Developing an Action Plan to Support Breastfeeding in Tompkins County, NY

Abstract Objectives Tompkins County has a high rate of breastfeeding initiation (92.4% in 2017) but has less success in metrics of exclusive breastfeeding and breastfeeding continuation. We sought to determine barriers to exclusive breastfeeding for 6 mo as well as to identify interventions to improve support for mothers in Tompkins County, NY. Methods Focus groups and interviews were conducted with mothers (n = 15) who had breastfed within the last 3 y and professionals (n = 10) who work with lactating women. Participants were recruited through flyers sent in local mailing lists and placed in community spaces around the Ithaca area. All participants lived or worked in Tompkins County. Results Mothers reported early cessation of breastfeeding for a number of reasons including perceived insufficient milk production and a need to return to unsupportive workplaces. Despite a wide availability of breastfeeding support resources in the Ithaca area of Tompkins County, resources were uncoordinated and underutilized. Mothers were aware of some of the available resources, but had difficulties sorting through varied information sources and identifying programs that were a good fit for their individual needs. Furthermore, many mothers, such as those who complemented breastfeeding with formula, reported worrying that local mothers’ groups or lactation support groups would be judgmental. This fear of judgment or embarrassment led many women to avoid seeking support at these venues that may have been useful to them. Conclusions Improved coordination of messaging and centralization of resource information is essential to increasing breastfeeding success across Tompkins County. An overall shift in messaging to reframe breastfeeding as one of many forms of nurturing, rather than just a food source, may be effective at reducing shame and judgment while encouraging mothers to overcome their challenges. Funding Sources Alan D. Mathios Research and Service Grant, Cornell University.

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Evaluation of the impact of breastfeeding support groups in primary health centres in Andalusia, Spain: a study protocol for a cluster randomized controlled trial (GALMA project)

BMC Public Health ◽

10.1186/s12889-020-09244-w ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Isabel Rodríguez-Gallego ◽

Fatima Leon-Larios ◽

Cecilia Ruiz-Ferrón ◽

Maria-de-las-Mercedes Lomas-Campos

Keyword(s):

Support Groups ◽

Exclusive Breastfeeding ◽

Intervention Group ◽

World Health ◽

Control Group ◽

Breastfeeding Initiation ◽

Primary Health ◽

Breastfeeding Rate ◽

Breastfeeding Rates ◽

The Impact

Abstract Background In 2003, the World Health Organization recommended exclusive breastfeeding (EB) during the newborn’s first 6 months of life and, if possible, during the first 2 years. However, EB rates resist these recommendations. In developed countries, only 1 out of 3 babies is breastfed during its first 6 months of life, and great differences between areas and countries can be observed. Only 35% of the newborns receive breastfeeding at 3–4 months of age. There are diverse strategies described in the literature that have proven their efficiency in improving breastfeeding rates. It has also been proven that professional support is an effective tool to extend any kind of breastfeeding; besides, it has been observed that mother-to-mother support also increases breastfeeding initiation, sustainment, and exclusive duration. The overall aim of the study is to assess the impact of the support groups on the sustainment of exclusive breastfeeding until 6 months after birth. Methods/design This study is a cluster-random multicentric clinical trial with a control group and an intervention group, without blinding because it is impossible to mask the intervention. A randomization by centres of primary health (clusters) will be carried out. The women allocated to the intervention or control group will be randomized with a simple randomization sampling. The participants’ breastfeeding rate will be followed up at the first 10 days, and at 2, 4, and 6 months of their newborn’s life. Discussion There is a need to assess the impact of mother support groups on exclusive breastfeeding. This study aims to analyse the outcomes related to the support received and to identify what should the structure of these groups be; in other words, to describe factors related to a better breastfeeding experience in order to help women increase breastfeeding rates. Trial registration The trial is prospectively recorded at the ISRCTN registry (Trial ID: ISRCTN17263529). Date recorded: 17/06/2020.

