Understanding Breastfeeding Barriers at an Urban Pediatric Practice

Furman, Lydia; Feinstein, Julia; DeLozier, Sarah

doi:10.1007/s40615-022-01248-z

Cited by 3 publications

(4 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Factors associated with higher-risk gut microbiomes at 1-month of age in our United States-based cohort included several correlates of lower socioeconomic status, including single parents with a shorter duration of formal education and reduced breastfeeding rates, which have previously been associated with childhood obesity 54 , 55 and with structural racism. 56 , 57 Thus, strategies including support for breastfeeding and addressing social inequities due to structural racism, a fundamental determinant of health, 58 could decrease the prevalence of childhood obesity.…”

Section: Discussionmentioning

confidence: 99%

Precocious infant fecal microbiome promotes enterocyte barrier dysfuction, altered neuroendocrine signaling and associates with increased childhood obesity risk

Yong,

Porsche,

Sitarik

et al. 2023

Gut Microbes

View full text Add to dashboard Cite

Early life gut microbiome composition has been correlated with childhood obesity, though microbial functional contributions to disease origins remain unclear. Here, using an infant birth cohort ( n = 349) we identify a distinct fecal microbiota composition in 1-month-old infants with the lowest rate of exclusive breastfeeding, that relates with higher relative risk for obesity and overweight phenotypes at two years. Higher-risk infant fecal microbiomes exhibited accelerated taxonomic and functional maturation and broad-ranging metabolic reprogramming, including reduced concentrations of neuro-endocrine signals. In vitro , exposure of enterocytes to fecal extracts from higher-risk infants led to upregulation of genes associated with obesity and with expansion of nutrient sensing enteroendocrine progenitor cells. Fecal extracts from higher-risk infants also promoted enterocyte barrier dysfunction. These data implicate dysregulation of infant microbiome functional development, and more specifically promotion of enteroendocrine signaling and epithelial barrier impairment in the early-life developmental origins of childhood obesity.

show abstract

Section: Discussionmentioning

confidence: 99%

Precocious infant fecal microbiome promotes enterocyte barrier dysfuction, altered neuroendocrine signaling and associates with increased childhood obesity risk

Yong,

Porsche,

Sitarik

et al. 2023

Gut Microbes

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…Prior studies have examined factors influencing WIC participants’ breastfeeding practices [ 7 , 8 , 9 , 10 ]. For example, breastfeeding attitudes and beliefs related to self-efficacy, intrinsic and extrinsic motivation, and social or cultural norms have been found to predict prenatal breastfeeding intentions and later breastfeeding practices [ 7 , 8 , 9 , 10 ]. Studies also show that many WIC participants have similarly positive attitudes toward breastfeeding and formula feeding [ 11 ] and that, compared to non-participants, WIC participants perceive formula adoption as more personally and socially acceptable due to socioeconomic needs and anticipation of breastfeeding challenges [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Studies also show that many WIC participants have similarly positive attitudes toward breastfeeding and formula feeding [ 11 ] and that, compared to non-participants, WIC participants perceive formula adoption as more personally and socially acceptable due to socioeconomic needs and anticipation of breastfeeding challenges [ 12 ]. Among African American mothers, infant feeding decisions are influenced by participation in prenatal breastfeeding classes, the perspectives of people in their social network, and by historical experiences of racism contributing to breastfeeding stigma [ 10 , 12 , 13 ]. Finally, information about the cost of supplemental formula (in addition to the WIC-provided formula) is perceived as an additional motivation to breastfeed among WIC participants [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Forming the Perception of WIC Infant Feeding Recommendations: A Qualitative Study

et al. 2023

View full text Add to dashboard Cite

Nearly half of newborns in the United States are enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Promoting breastfeeding is a programmatic priority, although formula vouchers are provided for those who do not exclusively breastfeed. Previous literature suggests that participant perception of WIC’s breastfeeding recommendations is a significant factor predicting breastfeeding initiation, duration, and exclusivity outcomes. However, little is known about how participants’ perceptions of WIC’s breastfeeding recommendations are formed. To address this knowledge gap, we conducted a qualitative pilot study in Nevada, interviewing 10 postpartum WIC mothers and 12 WIC staff who had interacted with participants regarding infant feeding. Results showed participants and staff reported various perceptions of what WIC recommends, the factors that contribute to these perceptions, and how these perceptions affect breastfeeding practices. Respondents also described that WIC has a negative legacy as the “free formula program,” and that environmental factors, such as the recent formula recall, have had an impact on participants’ infant feeding practices. More effective public campaigns and programmatic strategies are needed to target participants’ prenatal self-efficacy and to communicate the availability of skilled lactation support in the early postpartum period to improve participants’ perceptions of WIC’s position on breastfeeding.

show abstract

A Pilot Breastfeeding-Supportive Texting Program for African American and Black Mothers

Furman,

McAleer,

Brooks

et al. 2024

Breastfeeding Medicine

View full text Add to dashboard Cite

Understanding Breastfeeding Barriers at an Urban Pediatric Practice

Cited by 3 publications

References 33 publications

Precocious infant fecal microbiome promotes enterocyte barrier dysfuction, altered neuroendocrine signaling and associates with increased childhood obesity risk

Precocious infant fecal microbiome promotes enterocyte barrier dysfuction, altered neuroendocrine signaling and associates with increased childhood obesity risk

Forming the Perception of WIC Infant Feeding Recommendations: A Qualitative Study

A Pilot Breastfeeding-Supportive Texting Program for African American and Black Mothers

Contact Info

Product

Resources

About