scholarly journals Doula Care Supports Near-Universal Breastfeeding Initiation among Diverse, Low-Income Women

2013 ◽  
Vol 58 (4) ◽  
pp. 378-382 ◽  
Author(s):  
Katy B. Kozhimannil ◽  
Laura B. Attanasio ◽  
Rachel R. Hardeman ◽  
Michelle O'Brien
Keyword(s):  
Low Income ◽  
Breastfeeding Initiation ◽  
Low Income Women

scholarly journals Infant Feeding Practices and Perceived Optimal Breastfeeding Interventions among Low-Income Women Delivering at a Baby-Friendly Hospital

2018 ◽  
Vol 36 (07) ◽  
pp. 669-677 ◽  
Author(s):  
Adam K. Lewkowitz ◽  
Nandini Raghuraman ◽  
Julia D. López ◽  
George A. Macones ◽  
Alison G. Cahill
Keyword(s):  
Infant Feeding ◽  
Low Income ◽  
Tertiary Care ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Perceived Usefulness ◽  
Breastfeeding Initiation ◽  
Infant Feeding Practices ◽  
Cross Sectional ◽  
Low Income Women

Objective To determine infant feeding practices of low-income women at a Baby-Friendly Hospital and to ascertain breastfeeding interventions they believe would increase exclusive breastfeeding. Study Design This cross-sectional study occurred at a tertiary care Baby-Friendly Hospital. Low-income women without breastfeeding contraindications were recruited at scheduled obstetrician/gynecologist appointments within 6 to 9 months of delivering a term, nonanomalous infant. Participants completed a survey. Outcomes included infant feeding patterns and perceived usefulness of proposed breastfeeding interventions. Results Of 149 participants, 129 (86.6%) initiated breastfeeding; by postpartum day 2 (PPD2), 47 (31.5%) exclusively breastfed, 51 (34.2%) breastfed with formula, and 51 (34.2%) exclusively formula fed. On a scale of 1 (“strongly agree”) to 5 (“strongly disagree”), women who supplemented with formula on PPD2 were significantly more likely than those who exclusively formula fed to agree education on neonatal behavior, 1 (interquartile range [IQR] 1, 2) versus 2 (IQR 1, 3); p = 0.026 and on-demand access to breastfeeding videos on latch or positioning, 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.043; 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.021, respectively, would have helped them exclusively breastfeed. Conclusion Though low-income women at a Baby-Friendly Hospital had high breastfeeding initiation rates, the majority used formula by PPD2. To increase breastfeeding rates among low-income women, future interventions should provide appropriate and effective breastfeeding interventions.

The Impact of a Prenatal Education Video on Rates of Breastfeeding Initiation and Exclusivity during the Newborn Hospital Stay in a Low-income Population

2015 ◽  
Vol 32 (1) ◽  
pp. 152-159 ◽  
Author(s):  
Ann L. Kellams ◽  
Kelly K. Gurka ◽  
Paige P. Hornsby ◽  
Emily Drake ◽  
Mark Riffon ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Low Income ◽  
Low Cost ◽  
Educational Interventions ◽  
Breastfeeding Initiation ◽  
Prenatal Education ◽  
Low Income Population ◽  
Breastfeeding Rates ◽  
Low Income Women ◽  
The Impact

Background: Guidelines recommend prenatal education to improve breastfeeding rates; however, effective educational interventions targeted at low-income, minority populations are needed as they remain less likely to breastfeed. Objective: To determine whether a low-cost prenatal education video improves hospital rates of breastfeeding initiation and exclusivity in a low-income population. Methods: A total of 522 low-income women were randomized during a prenatal care visit occurring in the third trimester to view an educational video on either breastfeeding or prenatal nutrition and exercise. Using multivariable analyses, breastfeeding initiation rates and exclusivity during the hospital stay were compared. Results: Exposure to the intervention did not affect breastfeeding initiation rates or duration during the hospital stay. The lack of an effect on breastfeeding initiation persisted even after controlling for partner, parent, or other living at home and infant complications (adjusted odds ratio [OR] = 1.05, 95% CI, 0.70-1.56). In addition, breastfeeding exclusivity rates during the hospital stay did not differ between the groups ( P = .87). Conclusion: This study suggests that an educational breastfeeding video alone is ineffective in improving the hospital breastfeeding practices of low-income women. Increasing breastfeeding rates in this at-risk population likely requires a multipronged effort begun early in pregnancy or preconception.

Rural and Urban Breastfeeding Initiation Trends in Low-Income Women in North Carolina from 2003 to 2007

2012 ◽  
Vol 28 (2) ◽  
pp. 226-232 ◽  
Author(s):  
Suzanne Lynch ◽  
Jeffrey Bethel ◽  
Najmul Chowdhury ◽  
Justin B. Moore
Keyword(s):  
North Carolina ◽  
Low Income ◽  
Breastfeeding Initiation ◽  
Rural And Urban ◽  
Low Income Women

Impact of Prenatal Education on Breastfeeding Initiation Among Low-Income Women

2020 ◽  
Vol 34 (8) ◽  
pp. 919-922
Author(s):  
Carolyn R. Ahlers-Schmidt ◽  
Hayrettin Okut ◽  
Jolynn Dowling
Keyword(s):  
Low Income ◽  
Vital Statistics ◽  
Categorical Variables ◽  
Fisher Exact Test ◽  
Breastfeeding Initiation ◽  
Prenatal Education ◽  
Singleton Pregnancy ◽  
Baby Talk ◽  
Low Income Women ◽  
Hispanic White

Purpose: To determine whether participants in the Baby Talk prenatal education program were more likely to initiate breastfeeding than nonparticipants. Design: Retrospective cohort study comparing women with a singleton pregnancy who were enrolled in Baby Talk with matched controls based on zip code, maternal age, race, language spoken, and payer source. Setting: Urban Midwest county. Sample: Baby Talk participants enrolled between November 2015 and December 2016 (n = 299) and matched controls identified through vital statistics records who were not enrolled (n = 1190). Intervention: A 12-hour prenatal education curriculum with 2.5 hours of breastfeeding content. Measures: The primary outcome was breastfeeding at hospital discharge as reported in vital statistics. Analysis: Likelihood-ratio χ2 and Fisher exact test were used to test the significant association between categorical variables. Results: Baby Talk participants were significantly more likely to initiate breastfeeding (93.65%) than matched nonparticipants (87.48%; P = .003). Non-Hispanic white and black Baby Talk participants were more likely to initiate breastfeeding than controls (96.15% vs 89.83%; 91.03% vs 77.02%, respectively; P < .05). Conclusions: Prenatal education has the potential to increase breastfeeding initiation among low-income women, especially non-Hispanic white and black. This study is limited as participants were from a single community, though Baby Talk was offered at 5 separate locations, and potentially from information bias as it was reliant on the accuracy of vital statistics data.

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