Racial and Ethnic Disparities in the Use of Mother's Milk Feeding for Very Low Birth Weight Infants in Massachusetts

Parker, Margaret G.; Gupta, Munish; Melvin, Patrice; Burnham, Laura; Lopera, Adriana M.; Moses, James; Litt, Jonathan S.; Belfort, Mandy B.

doi:10.1016/j.jpeds.2018.08.036

Cited by 46 publications

(53 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is good evidence that certain sociodemographic factors, such as race and ethnicity, contribute to differences in the supplement type provided to preterm newborns in the NICU. 20 Our findings suggest that similar sociodemographic disparities exist in supplementation of healthy term newborns. Therefore, it is crucial for clinicians to remain mindful of their biases and the complex social dynamics contributing to a dyad' s experience with newborn feeding.…”

Section: Discussionsupporting

confidence: 53%

Clinical and Sociodemographic Factors Associated With Human Donor Milk Supplementation in Term Newborns

McKittrick

Khaki

Gievers

et al. 2020

Hospital Pediatrics

View full text Add to dashboard Cite

To identify differences between healthy term newborns supplemented with human donor milk (HDM) and those supplemented with infant formula. We hypothesized that sociodemographic and clinical distinctions exist between newborns receiving different milk types.METHODS: This retrospective study included term newborns admitted to the postpartum unit between March 2017 and April 2019 with $1 supplemental feeding with HDM or formula for indications other than hypoglycemia. Maternal and newborn data were abstracted from the electronic medical record.RESULTS: Five hundred eighty-four dyads met inclusion criteria. More newborns received supplementation with formula than with HDM (57.7% vs 42.3%; P , .001). Infants undergoing phototherapy who required supplementation were more likely to receive HDM (P , .001). Newborns born to white and non-Hispanic mothers were more likely to receive HDM than those born to African American (adjusted odds ratio [aOR] 5.6; P 5 .007), Hispanic (aOR 3.0; P 5 .001), or Asian American mothers (aOR 2.7; P 5 .007). Newborns born to primiparous women (aOR 1.6; P 5 .03), those born to women with private insurance (aOR 3.7; P , .001), and those born via cesarean delivery (aOR 2.0; P , .001) were more likely to receive HDM. HDM use was more likely in primary English-or Spanish-speaking households (aOR 8.5; P 5 .009). Newborns receiving their first supplemental feeding during the day (aOR 1.9; P 5 .001) were more likely to be supplemented with HDM. CONCLUSIONS:There are clinical and sociodemographic differences between healthy term newborns supplemented with HDM and formula. These findings reveal that there are disparities in current supplementation practices for healthy newborns.

show abstract

Section: Discussionsupporting

confidence: 53%

Clinical and Sociodemographic Factors Associated With Human Donor Milk Supplementation in Term Newborns

McKittrick

Khaki

Gievers

et al. 2020

Hospital Pediatrics

View full text Add to dashboard Cite

show abstract

“…This mother felt that the NICU team did not support her feeding decisions or her efforts to provide breast milk, an enormous challenge for many NICU families, but especially for Black and Hispanic/Latino families who have been found to have lower breastfeeding rates in NICUs (Lee et al, 2011; Parker et al, 2019; Profit et al, 2017). She described a strained relationship with NICU staff, illustrated by staff making excuses for not facilitating skin-to-skin care or parent-led diaper changing when she was available.…”

Section: Resultsmentioning

confidence: 99%

Former NICU Families Describe Gaps in Family-Centered Care

et al. 2020

View full text Add to dashboard Cite

Care and outcomes of infants admitted to neonatal intensive care vary and differences in family-centered care may contribute. The objective of this study was to understand families’ experiences of neonatal care within a framework of family-centered care. We conducted focus groups and interviews with 18 family members whose infants were cared for in California neonatal intensive care units (NICUs) using a grounded theory approach and centering the accounts of families of color and/or of low socioeconomic status. Families identified the following challenges that indicated a gap in mutual trust and power sharing: conflict with or lack of knowledge about social work; staff judgment of, or unwillingness to address barriers to family presence at bedside; need for nurse continuity and meaningful relationship with nurses and inconsistent access to translation services. These unmet needs for partnership in care or support were particularly experienced by parents of color or of low socioeconomic status.

show abstract

“…It is widely appreciated that race and ethnicity play important roles in parental decisions about circumcision and in the mother' s choice regarding breastfeeding. [26][27][28][29] However, the interactions of race, ethnicity, circumcision, and breastfeeding have not been explored. A recent study from the Eunice Kennedy Shriver National Institute of Child Health and Human Development in the United States highlighted racial and ethnic factors that influence breastfeeding rates.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Circumcision on Exclusive Breastfeeding, Phototherapy, and Hospital Length of Stay in Term Breastfed Newborns

O’Callahan

Husain

et al. 2020

Hospital Pediatrics

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES:Little is known about the effect of circumcision on breastfeeding in the hours and days after the procedure. Factors with the potential to negatively impact breastfeeding success in the newborn period may result in higher rates of jaundice requiring phototherapy and formula supplementation, both of which can potentially extend the length of initial hospitalization. Our objective was to determine the impact of circumcision on rates of exclusive breastfeeding, neonatal jaundice requiring phototherapy, and length of stay at hospital discharge immediately after birth.METHODS: Term male newborn infants whose mothers intended to exclusively breastfeed were included in this retrospective cohort. Bivariate analysis and multivariate logistic regression modeling were used to evaluate target behaviors, comparing infant boys who were circumcised with those who were uncircumcised. RESULTS:Of the 1109 breastfed male newborns included, 846 (76.6%) were circumcised. There was no significant effect of circumcision status or circumcision timing on the rate of in-hospital formula supplementation. There were no differences in peak bilirubin levels, phototherapy requirement, or length of hospital stay for male newborns based on circumcision status. CONCLUSIONS: Circumcision did not affect the rate of exclusive breastfeeding, neonatal jaundice, phototherapy requirement, or length of hospital stay in this retrospective analysis of breastfed male newborns.

show abstract

Racial and Ethnic Disparities in the Use of Mother's Milk Feeding for Very Low Birth Weight Infants in Massachusetts

Cited by 46 publications

References 34 publications

Clinical and Sociodemographic Factors Associated With Human Donor Milk Supplementation in Term Newborns

Clinical and Sociodemographic Factors Associated With Human Donor Milk Supplementation in Term Newborns

Former NICU Families Describe Gaps in Family-Centered Care

The Effect of Circumcision on Exclusive Breastfeeding, Phototherapy, and Hospital Length of Stay in Term Breastfed Newborns

Contact Info

Product

Resources

About