Early Exclusive Breastfeeding and Maternal Attitudes Towards Infant Feeding in a Population of New Mothers in San Francisco, California

Abstract

Background: Positive parental attitudes towards infant feeding are an important component in child nutritional health. Previous studies have found that participants in the Special Supplemental Women, Infants, and Children (WIC) Program have lower breastfeeding rates and attitudes that do not contribute towards healthy infant feeding in spite of breastfeeding and nutrition education programs targeting WIC participants. The objective of this study was to assess the frequency of exclusive breastfeeding in the early postpartum period and maternal attitudes towards breastfeeding in a population of mothers at two San Francisco hospitals and in relation to WIC participation status. Methods: We interviewed women who had recently delivered a healthy newborn using a structured interview. Results: A high percentage (79.8%) of our sample was exclusively breastfeeding at 1-4 days postpartum. We did not find any significant differences in rates of formula or mixed feeding by WIC participant status. Independent risk factors for mixed or formula feeding at 1-3 days postpartum included Asian=Pacific Islander ethnicity (odds ratio [OR] 2.90, 95% confidence interval [CI] 1.17-7.19). Being a college graduate was associated with a decreased risk of formula=mixed feeding (OR 0.28, 95% CI 0.10-0.79). We also found that thinking breastfeeding was physically painful and uncomfortable was independently associated with not breastfeeding (OR 1.41, 95% CI 1.06-1.89). Conclusions: Future studies should be conducted with Asian-Americans and Pacific Islanders to better understand the lower rates of exclusive breastfeeding in this population and should address negative attitudes towards breastfeeding such as the idea that breastfeeding is painful or uncomfortable.

Factores asociados a la lactancia materna en mujeres de un municipio colombiano

“…El estudio de Rodríguez-García et al [11], halló que uno de los perjuicios más declarados por las madres fue el de molestias y dolor con el amamantamiento. Además, otra investigación en California-Estados Unidos, encuentra que la incomodidad o el dolor al lactar se asociaban con uso de leche artificial o alimentación complementaria [26].…”

Postpartum Contraception in Publicly-Funded Programs and Interpregnancy Intervals

“…A northern California study found that Asian and Pacific Islander women were observed to start formula or mixed feeding of their infants sooner after birth than white women. 25 Interventions to promote optimal interpregnancy intervals need to integrate breastfeeding promotion with contraceptive dispensing and counseling, in particular with the Asian and Pacific Islander population. As exclusive breastfeeding becomes more prevalent, the potential effect of delayed initiation of effective contraception has to be monitored.…”

Breastfeeding Among High-Risk Inner-City African-American Mothers: A Risky Choice?

“…While expressing awareness and knowledge about the benefits of breastfeeding for themselves and their infant, nipple pain and painful latch were frequently and forcefully identified as obstacles. [14][15][16][17][18][19][20][21][22][23] Mothers expressed misconceptions regarding low milk supply and contraindications to breastfeeding. They also articulated a general lack of knowledge about the process of breastfeeding in areas ranging from feeding frequency, nipple care, and good latch to building milk supply.…”