm infants
 Necrotizing enterocolitis2138 (22, 2400)Never BF vs. ever BF
Among mothers
 Breast cancer84 (3, 6)Never BF vs. ever BF (per year of breastfeeding)
 Ovarian cancer227 (10, 47)Never BF vs. ever BF
*

The excess risk is approximated by using the odds ratios reported in the referenced studies.

CI = confidence interval.

EFF = exclusive formula feeding.

§

EBF = exclusive breastfeeding.

BF = breastfeeding.

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