141st APHA Annual Meeting

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Impact of support on breastfeeding duration in mothers with mammary hypoplasia/insufficient glandular tissue

Tuesday, November 5, 2013 : 3:30 PM - 3:50 PM

Diana Cassar-Uhl, MPH, IBCLC , Department of Epidemiology and Community Health (alumna), New York Medical College, Valhalla, NY
Penny Liberatos, PhD , School of Health Sciences & Practice, New York Medical College, Valhalla, NY
Background: Mammary hypoplasia/insufficient glandular tissue (IGT) is a condition of underdevelopment of the glandular portion of the breast. This anatomy and physiology may prevent adequate breastmilk production to allow exclusive breastfeeding. Women with this condition often do not learn that there may be a problem until difficulties with breastfeeding arise. Perinatal healthcare providers and lactation support personnel are often at a loss for how to assist mothers with this condition, especially those who had hoped to exclusively breastfeed their infants. Objectives: To identify how providers have supported or failed to support mothers with hypoplasia/IGT to breastfeed their infants and what effect support has on breastfeeding duration among these mothers. Methods: Participants will be recruited via social media platforms (blogs, discussion forums, Facebook, Twitter) where breastfeeding mothers with hypoplasia convene for information and support. They will be asked to complete an online survey that includes: breastfeeding intentions and duration, challenges, successes, and sources of practical and emotional support. Approximately 400 surveys are expected to be collected during February/March 2013. Type of support will be examined relative to its impact on breastfeeding duration. Successful types and sources of support will also be identified. Conclusions: Results from this study will inform those who work with pregnant and postpartum mothers about how to address this issue, with the aim of reducing the number of infants who are prematurely weaned and increasing the number of mothers who are able to carry out their intentions to breastfeed.

Learning Areas:
Advocacy for health and health education
Communication and informatics
Social and behavioral sciences

Learning Objectives:
List common concerns about breastfeeding shared by mothers with mammary hypoplasia Discuss ways to improve breastfeeding duration among mothers with mammary hypoplasia Identify sources of practical and emotional support for mothers with mammary hypoplasia

Keywords: Breastfeeding, Maternal Well-Being

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As an International Board Certified Lactation Consultant, I have had extensive involvement (breastfeeding support) with mothers with hypoplasia; I am authoring a book about breastfeeding with mammary hypoplasia; I present regularly about supporting mothers with hypoplasia at educational events for breastfeeding and mother/baby professionals; this abstract represents the thesis project I am undertaking for my MPH.
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.