A Critical Inquiry of Breastfeeding Attitudes, Barriers, and Experiences of African American Women living in Poverty

Reno, Rebecca; Barnhart, Sheila; Gabbe, Patricia Temple

doi:10.1080/10875549.2018.1496374

Cited by 3 publications

(4 citation statements)

References 53 publications

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“…Black mothers across social class report encountering facets of institutional racism that interfere with breastfeeding, such as lack of access to resources, discrimination in health‐care settings, and stigma (Lee & Baker, 2021; Tran et al., 2022). Low‐income Black mothers may be especially likely to encounter difficulties accessing resources needed to circumvent breastfeeding difficulties, such as the services of a lactation consultant (Reno et al., 2018). All told, differential access to resources and supports leads to inequalities in the extent to which mothers can breastfeed for as long as they would like (Pérez‐Escamilla, 2022; Whitley & Banks, 2022).…”

Section: Discussionmentioning

confidence: 99%

Decentering intensive mothering: More fully accounting for race and class in motherhood norms

Minnotte

2023

Sociology Compass

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In 1996 Sharon Hays published The Cultural Contradictions of Motherhood describing the ideology of intensive mothering calling upon mothers to engage in a time‐intensive, expensive, and expert‐informed style of mothering. In this article, I describe the historical circumstances giving rise to intensive mothering and how structural and historical realities diverge across race and class. I argue that enactments of motherhood are varied, forming a mosaic of motherhood enactments informed by mothers' social locations, including their positions in racialized and classed hierarchies. Mothers operating from marginalized locations innovate and resist intensive mothering, while also being judged by these norms, despite often lacking the resources to meet them. Privileged, primarily White mothers, have been able to harness their resources to achieve intensive mothering and redefine what constitutes good mothering to match the style of mothering they practice. Among some privileged, predominantly White mothers, I contend an even more intense version of intensive mothering is being practiced, with some moving beyond being “expert informed” to positioning themselves as the experts who possess specialized knowledge superior to that of medical and educational experts. All told, I argue that mothering enactments are more diverse than is often portrayed by the concept of intensive mothering.

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Section: Discussionmentioning

confidence: 99%

Decentering intensive mothering: More fully accounting for race and class in motherhood norms

Minnotte

2023

Sociology Compass

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“…For example, the lack of universal paid family leave means that people who are economically under resourced must work even within days after giving birth in order to survive. 72,73 Similarly, the termination of Medicaid within 6 weeks of birth in some states is often structurally incompatible with the life course management of chronic conditions. Among adults, the connection of substance use and economic disadvantage is well documented, and Qualitative interviews demonstrated that the 20 patients served over 18 months felt an increase in trust with their provider Mittal and Suzuki (2017) 48 Reproductive Psychiatry Consultation Service (RPCS)…”

Section: Harm Reduction and Postpartummentioning

confidence: 99%

Interventions to Support Engagement in Addiction Care Postpartum: Principles and Pitfalls

Mazel¹,

Alexander²,

Cioffi³

et al. 2023

SAR

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There is a fundamental disconnect between the optimal management of addiction in general and care delivery in pregnancy and postpartum. Addiction is a chronic condition requiring some degree of management across the life course. Yet, in the US, reproductive care is episodic and centers more on pregnancy than at other stages of the reproductive life course. Pregnancy is prioritized in access to insurance as almost all pregnant people are Medicaid eligible but access ends at varying points postpartum. This results in a structural mismatch: the episodic management of the chronic condition of addiction only within gestational periods. Though people with substance use disorder (SUD) may access care in pregnancy, treatment attrition is common postpartum. Postpartum is a time of increased vulnerabilities where insurance churn and newborn caretaking responsibilities collide in a context of care withdrawal from the health system and health providers. In part in consequence, return to use, SUD recurrence, overdose, and overdose death are more common postpartum than in pregnancy, and drug deaths have become a leading cause of maternal deaths in the US. This review addresses interventions to support engagement in addiction care postpartum. We begin with a scoping review of model programs and evidence-informed interventions that have been shown to increase continuation of care postpartum. We then explore the realities of contemporary care through a review of clinical and ethical principles, with particular attention to harm reduction. We conclude with suggestions of strategies (clinical, research, and policy) to improve care postpartum and highlight potential pitfalls in the uptake of evidence-based and person-centered services.

