首页 > 最新文献

Breastfeeding Medicine最新文献

英文 中文
Breastfeeding Experiences of Mothers of Children with Down Syndrome: A Qualitative Study. 唐氏综合症患儿母亲的母乳喂养经历:定性研究。
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-31 DOI: 10.1089/bfm.2024.0278
Musa Özsavran, Tülay Kuzlu Ayyıldız

Purpose: It is known that despite the benefits of breast milk and breastfeeding, children with Down syndrome (DS) are breastfed less than other children are. More information is needed to reveal the problems experienced regarding breastfeeding in this group of children and take precautions. The purpose of this study was to learn about the breastfeeding experiences of mothers of children with DS. Methods: The study was carried out by conducting in-depth interviews with 17 women who met the inclusion criteria in Turkey between September 1 and December 1, 2023. Content analysis was used to analyze the data. Results: As a result of the content analysis, five themes emerged. These themes were changing of body and emotions, why doesn't my baby suck?, I have to breastfeed my baby, I am not alone, and experiences should be shared. Conclusions: It was determined that mothers of children with DS experienced problems/difficulties due to individual, baby-related, and environmental factors. The positive effects of breastfeeding children with DS can be made prevalent in society by supporting these mothers.

目的:众所周知,尽管母乳和母乳喂养有很多好处,但唐氏综合症(DS)患儿的母乳喂养率却低于其他儿童。我们需要更多的信息来揭示这类儿童在母乳喂养方面遇到的问题,并采取预防措施。本研究旨在了解唐氏综合症患儿母亲的母乳喂养经验。研究方法本研究于 2023 年 9 月 1 日至 12 月 1 日在土耳其对符合纳入标准的 17 名妇女进行了深入访谈。采用内容分析法对数据进行分析。结果:内容分析法得出了五个主题。这些主题分别是:身体和情绪的变化、为什么我的宝宝不吸吮?结论研究发现,DS 患儿的母亲会因个人因素、与婴儿有关的因素和环境因素而遇到问题/困难。通过对这些母亲的支持,母乳喂养 DS 儿童的积极作用可以在社会上得到普及。
{"title":"Breastfeeding Experiences of Mothers of Children with Down Syndrome: A Qualitative Study.","authors":"Musa Özsavran, Tülay Kuzlu Ayyıldız","doi":"10.1089/bfm.2024.0278","DOIUrl":"https://doi.org/10.1089/bfm.2024.0278","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> It is known that despite the benefits of breast milk and breastfeeding, children with Down syndrome (DS) are breastfed less than other children are. More information is needed to reveal the problems experienced regarding breastfeeding in this group of children and take precautions. The purpose of this study was to learn about the breastfeeding experiences of mothers of children with DS. <b><i>Methods:</i></b> The study was carried out by conducting in-depth interviews with 17 women who met the inclusion criteria in Turkey between September 1 and December 1, 2023. Content analysis was used to analyze the data. <b><i>Results:</i></b> As a result of the content analysis, five themes emerged. These themes were changing of body and emotions, why doesn't my baby suck?, I have to breastfeed my baby, I am not alone, and experiences should be shared. <b><i>Conclusions:</i></b> It was determined that mothers of children with DS experienced problems/difficulties due to individual, baby-related, and environmental factors. The positive effects of breastfeeding children with DS can be made prevalent in society by supporting these mothers.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Associated with Inequities in Donor Milk Bank Access Among Different Hospitals. 不同医院在使用供体奶库方面存在不平等的相关因素。
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-28 DOI: 10.1089/bfm.2024.0199
Caroline Toney-Noland, Ronald S Cohen, Lenae Joe, Peiyi Kan, Henry C Lee

Objective: Donor human milk (DHM) can provide many benefits to neonates. This study examines access to DHM and how structural barriers may exacerbate inequities. Study Design: The median test and analysis of variance test were used to compare the distribution of maternal race/ethnicity and insurance status variables with DHM access for California neonatal intensive care units (NICUs) in 2021. Results: Across 124 NICUs, those serving a higher percentage of white families were more likely to have access to DHM (p = 0.04). NICUs with a higher percentage of Hispanic families were less likely to have access to DHM (p = 0.03). Hospitals that had higher proportions of uninsured patients were also less likely to have access to DHM (p = 0.015). Conclusion: Inequities in DHM access and use among NICU infants begin at the structural level. Policies that reduce barriers to DHM access may reduce health inequities for Hispanic and uninsured families.

