Institutional members access full text with Ovid®

Share this article on:

Mothers' Weaning Practices when Infants Breastfeed for More Than One Year

Cunniff, Addie BSN, RN; Spatz, Diane PhD, RN-BC, FAAN

MCN: The American Journal of Maternal/Child Nursing: March/April 2017 - Volume 42 - Issue 2 - p 88–94
doi: 10.1097/NMC.0000000000000310

The American Academy of Pediatrics and the World Health Organization recommend that infants receive human milk exclusively for the first 6 months of life and that breastfeeding continue beyond the first or second year of life for as long as a family deems appropriate. More infants in the United States and around the world are meeting this recommendation. As more infants breastfeed beyond the first year of life, best practices for weaning toddlers come into question. Little is known about concerns and practices of breastfeeding mothers weaning their children from feedings. Current evidence on weaning from an evolutionary, social, and practical perspective is presented. Four case exemplars are provided to illustrate complexities of weaning. Implications for practice and suggestions for future research are provided.

Not much is known about weaning from breastfeeding after the baby is a year old or more. The literature has not been updated for over a decade. A summary of current issues and four exemplar cases of weaning after extended breastfeeding are presented.

Addie Cunniff is a BSN graudate, School of Nursing, University of Pennsylvania, Philadelphia, PA. She is now a NICU nurse at Pennsylvania Hospital, Philadelphia, PA.

Diane Spatz is a Professor of Perinatal Nursing and Helen M. Shearer Professor of Nutrition School of Nursing, University of Pennsylvania, Philadelphia, PA; and Nurse Researcher and Director of the Lactation Program at the Children's Hospital of Philadelphia and Director of CHOP's Mothers' Milk Bank. Dr. Spatz can be reached via e-mail at

The authors declare no conflict of interest financial, institutional, or otherwise.

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved