If data from the Centers for Disease Control and Prevention (CDC) is correct, you are probably celebrating your breastfeeding success if you live in Idaho but may not be putting on your party hat if you live in the South.

According to the CDC’s most recent “Breastfeeding Report Card,” states that fared the worst when it came to mothers who had ever breastfed at any time included Mississippi (63.2 percent of moms did), Louisiana (67 percent), and Alabama (68.1 percent). The states with the lowest 6-month exclusive breastfeeding rates are almost all Southern states, with Mississippi and Louisiana being the lowest. Breastfeeding rates in general—including at the 3- and 6-month marks—are highest in states like Washington, Hawaii, and Alaska.

While the CDC didn’t poll moms of all these states as to why they did or did not breastfeed, the department did look at factors such as the percentage of hospitals that emphasize skin-to-skin and rooming-in at birth. In Mississippi, only 9.5 percent of hospitals have policies in place where 90 percent or more of babies are rooming-in, while in Idaho that number is a whopping 70.4 percent. Also, states with higher percentages of La Leche League leaders per 1,000 live births have higher rates of breastfeeding initiation and longer durations of breastfeeding. For example, Vermont has 3.13 La Leche League leaders per 1,000 births while Kentucky only has 0.34 La Leche League leaders per 1,000 births.

We know that one major barrier to exclusive breastfeeding includes income—working women with low incomes are some of the least likely to breastfeed because they are least likely to receive paid maternity leave. They are also more likely to be in the kinds of jobs where pumping breaks and adequate space to pump are not readily available (despite their legal right to them). Women most likely to breastfeed are Caucasian women in the highest income brackets.

Organizations like the Department of Health and Human Services, the United States Breastfeeding Committee, and La Leche League International all advocate for new moms to exclusively breastfeed for baby’s first six months, as do all major medical organizations like the American Academy of Pediatrics. While this year’s CDC data does show that breastfeeding initiation rates are improving, we are still a long way off from meeting these goals.


  • States with the lowest breastfeeding rates are in the South, while states with the highest breastfeeding rates include Washington, Hawaii, and Alaska, according to the Centers for Disease Control and Prevention.
  • Many factors impact breastfeeding initiation rates, including income, race, geographical location, and cultural norms.
  • Low income is a major barrier to successful breastfeeding.

Last reviewed by Jennifer Lincoln, MD, IBCLC. Review Date: March 2020


  1. Centers for Disease Control and Prevention. Breastfeeding Report Card.
  2. Wall Street Journal. 5 Reasons American Women Won’t Breastfeed.
  3. Wall Street Journal. Breastfeeding: Big in Idaho, Behind in the South.
  4. National Breastfeeding Campaign.
  5. World Health Organization: Exclusive Breastfeeding.


  1. This is an interesting article. I think that another thing to look at for this study is how many of these mothers that were interviewed were teen moms. I feel that teen moms are less likely to breast feed for longer periods of time because they may not have the patience and maturity to handle it. I know a couple of teen moms that simply didn’t want to continue after the first week of birth because it was too painful and too much work.


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