目的:捐赠人乳(DHM)可为新生儿带来诸多益处。本研究探讨了获得 DHM 的途径以及结构性障碍如何加剧不平等。研究设计:采用中位数检验和方差分析检验,比较 2021 年加利福尼亚州新生儿重症监护病房 (NICU) 中产妇种族/族裔和保险状况变量的分布与 DHM 获取情况。结果:在 124 个新生儿重症监护室中,白人家庭比例较高的监护室更有可能获得 DHM(p = 0.04)。西班牙裔家庭比例较高的新生儿监护病房获得 DHM 的可能性较低(p = 0.03)。无保险患者比例较高的医院也较少使用 DHM(p = 0.015)。结论:新生儿重症监护室婴儿在获得和使用 DHM 方面的不平等始于结构层面。减少获得 DHM 障碍的政策可能会减少西班牙裔和无保险家庭在健康方面的不平等。
{"title":"Factors Associated with Inequities in Donor Milk Bank Access Among Different Hospitals.","authors":"Caroline Toney-Noland, Ronald S Cohen, Lenae Joe, Peiyi Kan, Henry C Lee","doi":"10.1089/bfm.2024.0199","DOIUrl":"https://doi.org/10.1089/bfm.2024.0199","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Donor human milk (DHM) can provide many benefits to neonates. This study examines access to DHM and how structural barriers may exacerbate inequities. <b><i>Study Design:</i></b> The median test and analysis of variance test were used to compare the distribution of maternal race/ethnicity and insurance status variables with DHM access for California neonatal intensive care units (NICUs) in 2021. <b><i>Results:</i></b> Across 124 NICUs, those serving a higher percentage of white families were more likely to have access to DHM (<i>p</i> = 0.04). NICUs with a higher percentage of Hispanic families were less likely to have access to DHM (<i>p</i> = 0.03). Hospitals that had higher proportions of uninsured patients were also less likely to have access to DHM (<i>p</i> = 0.015). <b><i>Conclusion:</i></b> Inequities in DHM access and use among NICU infants begin at the structural level. Policies that reduce barriers to DHM access may reduce health inequities for Hispanic and uninsured families.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral Care Performed with Breast Milk in Preterm Newborns Fed by Tube: A Randomized Controlled Study. 用母乳对插管喂养的早产新生儿进行口腔护理:随机对照研究
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-28 DOI: 10.1089/bfm.2024.0214
Ayşe Çuvadar, Zühal Çamur, Refiye Zafer Dinçkol

Objective: This study examined the effect of breast milk on oral care practices in neonatal intensive care units. Methods: This study involved 64 preterm infants (intervention/breast milk: 32, control/distilled water: 32) and was carried out with a prospective, parallel, randomized controlled design. The "Newborn Oral Health Assessment Tool (NOHAT)" was used to assess oral care. The Mann-Whitney U test, continuity correction test, Fisher's exact test, independent-samples T test, and Wilcoxon signed ranks test were used to analyze the data. Results: Examining the oral care performed using breast milk and distilled water with NOHAT scores, it was determined that there was a significant difference in the intervention group (p < 0.05). Conclusions: It is recommended to use breast milk for oral care.

