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For subsequent child 2 (n 78), the magnitude of association was even larger, although insignificant due to low power. These findings indicate that PIM may carry forward in the reproductive life course, especially for first-time mothers. Perceptions of breast milk insufficiency and contributors to actual inadequate milk supply with the first child should be targeted, rather than intervening later in the reproductive life course. These findings indicate that PIM may carry forward in the reproductive life course, especially for first-time m