Breastfeeding Duration Is Associated With WIC Site-Level Breastfeeding Support Practices

Gleason, Stacy; Wilkin, Margaret; Sallack, Linnea; Whaley, Shannon E.; Martinez, Catherine; Paolicelli, Courtney

doi:10.1016/j.jneb.2020.01.014

Cited by 16 publications

(30 citation statements)

References 10 publications

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“…Indeed, WIC has made a significant investment in breastfeeding-promotion efforts, implementing evidence-based breastfeeding-promotion practices, such as access to lactation consultants and peer counselors. 30,48,49 These efforts have led to significant increases in breastfeeding initiation and duration rates among WIC mothers, which is commendable. [28][29][30] However, it is important to note that most recent data illustrate that breastfeeding rates among WIC mothers are still below national health goals, with approximately 70% of WIC infants ever breastfed and only 34% still breastfed at 6 months of age.…”

Section: Discussionmentioning

confidence: 99%

Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach

Ventura

García

Meza

et al. 2022

Journal of the Academy of Nutrition and Dietetics

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Background Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG); evidence-based strategies for promoting healthy bottle-feeding practices are needed.Objective Our aim was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) were associated with lower risk for RWG.Design We conducted a matched-pair cluster randomized trial. PSE strategies were implemented at 3 WIC clinics in Los Angeles County. PSE clinics were compared with 3 matched control clinics. Mothers and infants were assessed when infants were newborn and 3 months and 6 months of age.Participants/setting Participants were mothers (n ¼ 246) who enrolled their newborn infants (younger than 60 days) into WIC between May and August 2019.Main outcome measures Infant weight was assessed and standardized to sex-and age-specific z scores. RWG was defined as weight-for-age z score change > 0.67. Mothers completed questionnaires assessing responsive and pressuring feeding styles, breastand bottle-feeding patterns, and perceptions of WIC experiences. Statistical analyses performed Logistic regression with estimation via generalizedestimating equations and linear mixed models with repeated measures assessed effects of PSE strategies on categorical and continuous outcomes, respectively.Results Infants in PSE clinics had significantly lower likelihood of exhibiting RWG (P ¼ .014) than infants in control clinics. Mothers in PSE and control clinics reported similar levels of responsive and pressuring feeding style and similar prevalence of breastfeeding and bottle-feeding. Mothers in PSE clinics trended toward feeling better supported with respect to their decision to bottle-feed (P ¼ .098) and had more stable intentions to stay in the WIC program (P ¼ .002) compared with mothers in control clinics.Conclusions PSE strategies focused on promoting more inclusive assessment of infant feeding, tailored bottle-feeding counseling, and increased education and support for responsive bottle-feeding were associated with lower risk for RWG among WIC infants.

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Section: Discussionmentioning

confidence: 99%

Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach

Ventura

García

Meza

et al. 2022

Journal of the Academy of Nutrition and Dietetics

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“…The finding on EBF, which was more prevalent among mothers who received a WIC breastfeeding consultation compared to mothers who did not receive a WIC breastfeeding consultation, was not surprising. Mothers who received breastfeeding support from either WIC staff [ 32 ], lactation consultants [ 32 , 33 ] or peer counselors [ 32 – 34 ] have reported increased breastfeeding rates. Our finding is a reflection that WIC breastfeeding consultation is beneficial to WIC mothers; therefore, its practice may be encouraged.…”