研究目的本研究探讨了母乳对新生儿重症监护室口腔护理措施的影响。研究方法本研究涉及 64 名早产儿(干预组/母乳:32 名,对照组/蒸馏水:32 名),采用前瞻性、平行、随机对照设计。采用 "新生儿口腔健康评估工具(NOHAT)"对口腔护理进行评估。数据分析采用 Mann-Whitney U 检验、连续性校正检验、费雪精确检验、独立样本 T 检验和 Wilcoxon 符号秩检验。结果使用母乳和蒸馏水进行的口腔护理与 NOHAT 评分相比,干预组有显著差异(P < 0.05)。结论建议使用母乳进行口腔护理。
{"title":"Oral Care Performed with Breast Milk in Preterm Newborns Fed by Tube: A Randomized Controlled Study.","authors":"Ayşe Çuvadar, Zühal Çamur, Refiye Zafer Dinçkol","doi":"10.1089/bfm.2024.0214","DOIUrl":"https://doi.org/10.1089/bfm.2024.0214","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This study examined the effect of breast milk on oral care practices in neonatal intensive care units. <b><i>Methods:</i></b> This study involved 64 preterm infants (intervention/breast milk: 32, control/distilled water: 32) and was carried out with a prospective, parallel, randomized controlled design. The \"Newborn Oral Health Assessment Tool (NOHAT)\" was used to assess oral care. The Mann-Whitney <i>U</i> test, continuity correction test, Fisher's exact test, independent-samples <i>T</i> test, and Wilcoxon signed ranks test were used to analyze the data. <b><i>Results:</i></b> Examining the oral care performed using breast milk and distilled water with NOHAT scores, it was determined that there was a significant difference in the intervention group (<i>p</i> < 0.05). <b><i>Conclusions:</i></b> It is recommended to use breast milk for oral care.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Interaction of Race and Pregnancy Intentions on Breastfeeding Initiation Rates and Duration in the United States. 在美国,种族和怀孕意愿对母乳喂养开始率和持续时间的相互作用。
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-28 DOI: 10.1089/bfm.2024.0189
Seun M Ajoseh, John Tasheyon Whesu, Maya Nicole Varnedore, Deepthi S Varma, Adetola F Louis-Jacques

Background: Unintended pregnancy increases adverse perinatal health outcomes. Limited studies exist on the influence of pregnancy intention on breastfeeding. This study examines the interaction of Race and couples' pregnancy intention on breastfeeding initiation and duration. Methods: Using the National Survey of Family Growth (2017-2019), we categorized breastfeeding into three categories (never breastfed, breastfed for 6 months or less, and breastfed for more than 6 months). Multinomial logistic regression and probability marginal effects were estimated across racial categories (Hispanics, non-Hispanic [NH] White, Black, and NH-others or multiracial). Results: The probability (Pr.) of never breastfeeding was the greatest among NH-Black women for all pregnancy intentions-both intended (Pr.: 0.34), mother-only (Pr.: 0.27), father-only (Pr.: 0.45), ambivalent (Pr.: 0.55), and neither intended (Pr.: 0.37). The probability of breastfeeding for 6 months or less is highest for Hispanics for both intended (Pr.: 0.41), NH-White for mother-only intended (Pr.: 0.49), Hispanics for father-only intended (Pr.: 0.56), ambivalent pregnancy intentions (Pr.: 0.60), and NH-others or multiracial for neither intended pregnancies (Pr.: 0.48). The probability of breastfeeding for more than 6 months is highest for NH-others or multiracial for both intended (Pr.: 0.50), ambivalent (Pr.: 0.49), and neither intended (Pr.: 0.36), while highest for NH-Black for mother-only intended (Pr.: 0.43). Conclusions: Our study demonstrates the interaction of Race and couples' pregnancy intention on breastfeeding initiation and duration. Owing to the high volume of unintended pregnancies in the United States, the current study might help maternal and child healthcare providers understand the interaction between race and pregnancy intentions on breastfeeding initiation and duration in the United States.

