The mPINC survey: Impacting US maternity care practices

Grossniklaus, Daurice A.; Galuska, Deborah A.; Perrine, Cria G.

doi:10.1111/mcn.13092

Cited by 6 publications

(3 citation statements)

References 35 publications

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“…Studies have described defi ciencies in the intentions to breastfeed among future healthcare workers, people who would presumably have the most information at hand compared to the rest of the population [43,44]. The attitudes of healthcare workers are likely to be conveyed to the patients.…”

Section: Health Disparities and Policies Supporting Breastfeedingmentioning

confidence: 99%

Breastfeeding among Hispanic and Black Women: Barriers and Support

Buxbaum,

Arigbede,

Mathis

et al. 2023

J Biomed Res Environ Sci

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We describe barriers and supports for the practice of breastfeeding, with particular focus on Black and Hispanic women in the United States. We note that breastfeeding patterns reported by WIC agencies is highly variable across the country and within states. The global campaign to support breastfeeding, Baby Friendly Hospital Initiative, and its implementation in the US is described, as well as Healthy People goals and the mixture of policies across the US that provide incomplete support for breastfeeding mothers.

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Section: Health Disparities and Policies Supporting Breastfeedingmentioning

confidence: 99%

Breastfeeding among Hispanic and Black Women: Barriers and Support

Buxbaum,

Arigbede,

Mathis

et al. 2023

J Biomed Res Environ Sci

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“…Third, although we controlled for multiple potential covariates, residual confounding might still remain. Lastly, data were collected in 2013 and maternity care practices have improved, 17 , 32 which could positively impact a woman’s ability to meet her breastfeeding intentions. Future studies could determine if the experience of Baby-Friendly steps continue to be associated with meeting longer breastfeeding intention outcomes (ie, 3 months or longer) or if meeting breastfeeding intentions mediates the association between the experience of Baby-Friendly maternity care practices and longer breastfeeding outcomes.…”

Section: Discussionmentioning

confidence: 99%

Maternity Care Practices and Breastfeeding Intentions at One Month Among Low-Income Women

Beauregard

Perrine

et al. 2022

Pediatrics

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BACKGROUND: Maternity care practices have been linked with higher chances of meeting breastfeeding intentions, but this relationship has not been examined using national data on US low-income women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS: Using data from the WIC Infant and Toddler Feeding Practices Study-2 on 1080 women who intended to breastfeed, we estimated risk ratios for associations between (1) each of 6 maternity care practices supportive of breastfeeding (breastfeeding within 1 hour of birth, showing mothers how to breastfeed, giving only breast milk, rooming-in, breastfeeding on demand, no pacifiers), (2) each practice adjusted for all other practices, and (3) total number of practices experienced with whether women met their intention to feed only breast milk at 1 month old. Models were adjusted for demographics. RESULTS: In adjusted models (1), breastfeeding within 1 hour of birth, giving only breast milk, and no pacifiers were associated with higher likelihood of meeting prenatal breastfeeding intentions. Adjusting for all other practices (2), initiating breastfeeding within 1 hour of birth (risk ratio: 1.3; 95% confidence interval: 1.0–1.6) and giving only breast milk (risk ratio: 4.4; 95% confidence interval: 3.4–5.7) remained associated with meeting breastfeeding intention. There was a dose-response relationship between number of steps experienced and higher likelihood of meeting prenatal breastfeeding intentions (3). CONCLUSIONS: Women who experienced maternity care practices supportive of breastfeeding were more likely to meet their prenatal breastfeeding intentions, underscoring the importance of breastfeeding support during the birth hospitalization in enabling mothers to achieve their breastfeeding goals.

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“…Despite increased understanding of the benefits, epidemiological studies have identified wide variations in exclusive breastfeeding rates between counties and hospitals [ 9 ]. As per Centers for Disease Control and Prevention, the rates of breastfeeding remain suboptimal, especially amongst African American women from low-income communities.…”

Section: Introductionmentioning

confidence: 99%

A Pilot Study Exploring Temporal Development of Gut Microbiome/Metabolome in Breastfed Neonates during the First Week of Life

Awan

Schultz

Sterrett

et al. 2023

Pediatr Gastroenterol Hepatol Nutr

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Purpose Exclusive breastfeeding promotes gut microbial compositions associated with lower rates of metabolic and autoimmune diseases. Its cessation is implicated in increased microbiome-metabolome discordance, suggesting a vulnerability to dietary changes. Formula supplementation is common within our low-income, ethnic-minority community. We studied exclusively breastfed (EBF) neonates’ early microbiome-metabolome coupling in efforts to build foundational knowledge needed to target this inequality. Methods Maternal surveys and stool samples from seven EBF neonates at first transitional stool (0–24 hours), discharge (30–48 hours), and at first appointment (days 3–5) were collected. Survey included demographics, feeding method, medications, medical history and tobacco and alcohol use. Stool samples were processed for 16S rRNA gene sequencing and lipid analysis by gas chromatography-mass spectrometry. Alpha and beta diversity analyses and Procrustes randomization for associations were carried out. Results Firmicutes, Proteobacteria, Bacteroidetes and Actinobacteria were the most abundant taxa. Variation in microbiome composition was greater between individuals than within ( p =0.001). Palmitic, oleic, stearic, and linoleic acids were the most abundant lipids. Variation in lipid composition was greater between individuals than within ( p =0.040). Multivariate composition of the metabolome, but not microbiome, correlated with time ( p =0.030). Total lipids, saturated lipids, and unsaturated lipids concentrations increased over time ( p =0.012, p =0.008, p =0.023). Alpha diversity did not correlate with time ( p =0.403). Microbiome composition was not associated with each samples’ metabolome ( p =0.450). Conclusion Neonate gut microbiomes were unique to each neonate; respective metabolome profiles demonstrated generalizable temporal developments. The overall variability suggests potential interplay between influences including maternal breastmilk composition, amount consumed and living environment.

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The mPINC survey: Impacting US maternity care practices

Cited by 6 publications

References 35 publications

Breastfeeding among Hispanic and Black Women: Barriers and Support

Breastfeeding among Hispanic and Black Women: Barriers and Support

Maternity Care Practices and Breastfeeding Intentions at One Month Among Low-Income Women

A Pilot Study Exploring Temporal Development of Gut Microbiome/Metabolome in Breastfed Neonates during the First Week of Life

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