"Premature Births on the Rise" (AJN Reports, June) discusses the economic impact of premature birth. But it doesn't mention the fact that failure to initiate or sustain breastfeeding adds another layer of cost, both short- and long-term, for infants and their mothers. 1,2 Lack of breastfeeding is a public health concern.

Patricia Young, RN, APN, C, IBCLC

Sewell, NJ

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