期刊
JOURNAL OF HUMAN LACTATION
卷 32, 期 4, 页码 704-710出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0890334416653739
关键词
African Americans; breastfeeding; breastfeeding barriers; breastfeeding cessation; breastfeeding support; decision making; Special Supplemental Nutrition Program for Women; Infants; and Children
资金
- National Institute on Minority Health and Health Disparities of the National Institutes of Health [P20MD000198]
Background: Breastfeeding rates for low-income, African American infants remain low. Objective: This study aimed to determine the barriers, support, and influences for infant feeding decisions among women enrolled in the Washington, DC, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) after revisions in the WIC package to include more food vouchers for breastfeeding mothers and their infants and improvement of in-hospital breastfeeding support. Methods: We surveyed 100 women, using a 42-item verbally administered survey that asked about demographics, infant feeding method, and influences and support for feeding decisions. Results: The majority of participants (76%) initiated breastfeeding; 31% exclusively breastfed in the hospital. Participants were more likely to breastfeed if they had some college education, were unemployed or employed full-time, had only one child, and had been breastfed themselves as infants. Barriers to prolonged breastfeeding included limited support after hospital discharge, pain, and perceived insufficient milk supply. Participants in this study had higher breastfeeding initiation and in-hospital exclusivity rates after improvement of in-hospital breastfeeding support. Conclusion: 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.
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