Racial Disparities in Sustaining Breastfeeding in a Baby-Friendly Designated Southeastern United States Hospital: An Opportunity to Investigate Systemic Racism

Hemingway, Shauna; Forson-Dare, Zaneta; Ebeling, Myla; Taylor, Sarah N.

doi:10.1089/bfm.2020.0306

Cited by 23 publications

(24 citation statements)

References 41 publications

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“…However, there is a critical need for the equitable implementation of The Ten Steps and the BFHI in hospitals serving communities with a high proportion of Black families. 27,28 These data further highlight the significant efforts and contributions of Black-led community-based organizations and local, state, and national initiatives to address and improve breastfeeding inequities and disparities. Organizations such as Reaching Our Sisters Everyone (ROSE), Black Mothers' Breastfeeding Association (BMBFA), Center for Social Inclusion, and HealthConnect One as well as numerous community-led efforts such as the creation of Black Breastfeeding Week, online support groups, and communitycentered peer-to-peer breastfeeding trainings have been instrumental in driving the breastfeeding trends observed in the United States today.…”

Section: Introductionmentioning

confidence: 77%

“…However, we call on all of our colleagues, especially researchers to take steps to ensure that data collection on infant feeding is not exclusionary, or does not exclude people based on their gender, language, race, ethnicity, or cultural backgrounds. care practices, such as the Baby-Friendly Hospital Initiative (BFHI), 27,28 which are supportive of breastfeeding and community resources that are culturally appropriate. 27,28 This early and continuous support is critical to protecting, promoting, and supporting breastfeeding, especially as it pertains to maintaining these gains and increasing breastfeeding initiation, duration, and exclusivity rates in black communities.…”

Section: Introductionmentioning

confidence: 99%

“…care practices, such as the Baby-Friendly Hospital Initiative (BFHI), 27,28 which are supportive of breastfeeding and community resources that are culturally appropriate. 27,28 This early and continuous support is critical to protecting, promoting, and supporting breastfeeding, especially as it pertains to maintaining these gains and increasing breastfeeding initiation, duration, and exclusivity rates in black communities. However, there is a critical need for the equitable implementation of The Ten Steps and the BFHI in hospitals serving communities with a high proportion of Black families.…”

Section: Introductionmentioning

confidence: 99%

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Achieving Breastfeeding Equity and Justice in Black Communities: Past, Present, and Future

Asiodu

Bugg²,

Palmquist

2021

Breastfeeding Medicine

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Background: Breastfeeding is protective of maternal and infant health across the life course. Increasing breastfeeding rates in Black communities is an important public health strategy to address maternal and infant mortality and morbidity. Methods: Data trends for the past 10 years suggest that Black-led community efforts; local, state, and national initiatives; and maternity care practices that are supportive of breastfeeding have been effective in improving and increasing breastfeeding rates among Black women.Results: Yet breastfeeding disparities and inequities in Black communities persist. Systemic and structural barriers, such as racism, bias, and inequitable access to lactation resources and support continue to be issues in the United States. Conclusion: Going forward, significant investments are needed to decolonize breastfeeding research and clinical practice. Public health and policy priorities need to center on listening to Black women, and funding Black, Indigenous, and People of Color (BIPOC) organizations and researchers conducting innovative projects and research.

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Section: Introductionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Achieving Breastfeeding Equity and Justice in Black Communities: Past, Present, and Future

Asiodu

Bugg²,

Palmquist

2021

Breastfeeding Medicine

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“…However, more needs to be researched about which factors contribute to initiation and continuation, as mothers’ exposure to breastfeeding-supportive hospital practices may not be consistently accessible across racial and ethnic groups (Sipsma et al, 2019). Hemingway and colleagues (2021) found that the racial gap in breastfeeding initiation has decreased due to BFHI efforts, but significant racial disparities remain for sustained breastfeeding for the duration of the postnatal stay. Our study findings may not be applicable to non-white mothers as care is disparate, including from the widespread results of systemic racism in society as a whole and specifically within healthcare (Crear-Perry et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Postnatal Unit Experiences Associated With Exclusive Breastfeeding During the Inpatient Stay: A Cross-Sectional Online Survey

et al. 2021

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Background: Efforts to provide accessible and effective infant feeding support are advancing to set up new families to meeting their goals. However, data continue to be limited for understanding how inpatient postpartum support and experiences contribute to exclusive breastfeeding during hospitalization. Research Aims: To explore postnatal unit experiences including skin-to-skin contact, overnight support, rooming-in, responsive clinicians, and understandable communication that correlate with early infant feeding outcomes among a sample of mothers who intended to breastfeed. Methods: This was a prospective cross-sectional survey study. Through secure online survey, participants submitted ( N = 2,401) responses from November 2016 to May 2017 about their experiences with maternity healthcare and offered thoughts on the postnatal unit environment. Descriptive statistics were used to examine distributions of maternal characteristics, postpartum experience, and birthing facility characteristics. Results: Exclusive breastfeeding was positively correlated with the following postnatal unit experiences: mother did not ask that her infant be taken out of the postnatal unit room; infant staying in postnatal unit room except for treatment(s); mother got help from clinical staff when needed after pressing the call button; and nurse, midwife, and/or doctor always explained information to mother in ways that they understood. Conclusion: Postnatal unit experiences associated with exclusive breastfeeding during postpartum hospitalization were rooming in; parents who did not ask for their infant to be taken out of the unit room; whether mothers received timely help from clinical staff; and information was explained in a way they could understand.

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“…A retrospective cohort study from the southeastern U.S. addressed breastfeeding disparities via the Baby Friendly Hospital Initiative, "an evidence-based program to increase breastfeeding through standardized protocols." This study focused on the disparities between Black mothers and their non-Black counterparts, focusing on differences in breastfeeding initiation and sustained breastfeeding 24-hours before discharge [13]. The Leadership Exposure for the Advancement of Gender and Underrepresented Minority Equity in Surgery (LEAGUES) fellowship program utilized exposure/mentorship [14] along with the Nth Dimensions Summer Internship Program [15].…”

Section: What Systemic Racism Interventions Have Been Employed and Ev...mentioning

confidence: 99%

Systemic racism in academic medicine: A systematic review of interventions

Martin¹,

Hanna²,

Caruso³

et al. 2022

Int. J. Front. Life Sci. Res.

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Purpose: The purpose of this systematic review is to identify and evaluate systemic racism interventions in academic medicine. Methods: Studies were identified through the use of the PubMed database, using the keywords ‘systemic racism’ and ‘academic medicine’. Of the 18 publications generated, 6 highlighted systemic racism interventions. Results: Ultimately, 6 studies were selected in this review including multiple interventions: virtual training modules, a department wide cultural competency curriculum, a hospital-wide breastfeeding initiative, and a fellowship program for underrepresented minorities interested in surgery. Conclusion: The findings of this systematic review indicate a dearth of systemic racism interventions. While the data is limited, there is some evidence that department/hospital-wide commitments, virtual curricula, and programming/mentorship directed at underrepresented minorities (URM) in medicine may be effective tools in combating systemic racism.

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Racial Disparities in Sustaining Breastfeeding in a Baby-Friendly Designated Southeastern United States Hospital: An Opportunity to Investigate Systemic Racism

Cited by 23 publications

References 41 publications

Achieving Breastfeeding Equity and Justice in Black Communities: Past, Present, and Future

Achieving Breastfeeding Equity and Justice in Black Communities: Past, Present, and Future

Postnatal Unit Experiences Associated With Exclusive Breastfeeding During the Inpatient Stay: A Cross-Sectional Online Survey

Systemic racism in academic medicine: A systematic review of interventions

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