Welcome to CDC stacks | Doula care supports near-universal breastfeeding initiation among diverse, low-income women - 29705 | CDC Public Access
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All Simple Search
Advanced Search
Doula care supports near-universal breastfeeding initiation among diverse, low-income women
Filetype[PDF-102.10 KB]


Details:
  • Description:
    Introduction

    In the United States breastfeeding initiation rates have risen in recent years. However, there are notable disparities by socioeconomic status and race/ethnicity. Previous research has suggested that care from a doula (a trained professional who provides non-medical support during the perinatal period) may increase breastfeeding initiation. The goal of this study was to study whether doula support may be associated with breastfeeding initiation among low-income, diverse women.

    Methods

    We compared breastfeeding initiation rates (mean values and 95% confidence intervals) for 1,069 women who received doula care from Everyday Miracles, a Minnesota-based organization that employs a diverse group of certified doulas, to a state-based sample of Medicaid-covered women who gave birth in 2009 or 2010 and participated in the Minnesota Pregnancy Risk Assessment Monitoring System (PRAMS) survey (weighted n=51,721).

    Results

    Women who had doula-supported births had near-universal breastfeeding initiation (97.9%), compared with 80.8% of the general Medicaid population. Among African-American women, 92.7% of those with doula support initiated breastfeeding, compared with 70.3% of the general Medicaid population.

    Discussion

    These results suggest that access to culturally-appropriate doula care may facilitate higher rates of breastfeeding initiation. When supported in their non-medical needs by birth doulas, the diverse, low-income patients of midwives and other maternity care providers may have a greater likelihood of initiating breastfeeding and experiencing the maternal and infant health benefits associated with breastfeeding.

  • Document Type:
  • Collection(s):
  • Funding:
    IU01DP003117-01/DP/NCCDPHP CDC HHS/United States
    K12 HD055887/HD/NICHD NIH HHS/United States
    K12HD055887/HD/NICHD NIH HHS/United States
No Related Documents.
You May Also Like: