Breast-Feeding Rates at an Inner-City Pediatric Practice

Furman, Lydia; Combs, Bridget C.; Alexander, Ashley; O’Riordan, Mary Ann

doi:10.1177/0009922808320601

Cited by 9 publications

(6 citation statements)

References 33 publications

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“…Though the Baby-Friendly Hospital Initiative has been associated with higher rates of exclusive breastfeeding at hospital discharge in one study, 8 another concluded that the Baby-Friendly Hospital Initiative was less effective at increasing exclusive breastfeeding rates for low-income American women compared with higher income American women. 21 Our exclusive breastfeeding rate on PPD2 (31.5%) was within the range of published rates of exclusive breastfeeding at hospital discharge among low-income American women who did not deliver at Baby-Friendly Hospitals (22 22 -40% 23 ), adding weight to the concern that this initiative may not increase exclusive breastfeeding rates for low-income American women.…”

Section: Commentsupporting

confidence: 59%

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

et al. 2018

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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.

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Section: Commentsupporting

confidence: 59%

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

et al. 2018

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“…[5][6][7] Locally, in an inner-city predominantly WICeligible population, we reported that more than 60% of mothers planned to breastfeed, yet less than 20% were still breastfeeding at all by 2 months following birth. 8,9 These data reflect an important health disparity and suggest that high-risk women are encountering obstacles in achieving their infant feeding goals.…”

Section: Introductionmentioning

confidence: 89%

Breastfeeding Among High-Risk Inner-City African-American Mothers: A Risky Choice?

Furman

Banks

North

2013

Breastfeeding Medicine

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Several findings have been previously reported, such as fear of pain with breastfeeding, but we identified new themes, including self-esteem and self-efficacy, and new concerns, for example, that large breasts would suffocate a breastfeeding infant. The FIBs analytic framework, as modified for breastfeeding issues, creates a context for future analysis and comparison of related studies and may be a useful tool to improve understanding of barriers to breastfeeding among high-risk inner-city women.

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“…5 Women who are both low income and urban have even lower breastfeeding rates than those who are solely low income or urban. 6 Thus, interventions are urgently needed to increase breastfeeding rates, particularly among low-income, urban, or African-American women.…”

Section: Introductionmentioning

confidence: 99%

Mobile Health Approaches to Breastfeeding

Lewkowitz

Cahill

2021

Clinical Obstetrics &Amp; Gynecology

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Breastfeeding is available to nearly all women and has well-established short-term and long-term health benefits for mothers and infants. However, rates of breastfeeding initiation and continuation vary significantly according to sociodemographic factors, particularly in the United States. Mobile health (mHealth) interventions such as webbased/online education or smartphone applications have showed promise in increasing breastfeeding initiation and supporting breastfeeding continuation, and the importance of such mHealth-based breastfeeding support has increased significantly during the ongoing COVID-19 pandemic. This expert commentary reviews prior studies on mHealth in breastfeeding and highlights areas for future research on this topic.

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Breast-Feeding Rates at an Inner-City Pediatric Practice

Abstract: These inner-city breast-feeding rates are substantially below reported regional and national rates. Barriers to implementing urgently needed interventions are discussed.

Cited by 9 publications

References 33 publications

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

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

Breastfeeding Among High-Risk Inner-City African-American Mothers: A Risky Choice?

Mobile Health Approaches to Breastfeeding

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