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Sources of Education About Breastfeeding and Breast Pump Use: What Effect do they Have on Breastfeeding Duration? An Analysis of the Infant Feeding Practices Survey II

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Abstract

To examine the association between breastfeeding duration and sources of education about breastfeeding and breast pumps. We analyzed data from the Infant Feeding Practices Survey II (n = 2,586), a national longitudinal consumer-based study. We used χ2 and ANOVA to contrast categorical and continuous variables, respectively, and logistic regression to model the association between breastfeeding duration and sources of education about breastfeeding and breast pump use. In unadjusted results, multiple sources of breastfeeding and breast pump education were significantly associated with breastfeeding duration. However, in multivariable logistic regression models, there was a negative association between longer breastfeeding duration and receiving breast pump education from a physician/physician assistant (OR 0.58, 95% CI 0.36–0.93); and a positive association between longer breastfeeding duration and receiving breastfeeding education from classes/support group (OR: 1.85, 95% CI: 1.24–2.76) and receiving breast pump education from friends/relatives (OR: 1.70, 95% CI: 1.13–2.55). Although healthcare providers such as physicians and nurses have regular contact with women, the only statistically significant association between breastfeeding and breast pump education from healthcare providers and longer breastfeeding duration was a negative one. This likely reflects time and resource limitations of clinical practice, but may also indicate a need for more consistent training for healthcare providers who provide breastfeeding and breast pump education. Social supports, such as education from classes/support groups and friends/relatives demonstrated positive associations with longer breastfeeding duration. This emphasizes the importance of fostering a positive sphere of influence around breastfeeding women. Future work should also investigate alternative levers of action, such as policies affecting insurance coverage of breast pumps.

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References

  1. United States Dept of Health, Human Services. (2011). The surgeon general’s call to action to support breastfeeding. Washington, D.C.: United States Dept. of Health and Human Services: Office of the Surgeon General.

    Google Scholar 

  2. United States Department of Health and Human Services. (2010). Healthy people 2020: Maternal, infant and child health objectives.

  3. Centers for Disease Control and Prevention. (2010). Breastfeeding report card—United States, 2010. Available from http://www.cdc.gov/breastfeeding/pdf/BreastfeedingReportCard2010.pdf.

  4. Chapman, D. J., Damio, G., Young, S., & Perez-Escamilla, R. (2004). Effectiveness of breastfeeding peer counseling in a low-income, predominantly Latina population: A randomized controlled trial. Archives of Pediatrics and Adolescent Medicine, 158(9), 897–902.

    Article  PubMed  Google Scholar 

  5. Kuan, L. W., Britto, M., Decolongon, J., Schoettker, P. J., Atherton, H. D., & Kotagal, U. R. (1999). Health system factors contributing to breastfeeding success. Pediatrics, 104(3), e28.

    Article  PubMed  CAS  Google Scholar 

  6. Martens, P. J. (2000). Does breastfeeding education affect nursing staff beliefs, exclusive breastfeeding rates, and baby-friendly hospital initiative compliance? The experience of a small, rural Canadian hospital. Journal of Human Lactation, 16(4), 309–318.

    Article  PubMed  CAS  Google Scholar 

  7. Fein, S. B., Labiner-Wolfe, J., Shealy, K. R., Li, R., Chen, J., & Grummer-Strawn, L. M. (2008). Infant feeding practices study II: Study methods. Pediatrics, 122(Suppl 2), S28–S35.

    Article  PubMed  Google Scholar 

  8. Bar-Yam, N. B., & Darby, L. (1997). Fathers and breastfeeding: A review of the literature. Journal of Human Lactation, 13(1), 45–50.

    Article  PubMed  CAS  Google Scholar 

  9. Bentley, M. E., Caulfield, L. E., Gross, S. M., et al. (1999). Sources of influence on intention to breastfeed among African-American women at entry to WIC. Journal of Human Lactation, 15(1), 27–34.

    Article  PubMed  CAS  Google Scholar 

  10. Bolton, T. A., Chow, T., Benton, P. A., & Olson, B. H. (2009). Characteristics associated with longer breastfeeding duration: An analysis of a peer counseling support program. Journal of Human Lactation, 25(1), 18–27.

    Article  PubMed  Google Scholar 

  11. Forste, R., & Hoffmann, J. P. (2008). Are US mothers meeting the healthy people 2010 breastfeeding targets for initiation, duration, and exclusivity? The 2003 and 2004 national immunization surveys. Journal of Human Lactation, 24(3), 278–288.

    Article  PubMed  Google Scholar 

  12. Freed, G. L., Fraley, J. K., & Schanler, R. J. (1992). Attitudes of expectant fathers regarding breast-feeding. Pediatrics, 90(2 Pt 1), 224–227.

    PubMed  CAS  Google Scholar 

  13. Hannon, P. R., Willis, S. K., Bishop-Townsend, V., Martinez, I. M., & Scrimshaw, S. C. (2000). African-American and Latina adolescent mothers’ infant feeding decisions and breastfeeding practices: A qualitative study. The Journal of Adolescent Health, 26(6), 399–407.

    Article  PubMed  CAS  Google Scholar 

  14. Kiehl, E. M., Anderson, G. C., Wilson, M. E., & Fosson, L. (1996). Social status, mother-infant time together, and breastfeeding duration. Journal of Human Lactation, 12(3), 201–206.