背景:意外怀孕会增加不利的围产期健康后果。有关怀孕意愿对母乳喂养影响的研究十分有限。本研究探讨了种族和夫妇怀孕意愿对母乳喂养的开始和持续时间的相互作用。研究方法利用全国家庭成长调查(2017-2019 年),我们将母乳喂养分为三类(从未母乳喂养、母乳喂养 6 个月或以下、母乳喂养 6 个月以上)。对不同种族类别(西班牙裔、非西班牙裔[NH]白人、黑人、NH-其他或多种族)的多项式逻辑回归和概率边际效应进行了估计。结果:在所有怀孕意愿中,NH-黑人妇女从未进行母乳喂养的概率(Pr.)最大,包括两种意愿(Pr.:0.34)、仅母亲意愿(Pr.:0.27)、仅父亲意愿(Pr.:0.45)、矛盾意愿(Pr.:0.55)和非意愿(Pr.:0.37)。对于双胎均为西班牙裔(Pr.:0.41)、单胎为母亲的 NH-白人(Pr.:0.49)、单胎为父亲的西班牙裔(Pr.:0.56)、怀孕意愿矛盾(Pr.:0.60)以及双胎均为 NH-其他或多种族(Pr.:0.48),母乳喂养 6 个月或以下的概率最高。对于都打算怀孕(Pr.:0.50)、矛盾怀孕(Pr.:0.49)和都不打算怀孕(Pr.:0.36)的 NH-母亲或多种族来说,母乳喂养超过 6 个月的概率最高,而对于只打算怀孕的 NH-黑人来说,母乳喂养超过 6 个月的概率最高(Pr.:0.43)。结论:我们的研究表明,种族和夫妇的怀孕意愿会对母乳喂养的开始和持续时间产生影响。由于美国的意外怀孕率很高,目前的研究可能有助于母婴保健提供者了解种族和怀孕意愿对美国母乳喂养的开始和持续时间的影响。
{"title":"The Interaction of Race and Pregnancy Intentions on Breastfeeding Initiation Rates and Duration in the United States.","authors":"Seun M Ajoseh, John Tasheyon Whesu, Maya Nicole Varnedore, Deepthi S Varma, Adetola F Louis-Jacques","doi":"10.1089/bfm.2024.0189","DOIUrl":"10.1089/bfm.2024.0189","url":null,"abstract":"<p><p><b><i>Background:</i></b> Unintended pregnancy increases adverse perinatal health outcomes. Limited studies exist on the influence of pregnancy intention on breastfeeding. This study examines the interaction of Race and couples' pregnancy intention on breastfeeding initiation and duration. <b><i>Methods:</i></b> Using the National Survey of Family Growth (2017-2019), we categorized breastfeeding into three categories (<i>never breastfed, breastfed for 6 months or less, and breastfed for more than 6 months</i>). Multinomial logistic regression and probability marginal effects were estimated across racial categories (Hispanics, non-Hispanic [NH] White, Black, and NH-others or multiracial). <b><i>Results:</i></b> The probability (Pr.) of never breastfeeding was the greatest among NH-Black women for all pregnancy intentions-both intended (Pr.: 0.34), mother-only (Pr.: 0.27), father-only (Pr.: 0.45), ambivalent (Pr.: 0.55), and neither intended (Pr.: 0.37). The probability of breastfeeding for 6 months or less is highest for Hispanics for both intended (Pr.: 0.41), NH-White for mother-only intended (Pr.: 0.49), Hispanics for father-only intended (Pr.: 0.56), ambivalent pregnancy intentions (Pr.: 0.60), and NH-others or multiracial for neither intended pregnancies (Pr.: 0.48). The probability of breastfeeding for more than 6 months is highest for NH-others or multiracial for both intended (Pr.: 0.50), ambivalent (Pr.: 0.49), and neither intended (Pr.: 0.36), while highest for NH-Black for mother-only intended (Pr.: 0.43). <b><i>Conclusions:</i></b> Our study demonstrates the interaction of Race and couples' pregnancy intention on breastfeeding initiation and duration. Owing to the high volume of unintended pregnancies in the United States, the current study might help maternal and child healthcare providers understand the interaction between race and pregnancy intentions on breastfeeding initiation and duration in the United States.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Associated with Weaning in Infants with Cow's Milk Allergy: A Cohort Study. 牛奶过敏婴儿断奶的相关因素:队列研究
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-28 DOI: 10.1089/bfm.2024.0108
Tatiane Graça Martins, Anne Jardim Botelho, Jackeline Motta Franco, Sarah Cristina Fontes Vieira, Bruna Franca Protásio, Diana Dos Santos, Solange Alves Dos Santos, Párcia Marques da Silva Oliveira, Ikaro Daniel de Carvalho Barreto, Ricardo Queiroz Gurgel

