Impact of Inpatient Patient-Provider Language Concordance on Exclusive Breastfeeding Rates Postpartum.
Alexandra M Abbate1, Alexander M Saucedo2, Jeny Ghartey2
1Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
American Journal of Perinatology
|August 29, 2024
Summary
Language concordance between patients and nurses significantly increases the likelihood of exclusive breastfeeding. This finding emphasizes the importance of communication in supporting postpartum infant feeding choices.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Care
- Health Communication
Background:
- Patient-provider language concordance is known to affect educational intervention efficacy and patient satisfaction in various medical fields.
- Many postpartum patients do not achieve their initial exclusive breastfeeding goals, often resorting to formula supplementation.
- The impact of language concordance on infant feeding practices in obstetrics remains underexplored.
Purpose of the Study:
- To investigate the effect of language concordance between patients and their primary bedside nurses on infant feeding outcomes.
- To examine how nurse-patient language concordance influences the relationship between intended and actual infant feeding practices for new mothers.
Main Methods:
- A single-center prospective cohort study included primiparous patients delivering term, singleton infants.
- Participants completed pre-delivery and pre-discharge surveys assessing language concordance and feeding practices.
- Logistic regression analysis was used to determine the association between language concordance and exclusive postpartum breastfeeding.
Main Results:
- Language concordance with the primary nurse was reported by 77.8% of the 108 surveyed participants.
- Significant differences in language concordance were observed based on race/ethnicity, home language, return-to-work plans, and WIC enrollment.
- Patients reporting language concordance were significantly more likely to exclusively breastfeed postpartum (adjusted odds ratio, 5.60).
Conclusions:
- Language concordance between patients and their primary bedside nurses is associated with a higher likelihood of exclusive breastfeeding.
- These findings suggest that effective communication and shared language can positively influence initial infant feeding decisions and practices.
- Further research is warranted to explore the role of language concordance with other healthcare providers in the peripartum period.
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