Maternal request for in-hospital supplementation of healthy breastfed infants among low-income women.

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  • Author(s): DaMota K;DaMota K; Bañuelos J; Goldbronn J; Vera-Beccera LE; Heinig MJ
  • Source:
    Journal of human lactation : official journal of International Lactation Consultant Association [J Hum Lact] 2012 Nov; Vol. 28 (4), pp. 476-82. Date of Electronic Publication: 2012 May 24.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Sage Publications Country of Publication: United States NLM ID: 8709498 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-5732 (Electronic) Linking ISSN: 08903344 NLM ISO Abbreviation: J Hum Lact
    • Publication Information:
      Publication: 2000- : Thousand Oaks, CA : Sage Publications
      Original Publication: Charlottesville, Va. : The Association,
    • Subject Terms:
      Breast Feeding* ; Decision Making* ; Health Knowledge, Attitudes, Practice* ; Infant Formula* ; Poverty*; Postpartum Period/*psychology; Adolescent ; California ; Female ; Focus Groups ; Food Assistance ; Hospitalization ; Humans ; Infant Behavior ; Infant Care/methods ; Infant Care/psychology ; Infant, Newborn ; Young Adult
    • Abstract:
      Background: While hospital policies and medical issues are important factors in determining exclusive breastfeeding rates, medically unnecessary supplementation of infants is likely to be due, in part, to maternal request for formula.
      Objectives: The goal of this project was to gain an understanding of the facilitating factors and decision-making processes surrounding maternal request for formula in the early postpartum period.
      Methods: A series of 12 focus groups were conducted among 97 English- and Spanish-speaking low-income participants in California's Supplementary Nutrition Program for Women, Infants, and Children (WIC). Mothers were asked to share their in-hospital infant-feeding experiences.
      Results: The overarching theme that emerged was "lack of preparation" for what the early postpartum period would be like. Specifically, the decisions to formula feed fell into the following categories: inadequate preparation for newborn care (the need for rest and unrealistic expectations about infant behavior), lack of preparation for the process of breastfeeding, and formula as a solution to breastfeeding problems. Cultural factors were not mentioned as reasons for supplementation.
      Conclusion: Interventions to promote in-hospital exclusive breastfeeding must address mothers' real and perceived barriers, specifically mothers' expectations related to breastfeeding and infant behavior.
    • Publication Date:
      Date Created: 20120526 Date Completed: 20131107 Latest Revision: 20121022
    • Publication Date:
      20240628
    • Accession Number:
      10.1177/0890334412445299
    • Accession Number:
      22628291