Online Program

Significant impact of kangaroo care on exclusive breastfeeding in a sample of hispanic mothers in Kentucky

Sunday, November 3, 2013

Maria L. Gomez, DrPH, MPH., College of Nursing, University of Kentucky, Lexington, KY
Ana Maria Linares, DNS, RN, IBCLC, College of Nursing, University of Kentucky, Lexington, KY
Mark Dignan, PhD, MPH, College of Medicine/Prevention Research Center, University of Kentucky, Lexington, KY
Background: Kangaroo care (KC) or early skin to skin contact has been identified as an intervention for establishment of breastfeeding. Among Hispanic women early exclusive breastfeeding (EBF) is rare and are more likely to supplement their newborns with formula at first 2 days of life. Objectives: To examine the effect of KC on the initiation of EBF in Hispanic women in urban Kentucky. Methods: Structured interviews were conducted in a convenient sample (n=52) of Hispanic women. Recruitment was at ³20 weeks of pregnancy and women were followed-up after delivery. Socio-demographic, intention to breastfeed, delivery, infant characteristics, and receiving KC data were collected. Feeding method at discharge was assessed. Results: Of the sample, 71% reported strong intention to breastfeed during pregnancy. Breastfeeding was initiated by 89% of the group; however, only 45% of this group was exclusively breastfeeding at discharge from hospital. EBF was significantly associated with KC (p =.001); "want to tell everybody that you were pregnant" (p =.04); and no labor complication (p =.04). Logistic regression analysis revealed that a woman receiving KC has 22 times more probability (OR 22.00, 95% CI 2.34, 206.48) to breastfeed exclusively at discharge than a woman that did not get it. Conclusion: Intensive breastfeeding support by hospitals contributes to EBF outcomes among low-income Hispanic women. The public health impact is paramount by reducing the prevalence of overweight and obese Hispanic children due to the health benefits associated with longer periods of EBF.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Public health or related education

Learning Objectives:
Describe the impact of Kangaroo care as facilitator for exclusive breastfeeding in low income Hispanic women in Kentucky area.

Keyword(s): Breastfeeding, Hispanic

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My research interest and expertise is conducting research on minority health, health disparities, and cultural competency. Specifically I have been conducting research related to the health of the HIspanic population for the past 8 years in Kentucky. I have been working on this present breastfeeding study as a project manager and research coordinator since 2012.
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.