Reasons for Infant Feeding Decisions in Low-Income Families in Washington, DC

Oniwon, Onize; Tender, Jennifer A.F.; He, Jie; Voorhees, Elyshe; Moon, Rachel Y.

doi:10.1177/0890334416653739

Cited by 21 publications

(39 citation statements)

References 16 publications

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“…On the other hand, a study by Tarrant et al in 2011 claimed that higher maternal education positively correlates with mother's breastfeeding at the time of discharge from the hospital and its continuation for the first six months after birth (11). The results are in line with another study by Oniwon, which indicated that higher maternal education is effective in increasing the rates of breastfeeding frequency and duration (12).…”

Section: Discussionsupporting

confidence: 59%

The Effects of a Peer-Counseling Program on Increase Rate and Continuity of Lactation in Tehran Nursing Mothers

Nayeri

Farrokhzad

Esmaeilnia

et al. 2020

JFRH

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Objective: The practice of breastfeeding is considered a blessing since its effects on health are well recognized and applies to both mothers and infants. The objective of this study was to evaluate the effectiveness of peer support and training on breastfeeding initiation, duration and exclusivity. Materials and methods: This community-based clinical trial, (IRCT No: 201504049568N12), was conducted during 2015 in the Municipality of Tehran 19 District. First, a total of 150 mothers with their infants from 4 to 20 months of age were asked to complete a questionnaire, which included the demographic characteristics, educational level, and the type of lactation, the initial age of infant for breastfeeding, and the duration of exclusive breastfeeding. Afterwards, 25 volunteer women were selected for lactation counseling. After 6 months, another sample of 116 nursing mothers in the region who had received peer counseling was selected and questioned through the previously mentioned questionnaire. Finally, the results, which were collected from the behavior of the target population before and after the intervention, were compared. Results: The results of the present study indicated that the nursing mothers who received peer counseling proved to have longer durations of breastfeeding (P-value = 0.039), and higher frequency of first hour initiation of breastfeeding (P-value = 0.003) however, the volunteer counselors were mainly housewives who had lower levels of education (P-value = 0.009) and were younger (P-value = 0.009) than those of untrained control group. Conclusion: The study demonstrated the significant effect of peer counseling on breastfeeding initiation and continuation. It is suggested that lactation training could be initiated during the prenatal period along with the conventional methods of training.

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Section: Discussionsupporting

confidence: 59%

The Effects of a Peer-Counseling Program on Increase Rate and Continuity of Lactation in Tehran Nursing Mothers

Nayeri

Farrokhzad

Esmaeilnia

et al. 2020

JFRH

View full text Add to dashboard Cite

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“… 13 , 23 This perception is documented as one of the most predictable factors of early discontinuation of BF in Jordan and other countries. 7 , 9 , 13 , 23 In relation to the success of BF, this study and other evidence merit the need for greater support of mothers who receive active management. These mothers require help to overcome pain and difficulty associated with BF and milk insufficiency in the early postpartum days.…”

Section: Discussionmentioning

confidence: 73%

“… 17 – 24 Sociodemographic characteristics of mothers influence initiation of BF and optimal EBF. These include mothers’ age, 6 education, 7 income, 8 , 9 and employment. 10 , 11 Successful BF is also influenced by mode of birth.…”

Section: Introductionmentioning

confidence: 99%

Initiation and continuation of breastfeeding among Jordanian first-time mothers: a prospective cohort study

dasoqi

Safadi

Badran

et al. 2018

IJWH

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ObjectiveThis study aimed to examine the rates of initiation and continuation of breastfeeding (BF) and their relationship with mothers’ sociodemographic, obstetric, neonatal, and medical interventions.MethodsData were collected from 199 first-time Jordanian mothers using medical records, face-to-face interviews within 24 hours of birth, and two telephone interviews at 6 weeks and 6 months after birth.ResultsThe rate of BF initiation within the first 4 hours after birth was only 13%. The rate of exclusive BF at 6 weeks was 25.5%, and this rate dropped to 2.1% at 6 months. Mothers who initiated BF before discharge were older, were employed, had normal vaginal birth, and had undergone antenatal or after-birth BF education. Infants’ birth weight or gender was not interrelated with BF initiation. There was no relationship between initiation and continuation of BF and use of medications for labor pain or for induction/augmentation. The only significant relationship was found between the dose of ergometrine and BF failure and painful BF at 6 weeks.ConclusionThere is a need for increasing health care providers and public awareness about the role of intrapartum medications and procedures on the initiation and continuation of BF at 6 weeks and 6 months after birth.

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“…We found in our cohort that the higher the child's weightfor-gestational-age z score, the more likely the mother was to adhere to the recommendations. Previous studies have found that mothers report "low" or "insufficient" milk supply as a major reason for supplementing formula, [35][36][37] which is commonly seen among babies who are bigger at birth. Mothers report that they do not feel they make enough milk to feed their baby and hence they choose to supplement with formula.…”

Section: Discussionmentioning

confidence: 99%

“…39 In our sample, the univariate association between WIC participation and adherence may have been confounded by lower maternal education and maternal prepregnancy BMI. 37…”

Section: Discussionmentioning

confidence: 99%

Infant Feeding Practices In a Diverse Group of Women: The Healthy Start Study

Kaar

Sauder

Shapiro

et al. 2019

Clin Med Insights Pediatr

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Background: To describe infant feeding practices among a diverse group of mother-offspring pairs and identify factors associated with adherence to the American Academy of Pediatrics (AAP) recommendations. Methods: Data were analyzed from 835 mother-offspring dyads in The Healthy Start Study, an ongoing longitudinal prebirth cohort in Denver, Colorado. Maternal report of infant feeding practices was obtained at 4 to 6 months and 18 to 24 months postnatally. Practices were classified according to the following AAP recommendations: exclusive breastfeeding for first 6 months, continued breastfeeding through 12 months, and introduction of solid foods around 6 months of age. Participants who met all 3 recommendations were categorized as “adherent.” All others were categorized as “not adherent.” Results: About 77% of dyads did not adhere fully to the AAP recommendations. Women who worked ⩾35 hours/week or had a higher prepregnancy body mass index were more likely to be nonadherent. Women who were older, college educated, or had offspring with greater weight for gestational age at birth were less likely to be nonadherent. Conclusions: Most of the women in a large contemporary cohort are not adhering to AAP infant feeding recommendations. Our results highlight the specific subgroups of women who may need additional support to optimize infant feeding practices.

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Reasons for Infant Feeding Decisions in Low-Income Families in Washington, DC

Abstract: Clients of WIC initiated breastfeeding at a high rate but either supplemented with formula or stopped breastfeeding for reasons that could be remedied by improved prenatal education, encouragement of exclusive breastfeeding in the hospital, and more outpatient support.

Cited by 21 publications

References 16 publications

The Effects of a Peer-Counseling Program on Increase Rate and Continuity of Lactation in Tehran Nursing Mothers

The Effects of a Peer-Counseling Program on Increase Rate and Continuity of Lactation in Tehran Nursing Mothers

Initiation and continuation of breastfeeding among Jordanian first-time mothers: a prospective cohort study

Infant Feeding Practices In a Diverse Group of Women: The Healthy Start Study

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