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PEMBERDAYAAN KELOMPOK PENDUKUNG ASI EKSKLUSIF DALAM GERAKAN GEMAR ASI EKSKLUSIF

Warta LPM ◽

10.23917/warta.v19i1.1988 ◽

2016 ◽

Vol 19 (1) ◽

pp. 90-96

Author(s):

Rina Sri Widayati ◽

Istiqomah Risa Wahyuningsih

Keyword(s):

Support Groups ◽

Support Group ◽

Exclusive Breastfeeding ◽

Peer Group ◽

Monitoring And Evaluation ◽

Health Centers ◽

Breastfeeding Support ◽

Community Based ◽

Training Activities ◽

Initiation Of Breastfeeding

The gold standard in infant feeding and child starting from Early Initiation of Breastfeeding (IMD), exclusive breastfeeding for the six months. One of the health problems faced in the area of †health centers Pucang Sawit is the lack of motivation of counselor support group exclusive breastfeeding. There are only three groups motivator breastfeeding support so not comparable with the number of babies in the region Pucang Sawit. Approaches through peer (Peer Support) on exclusive breastfeeding support group as one of the community-based empowerment efforts so as to help improve coverage eksklusive breastfeeding in Surakarta close to the target so that the vision of becoming a pilot Surakarta can be realized. Implementation ofservice programs are divided into three programs: the first socialization to the cadre and peer group as well as breastfeeding support group facilitator conducted one day, both the implementation of training activities breastfeeding support group for 4 days which consists of four small groups and accompanied by two facilitators each and third activity is monitoring and evaluation results formations breastfeeding support groups.

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Comparing breastfeeding experiences between mothers spending the traditional Chinese confinement period in a confinement centre and those staying at home: a cohort study

10.21203/rs.3.rs-26168/v4 ◽

2020 ◽

Author(s):

Siew Cheng Foong ◽

May Loong Tan ◽

Wai Cheng Foong ◽

Jacqueline J Ho ◽

Fairuz Fadzilah Rahim

Keyword(s):

Logistic Regression ◽

Breast Milk ◽

Support Groups ◽

Exclusive Breastfeeding ◽

World Health ◽

Multiple Logistic Regression ◽

Breastfeeding Support ◽

Ethnic Chinese ◽

Chinese Mothers ◽

Breastfeeding Rates

Abstract BackgroundEthnic Chinese mothers in Malaysia adhere to 30 days of traditional postpartum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres (CCs) where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We described mother’s breastfeeding experience at CCs and identify areas for potential improvement in breastfeeding support.MethodsEthnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery between August and October 2017 then, at 1 and 6 months, were telephone interviewed about their experience. For every participant going to a CC, another mother going home was recruited.Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. We defined exclusive breastfeeding according to the World Health Organisation’s definition which means no other food or drink, not even water, except breast milk (including milk expressed or from a donor).Results Of 187 mothers, 88(47%) went to CCs. Significantly more were primipara and fewer had previous breastfeeding experience. Response rates for the 1- and 6- month interviews were 88%(CC) versus 97%(home); and 77%(CC) versus 87%(home).Exclusive breastfeeding rates were similar between the groups: 62%(CC) versus 56%(home) at 1 month (p=0.4); and 37%(CC) versus 42%(home) at 6 months (p=0.5). Multiple logistic regression did not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month, (adjusted odds ratio(aOR) 1.7, 95% confidence interval(CI) 0.9, 3.3), or 6 months (aOR 0.9, 95% CI 0.4, 1.7). However, significantly more CC participants only fed expressed breast milk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6(8%) CC participants compared to 66(69%) of home participants slept with their baby (p<0.001). The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals.ConclusionBreastfeeding rates appeared to be similar at CCs and home but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs.

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Comparing breastfeeding experiences between mothers spending the traditional Chinese confinement period in a confinement centre and those staying at home: a cohort study

10.21203/rs.3.rs-26168/v3 ◽

2020 ◽

Author(s):

Siew Cheng Foong ◽

May Loong Tan ◽

Wai Cheng Foong ◽

Jacqueline J Ho ◽

Fairuz Fadzilah Rahim

Keyword(s):