    Article  PubMed  CAS  Google Scholar 

  15. Lessen, R., & Crivelli-Kovach, A. (2007). Prediction of initiation and duration of breast-feeding for neonates admitted to the neonatal intensive care unit. The Journal of Perinatal & Neonatal Nursing, 21(3), 256–266.

    Google Scholar 

  16. Littman, H., Medendorp, S. V., & Goldfarb, J. (1994). The decision to breastfeed. The importance of father’s approval. Clinical Pediatrics, 33(4), 214–219.

    Article  PubMed  CAS  Google Scholar 

  17. Scott, J. A., Binns, C. W., Oddy, W. H., & Graham, K. I. (2006). Predictors of breastfeeding duration: Evidence from a cohort study. Pediatrics, 117(4), e646–e655.

    Article  PubMed  Google Scholar 

  18. Win, N. N., Binns, C. W., Zhao, Y., Scott, J. A., & Oddy, W. H. (2006). Breastfeeding duration in mothers who express breast milk: A cohort study. International Breastfeeding Journal, 1, 28.

    Article  PubMed  Google Scholar 

  19. Wolfberg, A. J., Michels, K. B., Shields, W., O’Campo, P., Bronner, Y., & Bienstock, J. (2004). Dads as breastfeeding advocates: Results from a randomized controlled trial of an educational intervention. American Journal of Obstetrics and Gynecology, 191(3), 708–712.

    Article  PubMed  Google Scholar 

  20. Carruth, B. R., & Skinner, J. D. (2001). Mothers’ sources of information about feeding their children ages 2 months to 54 months. Journal of Nutrition Education, 33(3), 143–147.

    Article  PubMed  CAS  Google Scholar 

  21. Scott, J. A., Binns, C. W., & Aroni, R. A. (1997). The influence of reported paternal attitudes on the decision to breast-feed. Journal of Paediatrics and Child Health, 33(4), 305–307.

    Article  PubMed  CAS  Google Scholar 

  22. Labiner-Wolfe, J., et al. (2008). Prevalence of breast milk expression and associated factors. Pediatrics, 122(Suppl 2), S63–S68.

    Article  PubMed  Google Scholar 

  23. Shealy, K. R., Scanlon, K. S., Labiner-Wolfe, J., Fein, S. B., & Grummer-Strawn, L. M. (2008). Characteristics of breastfeeding practices among US mothers. Pediatrics, 122(Suppl 2), S50–S55.

    Article  PubMed  Google Scholar 

  24. Daly, S. E., & Hartmann, P. E. (1995). Infant demand and milk supply. Part 2: The short-term control of milk synthesis in lactating women. Journal of Human Lactation, 11(1), 27–37.

    Article  PubMed  CAS  Google Scholar 

  25. Daly, S. E., Kent, J. C., Owens, R. A., & Hartmann, P. E. (1996). Frequency and degree of milk removal and the short-term control of human milk synthesis. Experimental Physiology, 81(5), 861–875.

    PubMed  CAS  Google Scholar 

  26. Cregan, M. D., Mitoulas, L. R., & Hartmann, P. E. (2002). Milk prolactin, feed volume and duration between feeds in women breastfeeding their full-term infants over a 24 h period. Experimental Physiology, 87(2), 207–214.

    Article  PubMed  CAS  Google Scholar 

  27. Kent, J. C., Mitoulas, L. R., Cregan, M. D., Ramsay, D. T., Doherty, D. A., & Hartmann, P. E. (2006). Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics, 117(3), e387–e395.

    Article  PubMed  Google Scholar 

  28. Centers for Disease Control and Prevention. (2008). National health and nutrition examination survey data. In: Statistics NCfH (Ed.) Vol Hyattsville, MD: US Department of Health and Human Services.

  29. Centers for Disease Control and Prevention. (2010). Breastfeeding among US children born 1999–2006, CDC National immunization survey. http://www.cdc.gov/breastfeeding/data/nis_data/. Accessed May 5, 2010.

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Acknowledgments

The authors wish to thank the Yale University Robert Wood Johnson Foundation Clinical Scholars Program for support and mentorship; and Corey Pilver, PhD for statistical support. The authors were supported by the Robert Wood Johnson Foundation through their funding for PGC and LWJ as post-doctoral fellows and MSR as faculty in the Robert Wood Johnson Foundation Clinical Scholars Program. PGC is also supported by the Agency for Healthcare Research and Quality (T32 HS 017589-02). The funders played no role in design and conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.

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Authors and Affiliations

  1. Division of Health Policy and Administration, Yale University School of Epidemiology and Public Health, 47 College Street; Room 104, New Haven, CT, 06520-8088, USA

    Peggy G. Chen

  2. Department of Pediatrics, Texas Tech University Health Sciences Center, Lubbock, TX, 79430, USA

    Lara W. Johnson

  3. Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, New Haven, CT, USA

    Marjorie S. Rosenthal

  4. Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA

    Marjorie S. Rosenthal

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  1. Peggy G. Chen
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Correspondence to Peggy G. Chen.

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Chen, P.G., Johnson, L.W. & Rosenthal, M.S. Sources of Education About Breastfeeding and Breast Pump Use: What Effect do they Have on Breastfeeding Duration? An Analysis of the Infant Feeding Practices Survey II. Matern Child Health J 16, 1421–1430 (2012). https://doi.org/10.1007/s10995-011-0908-4

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