Factors Associated with In-Hospital Exclusive Breastfeeding Among a Racially and Ethnically Diverse Patient Population

Details

• Alternative Title:
  Breastfeed Med
• Personal Author:
  Bookhart, Larelle H. ; Anstey, Erica H. ; Jamieson, Denise J. ; Kramer, Michael R. ; Perrine, Cria G. ; Ramakrishnan, Usha ; Worrell, Nikkia ; Young, Melissa F.
• Description:
  Objective:
  
  The aim of this study is to examine in-hospital exclusive breastfeeding (EBF) and its association with sociodemographic factors, medical factors, breastfeeding intentions, and health care system breastfeeding support.
  
  Materials and Methods:
  
  We conducted a retrospective cross-sectional study using medical records from 2015 to 2019 of healthy term infants without breastfeeding contraindications at a public teaching hospital serving a racially and ethnically diverse patient population. Using multivariable regression analysis, we examined the associations between in-hospital EBF and sociodemographic factors, medical factors, breastfeeding intentions, and health care system breastfeeding support (in-hospital breastfeeding education and lactation support).
  
  Results:
  
  The prevalence of in-hospital EBF was 29.0%. The statistically significant findings from our fully adjusted regression analysis include that there was a higher prevalence of in-hospital EBF among adult mothers (prevalence ratio [PR]: range 1.78–1.96), married mothers (PR: 1.35, 95% confidence interval [CI]: 1.23–1.44), and mothers who were White (PR: 1.41, 95% CI: 1.20–1.66, compared with Black). Factors associated with a lower prevalence of in-hospital EBF were maternal diabetes (PR: 0.82, 95% CI: 0.70–0.95), pre-eclampsia/eclampsia (PR: 0.82, 95% CI: 0.71–0.95), cesarean delivery (PR: 0.84, 95% CI: 0.77–0.92), neonatal hypoglycemia (PR: 0.46, 95% CI: 0.36–0.59), and intention in the prenatal period to formula feed only (PR: 0.15, 95% CI: 0.10–0.22). In-hospital lactation support was associated with higher prevalence of in-hospital EBF (PR: 1.24, 95% CI: 1.16–1.33).
  
  Conclusions:
  
  Prioritizing lactation support for Black mothers, adolescent mothers, those intending in the prenatal period to formula feed only, and mother–infant dyads with certain medical factors could improve in-hospital EBF.
  
  
• Subjects:
  Adolescent Adult Breast Feeding Cross-Sectional Studies Female Hospitals, Public Humans Infant Infant, Newborn Mothers Pregnancy Retrospective Studies

  More +
• Keywords:
  Breastfeeding Intentions Breastfeeding Support Exclusive Breastfeeding Medical Factors Sociodemographic Factors
• Source:
  Breastfeed Med. 18(10):751-758
• Pubmed ID:
  37856663
• Pubmed Central ID:
  PMC11019771
• Document Type:
  Journal Article
• Funding:
  NU38OT000306/ImCDC/Intramural CDC HHSUnited States/ ; NU38OT000306/CC/CDC HHSUnited States/
• Volume:
  18
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:515ba825f0256ecab0ddf94fc88c1752a31de412b1b11b1d0366b776a10c087a
• Download URL:
  https://stacks.cdc.gov/view/cdc/154401/cdc_154401_DS1.pdf
• File Type:
  [PDF - 230.07 KB ]