Online Program

Provider's help/encouragement and breastfeeding practices in Los Angeles County (LAC): Findings from the 2010 Los Angeles Mommy and Baby (LAMB) survey

Sunday, November 3, 2013

Shin Margaret Chao, PhD, MPH, Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Stacy Sun, MS, Tulane Medical School
Background Despite the large body of breastfeeding research, studies addressing the timing of providers' help/encouragement and breastfeeding practices are limited. We examined provider's help/encouragement on breastfeeding practices in two time periods: at the delivery hospital and well-baby checkup.

Methods LAMB is a mail survey based on clustered sampling design. For non-respondents, we follow up with telephone interviews/calls. We analyzed the 2010 LAMB data (n=6,517, response rate=57%). Multiple logistic regression was used to assess providers' encouragement on breastfeeding practices after controlling for important confounders (race, education, marital status, foreign born, health insurance, prenatal care, and LBW baby). Results Ninety percent of respondents were encouraged by a healthcare professional to breastfeed at the delivery hospital while 66% received such encouragement during the well-baby checkup. Provider encouragement at the delivery was positively related to breastfeeding initiation (aOR= 2.6, CI:1.8-3.8) but not with continuous breastfeeding at 3 months duration (aOR=0.8,CI:0-1.1,CI:1.8-3.8). However, encouragement received at the well-baby checkup was positively associated with continuous breastfeeding at 3 months duration (aOR=1.5, CI:1.2-1.9). African American women or women who received less than a high school education were less likely to initiate (aOR=2.4,1.7, respectively) or continue breastfeeding (aOR=2.1,1.8, respectively).

Discussion This study illustrates the importance of training physicians and nurses to support breastfeeding. Providers should continue to provide encouragement to mothers after the mothers leave the hospital. Special efforts should target African American mothers and women who received less than 12 years of education.

Learning Areas:

Administer health education strategies, interventions and programs
Program planning
Public health or related education

Learning Objectives:
Define the prevalence of provider’s help/encouragement in breastfeeding. Define racial disparities in breastfeeding practices. List strategies to improve breastfeeding.

Keyword(s): Breastfeeding, Providers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualifed to be an abstract author on the content becasue I am the PI of the LAMB proejct.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.