Timing of discussion of infant-feeding method and its relationship to breastfeeding initiation

Background: Rates of breastfeeding among African-Americans have long been found to be lower than those for Whites and Latinas. Although low socioeconomic status among African-Americans has often been cited as a factor, other factors may play a role – especially the timing of the discussion about infant-feeding method (IFM) with the health care provider (HCP). Objective: To assess whether the timing of the discussion by the HCP regarding infant feeding method (IFM) influences the likelihood of breastfeeding among college-educated African-American women, a subgroup not often studied in this area. Methods: 85 African-American women were recruited through the alumni association of Spelman College and through local chapters of Delta Sigma Theta sorority. They were asked to complete a survey questionnaire through Survey Monkey regarding their infant-feeding choices. Results: More than ¼ of the women reported no discussion regarding IFM by their HCP and an additional 1/3 had already decided by the time the HCP raised the issue. Timing of discussion was subdivided into 3 groups: early – 1st trimester or before (N=12); late – after 1st trimester (N=36); or no discussion (N=19). Women reporting an early discussion with their HCP were also significantly more likely to report that their HCP had discussed the benefits of breastfeeding, that the HCP showed strong/moderate support for breastfeeding, and were more likely to breastfeed. Conclusions: The findings of this study support the importance of early and frequent discussions by the HCP regarding IFM in contributing to improving rates of breastfeeding among African-American women.