Impact of Prenatal Education on Breastfeeding Initiation Among Low-Income Women

2020 ◽  
Vol 34 (8) ◽  
pp. 919-922
Author(s):  
Carolyn R. Ahlers-Schmidt ◽  
Hayrettin Okut ◽  
Jolynn Dowling
Keyword(s):  
Low Income ◽  
Vital Statistics ◽  
Categorical Variables ◽  
Fisher Exact Test ◽  
Breastfeeding Initiation ◽  
Prenatal Education ◽  
Singleton Pregnancy ◽  
Baby Talk ◽  
Low Income Women ◽  
Hispanic White

Purpose: To determine whether participants in the Baby Talk prenatal education program were more likely to initiate breastfeeding than nonparticipants. Design: Retrospective cohort study comparing women with a singleton pregnancy who were enrolled in Baby Talk with matched controls based on zip code, maternal age, race, language spoken, and payer source. Setting: Urban Midwest county. Sample: Baby Talk participants enrolled between November 2015 and December 2016 (n = 299) and matched controls identified through vital statistics records who were not enrolled (n = 1190). Intervention: A 12-hour prenatal education curriculum with 2.5 hours of breastfeeding content. Measures: The primary outcome was breastfeeding at hospital discharge as reported in vital statistics. Analysis: Likelihood-ratio χ2 and Fisher exact test were used to test the significant association between categorical variables. Results: Baby Talk participants were significantly more likely to initiate breastfeeding (93.65%) than matched nonparticipants (87.48%; P = .003). Non-Hispanic white and black Baby Talk participants were more likely to initiate breastfeeding than controls (96.15% vs 89.83%; 91.03% vs 77.02%, respectively; P < .05). Conclusions: Prenatal education has the potential to increase breastfeeding initiation among low-income women, especially non-Hispanic white and black. This study is limited as participants were from a single community, though Baby Talk was offered at 5 separate locations, and potentially from information bias as it was reliant on the accuracy of vital statistics data.

The Impact of a Prenatal Education Video on Rates of Breastfeeding Initiation and Exclusivity during the Newborn Hospital Stay in a Low-income Population

2015 ◽  
Vol 32 (1) ◽  
pp. 152-159 ◽  
Author(s):  
Ann L. Kellams ◽  
Kelly K. Gurka ◽  
Paige P. Hornsby ◽  
Emily Drake ◽  
Mark Riffon ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Low Income ◽  
Low Cost ◽  
Educational Interventions ◽  
Breastfeeding Initiation ◽  
Prenatal Education ◽  
Low Income Population ◽  
Breastfeeding Rates ◽  
Low Income Women ◽  
The Impact

Background: Guidelines recommend prenatal education to improve breastfeeding rates; however, effective educational interventions targeted at low-income, minority populations are needed as they remain less likely to breastfeed. Objective: To determine whether a low-cost prenatal education video improves hospital rates of breastfeeding initiation and exclusivity in a low-income population. Methods: A total of 522 low-income women were randomized during a prenatal care visit occurring in the third trimester to view an educational video on either breastfeeding or prenatal nutrition and exercise. Using multivariable analyses, breastfeeding initiation rates and exclusivity during the hospital stay were compared. Results: Exposure to the intervention did not affect breastfeeding initiation rates or duration during the hospital stay. The lack of an effect on breastfeeding initiation persisted even after controlling for partner, parent, or other living at home and infant complications (adjusted odds ratio [OR] = 1.05, 95% CI, 0.70-1.56). In addition, breastfeeding exclusivity rates during the hospital stay did not differ between the groups ( P = .87). Conclusion: This study suggests that an educational breastfeeding video alone is ineffective in improving the hospital breastfeeding practices of low-income women. Increasing breastfeeding rates in this at-risk population likely requires a multipronged effort begun early in pregnancy or preconception.

scholarly journals Doula Care Supports Near-Universal Breastfeeding Initiation among Diverse, Low-Income Women

2013 ◽  
Vol 58 (4) ◽  
pp. 378-382 ◽  
Author(s):  
Katy B. Kozhimannil ◽  
Laura B. Attanasio ◽  
Rachel R. Hardeman ◽  
Michelle O'Brien
Keyword(s):  
Low Income ◽  
Breastfeeding Initiation ◽  
Low Income Women

scholarly journals Infant Feeding Practices and Perceived Optimal Breastfeeding Interventions among Low-Income Women Delivering at a Baby-Friendly Hospital

