Breast-feeding is the superior infant feeding method from birth, with research consistently demonstrating its numerous short-and long-term health benefits for both mother and infant. As a global recommendation the WHO advises that mothers should exclusively breast-feed for the first 6-months of life, thus delaying the introduction of solids during this time. Historically, Irish breast-feeding initiation rates have remained strikingly low in comparison with international data and there has been little improvement in breast-feeding duration rates. There is wide geographical variation in terms of breast-feeding initiation both internationally and in Ireland. Some of these differences in breast-feeding rates may be associated with differing socio-economic characteristics. A recent cross-sectional prospective study of 561 pregnant women attending a Dublin hospital and followed from the antenatal period to 6 months post partum has found that 47 % of the Irish-national mothers initiated breast-feeding, while only 24 % were still offering 'any' breast milk to their infants at 6 weeks. Mothers' positive antenatal feeding intention to breast-feed is indicated as one of the most important independent determinants of initiation and 'any' breast-feeding at 6 weeks, suggesting that the antenatal period should be targeted as an effective time to influence and affect mothers' attitudes and beliefs pertaining to breast-feeding. These results suggest that the 'cultural' barrier towards breast-feeding appears to still prevail in Ireland and consequently an environment that enables women to breast-feed is far from being achieved. Undoubtedly, a shift towards a more positive and accepting breast-feeding culture is required if national breast-feeding rates are to improve.
Breast-feeding practices: Initiation determinants: IrelandBreast-feeding is promoted as the optimal mode of infant feeding for both term and preterm infants (1,2) with shortand long-term health benefits also afforded to the mother (3) . While the evidence for the nutritional benefits of breast-feeding is robust, the practice also confers a number of non-nutritional advantages to young infants relating to the protection against acute infections (4,5) , including neonatal enterocolitis (6) , respiratory illness (7) and otitis media (8,9) , as well as enhanced behavioural and physiological development (10) .Particular interest over the past decade in the persisting long-term benefits of breast-feeding during childhood and even adulthood lends further support to the promotion of the practice (2,11) . Well-designed studies using large sample sizes, follow-up to preschool age, and appropriate adjustment for important potential confounding factors suggest a modest protective effect of having been breast-fed on later obesity risk (12)(13)(14) . Research is also emerging to indicate a link between early feeding mode and risk for CVD in adulthood via a potential early programming mechanism (15,16) . Breast-fed infants have been shown to have decreased systolic (17) and diasto...