“…In addition, although 85% of American women state a prenatal intention to exclusively breastfeed at least 3 months (with first-time mothers having higher or equal rates of breastfeeding intention compared with multiparous women [Chertok, Luo, Culp, & Mullett, 2011;Colaizy, Saftlas, & Morriss, 2012]), just 32% meet their prenatal goal (Perrine, Scanlon, Li, Odom, & Grummer-Strawn, 2012). Although women discontinue breastfeeding for a variety of reasons, among the most prevalently cited barriers to breastfeeding maintenance are perception of insufficient milk, impaired breastfeeding self-efficacy, and early, in-hospital formula supplementation (Bahorski et al, 2018;Brownell, Howard, Lawrence, & Dozier, 2012;Chantry, Dewey, Peerson, Wagner, & Nommsen-Rivers, 2014;Odom, Ruowei, Scanlon, Perrine, & Grummer-Strawn, 2013).…”