2018 ◽  
Vol 36 (07) ◽  
pp. 669-677 ◽  
Author(s):  
Adam K. Lewkowitz ◽  
Nandini Raghuraman ◽  
Julia D. López ◽  
George A. Macones ◽  
Alison G. Cahill
Keyword(s):  
Infant Feeding ◽  
Low Income ◽  
Tertiary Care ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Perceived Usefulness ◽  
Breastfeeding Initiation ◽  
Infant Feeding Practices ◽  
Cross Sectional ◽  
Low Income Women

Objective To determine infant feeding practices of low-income women at a Baby-Friendly Hospital and to ascertain breastfeeding interventions they believe would increase exclusive breastfeeding. Study Design This cross-sectional study occurred at a tertiary care Baby-Friendly Hospital. Low-income women without breastfeeding contraindications were recruited at scheduled obstetrician/gynecologist appointments within 6 to 9 months of delivering a term, nonanomalous infant. Participants completed a survey. Outcomes included infant feeding patterns and perceived usefulness of proposed breastfeeding interventions. Results Of 149 participants, 129 (86.6%) initiated breastfeeding; by postpartum day 2 (PPD2), 47 (31.5%) exclusively breastfed, 51 (34.2%) breastfed with formula, and 51 (34.2%) exclusively formula fed. On a scale of 1 (“strongly agree”) to 5 (“strongly disagree”), women who supplemented with formula on PPD2 were significantly more likely than those who exclusively formula fed to agree education on neonatal behavior, 1 (interquartile range [IQR] 1, 2) versus 2 (IQR 1, 3); p = 0.026 and on-demand access to breastfeeding videos on latch or positioning, 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.043; 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.021, respectively, would have helped them exclusively breastfeed. Conclusion Though low-income women at a Baby-Friendly Hospital had high breastfeeding initiation rates, the majority used formula by PPD2. To increase breastfeeding rates among low-income women, future interventions should provide appropriate and effective breastfeeding interventions.

scholarly journals Socio-demographic Correlates of Pre-pregnancy Body Mass Index Among Low-income Women in Hawaii WIC Participating in a Randomised Trial

2021 ◽  
Author(s):  
Michelle Asinobi ◽  
Cristina Palacios ◽  
Yanyan Wu ◽  
Jinan Banna
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Low Income ◽  
Randomised Trial ◽  
Categorical Variables ◽  
Healthy Weight ◽  
Childbearing Age ◽  
Demographic Correlates ◽  
Race Ethnicity ◽  
Low Income Women

Abstract Background: A healthy pre-pregnancy BMI fosters positive outcomes for both mother and infant both during and after pregnancy. To design interventions to promote a healthy pre-pregnancy BMI in low-income women, it is important to understand correlates. The purpose of this study was to identify the socio-demographic correlates of pre-pregnancy body mass index (BMI) among low-income women.Methods: Participants were low-income pregnant women (n=83) in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program in Hawai‘i enrolled in a four-month text message-based nutrition intervention program. Participants reported pre-pregnancy weight and height and completed a demographics questionnaire on age, race/ethnicity, education, employment status and number of children. Descriptive statistics (mean, standard deviation for continuous variables, and frequencies and proportions for categorical variables) were used to summarize the sample. Simply linear regression analyses were performed to examine if independent variables were associated with BMI before pregnancy. Results: Among the 83 women, 33 (39.8%) were 18-24 years old, 22 (26.5%) were between 25 and 29, 19 (22.9%) were 30-34 and 9 (10.8%) were 35-41. A total of 18 (21.7%) were Asian. Age and race/ethnicity were marginally associated with BMI before pregnancy. The age group 30-34 had the highest BMI before pregnancy (p=0.06) and Asian had lower BMI before pregnancy than the other races/ethnicities (p=0.01). Conclusions: Being classified as Asian was associated with lower BMI before pregnancy, while those who were 30-34 years old had the highest pre-pregnancy BMI compared to other age groups. These socio-demographic factors should be taken into account when designing interventions to promote healthy weight in women of childbearing age. Trial registration: The trial is registered on clinicaltrials.gov (NCT04330976). Date of registration April 2, 2020 (restrospectively registered). URL: https://clinicaltrials.gov/ct2/show/NCT04330976

scholarly journals Bean Preferences Vary by Acculturation Level among Latinas and by Ethnicity with Non-Hispanic White Women