Logistic Regression ◽

Support Groups ◽

Exclusive Breastfeeding ◽

Post Partum ◽

Multiple Logistic Regression ◽

Breastfeeding Support ◽

Chi Square ◽

Ethnic Chinese ◽

Chinese Mothers ◽

Breastfeeding Rates

Abstract Background Ethnic Chinese mothers in Malaysia adhere to 30 days of traditional post-partum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres (CCs) where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We described mother’s breastfeeding experience at CCs and identify areas for potential improvement in breastfeeding support.Methods Ethnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery between August and October 2017 then, at 1 and 6 months, were telephone interviewed about their experience. For every participant going to a CC, another mother going home was recruited. Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. Results Of 187 mothers, 88(47%) went to CCs. Significantly more were primipara and fewer had previous breastfeeding experience. Response rates for the 1- and 6- month interviews were 88%(CC) versus 97%(home); and 77%(CC) versus 87%(home).Exclusive breastfeeding rates were similar between the groups: 62%(CC) versus 56%(home) at 1 month (p=0.4); and 37%(CC) versus 42%(home) at 6 months (p=0.5). Multiple logistic regression did not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month, (adjusted odds ratio(aOR) 1.7, 95% confidence interval(CI) 0.9, 3.3), or 6 months (aOR 0.9, 95% CI 0.4, 1.7). However, significantly more CC participants only fed expressed breast milk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6(8%) CC participants compared to 66(69%) of home participants slept with their baby (p<0.001). The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals. Conclusion Breastfeeding rates appeared to be similar at CCs and home but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs. Trial registration National Medical Research Register NMRR-17-1174-36384S1

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Are we doing enough? Improved breastfeeding practices at 14weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

10.21203/rs.2.15207/v2 ◽

2020 ◽

Author(s):

Christiane Horwood ◽

Lyn Haskins ◽

Ingunn Marie Engebretsen ◽

Catherine Connolly ◽

Anna Coutsoudis ◽

...

Keyword(s):

Exclusive Breastfeeding ◽

Hiv Positive ◽

Breastfeeding Initiation ◽

Structured Interviews ◽

Breastfeeding Support ◽

Cross Sectional ◽

Breastfeeding Practices ◽

Hiv Positive Mothers ◽

Kwazulu Natal ◽

Before And After

Abstract Background KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support breastfeeding initiation and sustained breastfeeding implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in feeding practices in KZN over this time period. Methods Two cross-sectional surveys were conducted in primary health care clinics. Multistage stratified random sampling was used to select clinics and participants. Sample size was calculated to provide district estimates of 14-week exclusive breastfeeding (EBF) rates at baseline (KIBS1), and provincial estimates at endpoint (KIBS2). At KIBS1 the sample required was nine participating clinics in each of 11 districts (99 clinics) with 369 participants per district (N=4059), and at KIBS2 was 30 clinics in KZN with 30 participants per clinic (N=900). All caregivers aged ≥ 15 years attending the clinic with infants aged 13- <16 weeks were eligible to participate. Data was collected using structured interviews on android devices. Multi-variable logistic regression was used to adjust odds ratios for differences between time points. Results At KIBS1 (May2014- March2015), 4172 interviews were conducted with carers, of whom 3659 (87.6%) were mothers. At KIBS2 (January-August 2017), 929 interviews were conducted which included 788 (84.8%) mothers. Among all carers the proportion of EBF was 44.6% and 50.5% (p= 0.1) at KIBS1 and KIBS2 respectively, but greater improvements in EBF were shown among mothers (49.9 vs 59.1: p=0.02). There were reductions in mixed feeding among all infants (23.2% vs 16.3%; p=0.016). Although there was no change in the proportion of carers reporting not breastfeeding (31.9% vs 32.8%; p= 0.2), the duration of breastfeeding among mothers who had stopped breastfeeding was longer at KIBS2 compared to KIBS1 (p=0.0015). Mothers who had returned to work or school were less likely to be breastfeeding (AOR 3.76; 95% CI 3.1-4.6), this was similar among HIV positive mothers (AOR 2.1; 95% CI 1.7-2.6). Conclusion Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers.

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VIDEO-BASED INTERVENTION ON THE KNOWLEDGE OF BREAST-MILK SUPPORT GROUP IN SEMBUBUK VILLAGE, MUARO JAMBI REGENCY: A PRE-EXPERIMENT STUDY

NSC Nursing ◽

10.32549/opi-nsc-60 ◽

2021 ◽

pp. 28-45

Author(s):

Yuli Suryanti ◽

Damris Muhammad ◽

M.Naswir M.Naswir ◽

Guspianto Guspianto

Keyword(s):

