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Factors Associated with In-Hospital Exclusive Breastfeeding Among a Racially and Ethnically Diverse Patient
Larelle H Bookhart1, Erica H Anstey2, Denise J Jamieson3
1Laney Graduate School, Emory University, Atlanta, Georgia, USA.
Exclusive breastfeeding (EBF) in hospitals was practiced by 29% of mothers. In-hospital lactation support and certain maternal factors increased EBF rates, while medical conditions and intention to formula feed decreased them.
Area of Science:
- Public Health
- Maternal and Child Health
- Epidemiology
Background:
- Exclusive breastfeeding (EBF) is crucial for infant health.
- Understanding factors influencing in-hospital EBF is vital for targeted interventions.
- Previous research highlights various determinants, but in-hospital specific data requires further examination.
Purpose of the Study:
- To investigate the prevalence of in-hospital exclusive breastfeeding (EBF).
- To analyze associations between in-hospital EBF and sociodemographic, medical, and intention-based factors.
- To assess the impact of healthcare system breastfeeding support on in-hospital EBF.
Main Methods:
- Retrospective cross-sectional study utilizing medical records from 2015-2019.
- Inclusion of healthy term infants without breastfeeding contraindications.
- Multivariable regression analysis to identify significant associations.
Main Results:
- In-hospital EBF prevalence was 29.0%.
- Higher EBF rates observed in adult, married, and White mothers.
- Lower EBF rates associated with maternal diabetes, pre-eclampsia, cesarean delivery, neonatal hypoglycemia, and prenatal intention to formula feed.
- In-hospital lactation support positively correlated with EBF prevalence.
Conclusions:
- Targeted lactation support for Black mothers, adolescent mothers, and those intending to formula feed is recommended.
- Addressing medical factors in mother-infant dyads can enhance in-hospital EBF.
- Healthcare system support, particularly lactation support, is a key factor in promoting in-hospital EBF.
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