Section: Discussionmentioning

confidence: 99%

The role of state breastfeeding laws and programs on exclusive breastfeeding practice among mothers in the special supplemental nutrition program for Women, Infants, and Children (WIC)

et al. 2022

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Background It is unclear if state laws supporting breastfeeding are associated with exclusive breastfeeding (EBF) practice among low-income mothers participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The main objectives of our study were to assess the relationship between such laws and EBF among WIC-participating mothers and to assess whether this association varied by employment status. We also assessed how mother’s exposure to WIC breastfeeding consultation was associated with EBF. Methods A cross-sectional study was conducted across seven WIC program locations (i.e., Georgia, Massachusetts, Nevada, Pennsylvania, Wisconsin, Wyoming, Chickasaw Nation) between July–August 2020. Data were collected using convenient sampling from each program location and surveys were administered electronically or on paper to WIC-participating mothers. We restricted our analysis to data from 1161 WIC-participating mothers with infants aged zero to five months old. Multivariable mixed models were used to estimate the relationship between our exposures of interest (i.e., number of laws supporting breastfeeding, employment-related breastfeeding laws, WIC breastfeeding consultation) and EBF, while controlling for potential confounders and accounting for clustering by program location. Effect modification by employment status was assessed on the additive and multiplicative scales. Results Among WIC-participating mothers living in program locations with no employment-related breastfeeding laws, EBF was 26% less prevalent for employed mothers compared to unemployed mothers (adjusted prevalence ratios [aPR]: 0.74, 95% CI: 0.67,0.83). Among all mothers, a one-unit increase in laws supporting breastfeeding was not associated with EBF (aPR: 0.88, 95% CI: 0.71,1.10). However, among employed mothers, living in areas with more employment-related laws was associated with a higher prevalence of EBF (aPR: 1.43, 95% CI: 0.83, 2.44). Infants whose mothers received a WIC breastfeeding consultation had 33% higher prevalence of being exclusively breastfed compared to infants whose mothers did not receive a WIC breastfeeding consultation (aPR: 1.33, 95% CI: 1.05,1.70). Conclusions Infants whose WIC-participating mothers were employed, were less likely to be exclusively breastfed, but our effect modification analyses showed that laws supporting breastfeeding at the workplace may promote EBF among employed women. EBF was more prevalent among mothers who received a WIC breastfeeding consultation compared to those who did not receive such a consultation.

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“…Di Indonesia sebagai salah satu negara berkembang, persentase bayi usia kurang dari 6 bulan yang mendapatkan ASI eksklusif pada tahun 2020 yaitu sebesar 40% (Kementerian Kesehatan Republik Indonesia, 2021). Berbeda dengan negara Amerika Serikat yang merupakan negara maju, dimana cakupan pemberian ASI sampai dengan bayi berusia 6 bulan adalah sebesar 55% (Gleason et al, 2020) Salah satu komitmen WHO untuk mempercepat kemajuan target nutrisi di tahun 2025 yaitu dengan meningkatkan promosi dan dukungan menyusui yang berkualitas (Buttons, 2021). Menyusui merupakan proses yang alami, namun ibu membutuhkan dukungan baik untuk memulai maupun mempertahankan menyusui.…”

Section: Pendahuluanunclassified

“…Konseling menyusui yang terampil dapat diberikan oleh tenaga kesehatan professional maupun konselor laktasi (WHO, 2021). Hal ini didukung oleh penelitian yang menyatakan bahwa IBCLC memberikan dukungan yang lebih intens dan komprehensif, sehingga dapat meningkatkan menyusui secara eksklusif (Gleason et al, 2020). Konseling menyusui dapat membantu ibu untuk membangun kepercayaan diri, konseling tersebut dapat memberdayakan perempuan untuk mengatasi tantangan dan mencegah praktik pemberian makan yang dapat mengganggu pemberian ASI eksklusif (WHO, 2021).…”

Section: Summary Ofunclassified

Dukungan Laktasi Dalam Pemberian Asi Eksklusif Di Negara Berkembang: Scoping Review

Hanifah¹,

Kartini²

2022

JKI

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Breastfeeding Duration Is Associated With WIC Site-Level Breastfeeding Support Practices

Cited by 16 publications

References 10 publications

Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach

Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach

The role of state breastfeeding laws and programs on exclusive breastfeeding practice among mothers in the special supplemental nutrition program for Women, Infants, and Children (WIC)

Dukungan Laktasi Dalam Pemberian Asi Eksklusif Di Negara Berkembang: Scoping Review

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