Breast Milk ◽

Support Groups ◽

Support Group ◽

Exclusive Breastfeeding ◽

Infant Health ◽

Health Workers ◽

Wilcoxon Test ◽

P Value ◽

Breastfeeding Support ◽

The One

Introduction: Breast milk is the best food for babies because it contains nutrients to support growth and development. The achievement rate of exclusive breastfeeding in ASIA countries has not yet reached the expected target. The coverage of exclusive breastfeeding in Jambi Province in 2018 was 59.36%. The success of exclusive breastfeeding is not only influenced by the mother's physical and mental readiness to breastfeed. Still, it is also influenced by support from health workers and the family. The study aimed to determine the effect of counseling using breastfeeding video on grandmothers' knowledge as breastfeeding support in Sembubuk Village, Muaro Jambi Regency. Methods: This type of pre-experimental research using the One Group Pretest-Posttest design, which saw 40 grandmothers of the Breast Milk Support Group members, was carried out from June 2020 to July 2021. Respondents answer the questionnaires to complete the data collection. The intervention carried out in this study was the provision of counseling using video media about breastfeeding. Data were analyzed through univariate and bivariate using the Wilcoxon test. Results: The results showed the p-value = 0.0001, which means that breastfeeding video affects grandmothers' knowledge in breastfeeding support groups in Sembubuk village, Muaro Jambi District. Conslusion: The results of this study are expected to increase public knowledge and insight regarding the importance of breastfeeding for infant health so that positive behavior is formed in breastfeeding, providing additional appropriate information to advance understanding of breastfeeding support groups about breastfeeding. Keywords: Exclusive breastfeeding, health education, Knowledge, Video-based

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FAKTOR-FAKTOR YANG MENYEBABKAN KETIDAKBERHASILAN PEMBERIAN ASI EKSLUSIF MELALUI KELOMPOK PENDUKUNG ASI (KP-ASI)

PREPOTIF : Jurnal Kesehatan Masyarakat ◽

10.31004/prepotif.v4i2.982 ◽

2020 ◽

Vol 4 (2) ◽

pp. 242-252

Author(s):

Besti Verawati ◽

Nopri Yanto ◽

Indrawati Indrawati ◽

Yufi Permata Dewi

Keyword(s):

Health Center ◽

Support Groups ◽

Exclusive Breastfeeding ◽

Univariate Analysis ◽

P Value ◽

Breastfeeding Support ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Test Result

Sidomulyo Health Center working area of 33.7%. One of the factors that influence the low level of exclusive breastfeeding is the lack of encouragement and support from family and the environment. Support from the environment can be realized by forming a breastfeeding support group (KP-ASI). The purpose of this study was to analyze the factors that cause the unsuccessfulness of exclusive breastfeeding through breastfeeding support groups (KP-ASI) at Sidomulyo Health Center Pekanbaru. Methode: This type of research is quantitative with cross sectional method. This research was conducted on 02 June - 17 June 2020 at Puskesmas Sidomulyo Pekanbaru with a sample size of 25 KP-ASI members and 25 infant mothers. The technique of collecting interview data using a questionnaire. The analysis used was univariate and bivariate with the Chi Square test. Result: The results of univariate analysis showed that most 13 people (52%) had good motivation, most of the availability of infrastructure, 14 people (56%) were in the inadequate category and supervision, namely 13 people (52%) were in the poor category The results showed a p value of 0.028 for the motivation variable, 0.070 for the variable availability of infrastructure and 0.025 for the monitoring variable. Conclusion: The conclusion is there is a relationship between motivation and supervision with the practice of exclusive breastfeeding. Meanwhile, seen from the p value> 0.05 for the variable availability of infrastructure, there is no relationship between the availability of infrastructure and the practice of exclusive breastfeeding

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Influence of Breastfeeding Support Group (KP-ASI) on the success of exclusive breastfeeding in the Molingkapoto Community Health Center

Journal of Midwifery ◽

10.25077/jom.6.1.1-7.2021 ◽

2021 ◽

Vol 6 (1) ◽

pp. 1

Author(s):

Dwi Nur Octaviani ◽

Sugianto Sugianto ◽

Masmuni Wahda Aisya ◽

Nurhayati Mahmud

Keyword(s):