2020 ◽  
Vol 17 (6) ◽  
pp. 2100 ◽  
Author(s):  
Michelle M. Heer ◽  
Donna M. Winham
Keyword(s):  
Low Income ◽  
White Women ◽  
Dietary Guidelines ◽  
Dietary Quality ◽  
Dry Beans ◽  
Positive Attitudes ◽  
Acculturation Level ◽  
Low Income Women ◽  
Nutrition Assistance ◽  
Hispanic White

With high levels of protein, fiber, folate, iron and other micronutrients, the Dietary Guidelines for Americans recommends eating beans for optimal nutrition. Low-income women are at greater risk of nutrition-related health disparities. Use of beans may change among Hispanic women (Latinas) during acculturation, but few studies exist that describe specific preferences of this important traditional food. Preserving or promoting beans in the diets of all low-income women could improve dietary quality. The study objectives were to describe consumption frequency, purchasing patterns, and attitudes toward dry and canned beans, by acculturation level among Latinas and by ethnicity with non-Hispanic White women. Survey data were collected from 356 women (µ 32 y ± 9 y; 81% Latina), who were enrolled in, or eligible for, a federal nutrition assistance, or unemployment, program in Phoenix, Arizona, USA. Participants had positive attitudes toward beans overall. Less acculturated and bicultural Latinas bought dry beans more often than their peers. Price was considered important in canned bean selection for Non-Hispanic White women, and less acculturated Latinas had poorer attitudes toward canned. Awareness of these attitudes and preferred traits of low-income women suggests ways to message populations to maintain or increase bean consumption. Negative views of canned beans by Latinas should be investigated further. Inclusion of canned beans in nutrition assistance programs may benefit those unfamiliar with preparing dry beans.

Rural and Urban Breastfeeding Initiation Trends in Low-Income Women in North Carolina from 2003 to 2007

2012 ◽  
Vol 28 (2) ◽  
pp. 226-232 ◽  
Author(s):  
Suzanne Lynch ◽  
Jeffrey Bethel ◽  
Najmul Chowdhury ◽  
Justin B. Moore
Keyword(s):  
North Carolina ◽  
Low Income ◽  
Breastfeeding Initiation ◽  
Rural And Urban ◽  
Low Income Women

Breast-Feeding Rates Among Black Urban Low-Income Women: Effect of Prenatal Education

PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 741-746 ◽  
Author(s):  
Naomi Kistin ◽  
Dessa Benton ◽  
Sita Rao ◽  
Myrtis Sullivan
Keyword(s):  
Breast Feeding ◽  
Low Income ◽  
Study Groups ◽  
The United States ◽  
Control Group ◽  
Feeding Rates ◽  
Prenatal Education ◽  
Breast Feed ◽  
Low Income Women ◽  
Breast Fed

Many factors are associated with low breast-feeding rates among black low-income women. This study examines whether, despite such factors, health professionals' prenatal education of black poor women is assoicated with increased breast-feeding rates. Black women born in the United States who attended a midwives prenatal clinic (N = 159) were randomly assigned to two types of prenatal education or were followed up in a control group. All women were interviewed on entry into the study and after delivery of their infants. Women assigned to group classes attended at least one session discussing myths, problems, and benefits of breast-feeding. Women assigned to individual prenatal counseling spoke with a pediatrician or nurse practitioner, who discussed breast-feeding topics similar to those covered in the classes. Women in the control group received no additional prenatal education. The three study groups had significantly different percentages of women who breast-fed (controls 22%, classes 46%, individual sessions 53%). Higher percentages of women in the study groups carried out their prenatal plans to breast-feed (controls 50%, classes 86%, individual sessions 62%) or breast-fed despite prenatal plans to bottle-feed (controls 10%, classes 26%, individual sessions 48%). After multivariable analysis controlling for age, prenatal pians to breast-feed, prior breast-feeding experience, perceived support for breast-feeding, education, gravidity, and employment plans, women in intervention groups had a higher likelihood of breast-feeding than control subjects. These findings suggest that an increase in relatively simple, not-too-time-consuming educational efforts in institutions and offices serving black low-income women might yield significant narrowing of the gap in breast-feeding rates between white affluent women and black low-income women.

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