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“…In recent years, breastfeeding research conducted in other disciplines has examined structural influences affecting breastfeeding outcomes (Brown, 2017;Munn, Newman, Mueller, Phillips, & Taylor, 2016;Rollins et al, 2016). However, this type of examination is lacking in nursing research which, while acknowledging the influence of system-level factors such as structural racism, social and cultural norms, and lack of public policy to support breastfeeding, has largely focused on individual characteristics and behaviors when studying breastfeeding interventions (Johnson, Kirk, Rosenblum, et al, 2015;Reno et al, 2018). These individual characteristics include maternal attitude (Alnasser et al, 2018;Shepherd, Walbey, & Lovell, 2017), self-efficacy (Henshaw, Fried, Siskind, Newhouse, & Cooper, 2015;McQueen, Dennis, Stremler, & Norman, 2011), and personality (Brown, 2014).…”

Section: Current Re S E Arch Find Ing Smentioning

confidence: 99%

“…Current nursing research examining breastfeeding has had considerable focus on these disparities, but concentrates heavily on individual factors associated with breastfeeding, such as maternal attitude or partner support (Alnasser et al, ; Bhairo & Elliott, ; Rempel, Rempel, & Moore, ). This focus on individual‐level interventions, while an important aspect of improving breastfeeding rates, fails to acknowledge systemic and structural barriers to breastfeeding, such as lack of paid family leave, failure to regulate formula advertising, and the systemic racism that influences cultural norms and access to unbiased care (Johnson, Kirk, Rosenblum, & Muzik, ; Jones, Power, Queenan, & Schulkin, ; Reno, Barnhart, & Gabbe, ). Focusing research on the individual insinuates that breastfeeding is a choice; however, as I will argue, the individually focused nature of nursing research in breastfeeding adheres to a neoliberalist perspective of individual responsibility.…”

Section: Introductionmentioning

confidence: 99%

The individual focus of nursing research in breastfeeding: Perpetuating a neoliberal perspective

Kett

2020

Public Health Nursing

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In this paper, I argue for the need to shift the focus of nursing research regarding breastfeeding from that of individual responsibility to include a more system‐focused, population health approach. In the 2011, “Call to Action to Support Breastfeeding,” the U.S. Surgeon General called attention to the pervasive disparities in breastfeeding outcomes in the United States. A plethora of nursing research exists aimed at addressing these disparities; however, this research leans toward a neoliberal perspective, mainly focusing on individual factors and failing to address the systemic inequities contributing to these disparities. A shift in nursing science that focuses research at a population level would more effectively support addressing disparities in breastfeeding outcomes and embrace a commitment to social justice. In focusing at a population level, specific inequities that must be addressed include the negative history of breastfeeding in the Black population, systemic racism, and gender inequality. Critical research methodologies are proposed as useful approaches to address these inequities. By engaging in this level of research and using a critical lens, nurse scientists broaden their scope of care to include the entire population, motivate needed social and policy change, facilitate the choice to breastfeed, and ultimately eliminate breastfeeding disparities.

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A Critical Inquiry of Breastfeeding Attitudes, Barriers, and Experiences of African American Women living in Poverty

Cited by 3 publications

References 53 publications

Decentering intensive mothering: More fully accounting for race and class in motherhood norms

Decentering intensive mothering: More fully accounting for race and class in motherhood norms

Interventions to Support Engagement in Addiction Care Postpartum: Principles and Pitfalls

The individual focus of nursing research in breastfeeding: Perpetuating a neoliberal perspective

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