Support Groups ◽

Support Group ◽

Exclusive Breastfeeding ◽

Community Health Center ◽

Statistical Test ◽

Breastfeeding Support ◽

Chi Square ◽

Cross Sectional ◽

Independent Variable ◽

Quantitative Descriptive

Exclusive breastfeeding is giving only breast milk without giving other food and drinks to babies from birth to 6 months of age, except for drugs and vitamins. The purpose of this study was to determine the effect of breastfeeding support groups (KP-ASI) on the success of exclusive breastfeeding. The research method used is quantitative descriptive analytic which is cross sectional. The independent variable is the breastfeeding support group (KP-ASI), while the dependent variable is the success of exclusive breastfeeding. Case samples are mothers who have babies aged 6-24 months. The results of the study were based on the Chi-square statistical test, the results obtained were p = 0.001 (p <0.05), meaning that there was a significant relationship between breastfeeding support groups (KP-ASI) on the success of exclusive breastfeeding. Conclusion Breastfeeding Support Groups (KP-ASI) have a very big influence on the success of exclusive breastfeeding; most of who are assisted makes it to the exclusive breastfeeding stage.

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Comparing breastfeeding experiences between mothers spending the traditional Chinese confinement period in a confinement centre and those staying at home: a cohort study

International Breastfeeding Journal ◽

10.1186/s13006-020-00353-1 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Siew Cheng Foong ◽

May Loong Tan ◽

Wai Cheng Foong ◽

Jacqueline J. Ho ◽

Fairuz Fadzilah Rahim

Keyword(s):

Logistic Regression ◽

Support Groups ◽

Exclusive Breastfeeding ◽

Multiple Logistic Regression ◽

Breastfeeding Support ◽

Chi Square ◽

Ethnic Chinese ◽

Chinese Mothers ◽

Breastfeeding Rates ◽

At Home

Abstract Background Ethnic Chinese mothers in Malaysia adhere to 30 days of traditional postpartum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres (CCs) where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We described mothers’ breastfeeding experiences at CCs and identified areas for potential improvement in breastfeeding support. Methods Ethnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery between August and October 2017 then, at 1 and 6 months, they were telephone interviewed about their experience. For every participant going to a CC after the birth, another mother going home (“home”) for her confinement was recruited. Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. Results Of 187 mothers, 88 (47%) went to CCs. Significantly more were primipara and fewer had previous breastfeeding experience. Response rates for the 1- and 6- month interviews were 88% (CC) versus 97% (home); and 77% (CC) versus 87% (home) respectively. Exclusive breastfeeding rates were similar between the groups: 62% (CC) versus 56% (home) at 1 month (p = 0.4); and 37% (CC) versus 42% (home) at 6 months (p = 0.5). Multiple logistic regression did not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month, (adjusted odds ratio [aOR] 1.7, 95% confidence interval [CI] 0.9, 3.3), or 6 months (aOR 0.9, 95% CI 0.4, 1.7). However, significantly more CC participants only fed expressed breast milk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6 (8%) CC participants compared to 66 (69%) of home participants roomed-in with their baby (p < 0.001). The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals. Conclusions Breastfeeding rates appeared to be similar at CCs and at home during the confinement period, but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs.

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Using liminality to understand mothers’ experiences of long-term breastfeeding: ‘Betwixt and between’, and ‘matter out of place’

Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine ◽

10.1177/1363459315595846 ◽

2016 ◽

Vol 21 (1) ◽

pp. 57-75 ◽

Cited By ~ 14

Author(s):

Sally Dowling ◽

David Pontin

Keyword(s):

United Kingdom ◽

Support Groups ◽

Participant Observation ◽

National Policy ◽

Breastfeeding Initiation ◽

Breastfeeding Support ◽

Women’S Experiences ◽

Women's Experiences ◽

The United Kingdom

Breastmilk is widely considered as the optimum nutrition source for babies and an important factor in both improving public health and reducing health inequalities. Current international/national policy supports long-term breastfeeding. UK breastfeeding initiation rates are high but rapidly decline, and the numbers breastfeeding in the second year and beyond are unknown. This study used the concept of liminality to explore the experiences of a group of women breastfeeding long-term in the United Kingdom, building on Mahon-Daly and Andrews. Over 80 breastfeeding women were included within the study, which used micro-ethnographic methods (participant observation in breastfeeding support groups, face-to-face interviews and online asynchronous interviews via email). Findings about women’s experiences are congruent with the existing literature, although it is mostly dated and from outside the United Kingdom. Liminality was found to be useful in providing insight into women’s experiences of long-term breastfeeding in relation to both time and place. Understanding women’s experience of breastfeeding beyond current usual norms can be used to inform work with breastfeeding mothers and to encourage more women to breastfeed for longer.

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