Objective: To analyze the factors associated with weaning in infants with cow's milk allergy (CMA) treated at a food allergy reference center in a state in the northeast of Brazil. Method: A prospective cohort study, with a case group (children with CMA) and two control groups (symptomatic nonallergic children [SC] and asymptomatic [AC]). At the beginning of the study, 30 children comprised the CMA group, 84 the SC group, and 52 the AC group. Survival analysis was performed to compare breastfeeding time between the three groups and an adjusted linear regression model to verify the factors associated with breastfeeding time. Results: At the beginning of the study, 33.3% of children in the CMA group, 17.1% in the SC group, and 69.6% in the AC group were exclusively breastfeeding (p = 0.005). The most common factors for weaning in children with CMA were the cow's milk elimination diet (30%), allergic symptoms in the child (20%), and breast engorgement (20%). Children who used a cup as a means of offering infant formula spent 281 more days breastfeeding compared with those who used a baby bottle (Bstd = 1.39; p = 0.031). Conclusion: Children with CMA and nonallergic gastrointestinal complaints weaned earlier compared with asymptomatic children. The main causes of weaning in CMA children were maternal difficulty adhering to the elimination diet, breast engorgement, and allergic symptoms in the child. Using a cup was the main factor associated with longer breastfeeding duration, regardless of gastrointestinal symptoms and socioeconomic factors.

目的分析在巴西东北部一个州的食物过敏参考中心接受治疗的牛奶过敏(CMA)婴儿断奶的相关因素。研究方法:前瞻性队列研究:前瞻性队列研究,包括一个病例组(患有 CMA 的儿童)和两个对照组(有症状的非过敏儿童 [SC] 和无症状儿童 [AC])。研究开始时,CMA 组有 30 名儿童,SC 组有 84 名儿童,AC 组有 52 名儿童。研究人员对三组母乳喂养时间进行了生存分析比较,并利用调整线性回归模型验证了与母乳喂养时间相关的因素。结果研究开始时,CMA 组有 33.3%、SC 组有 17.1%、AC 组有 69.6%的儿童纯母乳喂养(p = 0.005)。CMA患儿最常见的断奶因素是牛乳淘汰饮食(30%)、患儿过敏症状(20%)和乳房胀气(20%)。与使用奶瓶的儿童相比,使用杯子提供婴儿配方奶的儿童母乳喂养天数多 281 天(Bstd = 1.39;P = 0.031)。结论与无症状儿童相比,有 CMA 和非过敏性胃肠道不适的儿童断奶时间更早。CMA患儿断奶的主要原因是母亲难以坚持消除性饮食、乳房胀气和患儿出现过敏症状。使用奶杯是延长母乳喂养时间的主要因素,与胃肠道症状和社会经济因素无关。
{"title":"Factors Associated with Weaning in Infants with Cow's Milk Allergy: A Cohort Study.","authors":"Tatiane Graça Martins, Anne Jardim Botelho, Jackeline Motta Franco, Sarah Cristina Fontes Vieira, Bruna Franca Protásio, Diana Dos Santos, Solange Alves Dos Santos, Párcia Marques da Silva Oliveira, Ikaro Daniel de Carvalho Barreto, Ricardo Queiroz Gurgel","doi":"10.1089/bfm.2024.0108","DOIUrl":"https://doi.org/10.1089/bfm.2024.0108","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To analyze the factors associated with weaning in infants with cow's milk allergy (CMA) treated at a food allergy reference center in a state in the northeast of Brazil. <b><i>Method:</i></b> A prospective cohort study, with a case group (children with CMA) and two control groups (symptomatic nonallergic children [SC] and asymptomatic [AC]). At the beginning of the study, 30 children comprised the CMA group, 84 the SC group, and 52 the AC group. Survival analysis was performed to compare breastfeeding time between the three groups and an adjusted linear regression model to verify the factors associated with breastfeeding time. <b><i>Results:</i></b> At the beginning of the study, 33.3% of children in the CMA group, 17.1% in the SC group, and 69.6% in the AC group were exclusively breastfeeding (<i>p</i> = 0.005). The most common factors for weaning in children with CMA were the cow's milk elimination diet (30%), allergic symptoms in the child (20%), and breast engorgement (20%). Children who used a cup as a means of offering infant formula spent 281 more days breastfeeding compared with those who used a baby bottle (B<sup>std</sup> = 1.39; <i>p</i> = 0.031). <b><i>Conclusion:</i></b> Children with CMA and nonallergic gastrointestinal complaints weaned earlier compared with asymptomatic children. The main causes of weaning in CMA children were maternal difficulty adhering to the elimination diet, breast engorgement, and allergic symptoms in the child. Using a cup was the main factor associated with longer breastfeeding duration, regardless of gastrointestinal symptoms and socioeconomic factors.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing Disparities in Breastfeeding: "Breast for Success" Excels a Second Time. 减少母乳喂养中的差异:"成功母乳喂养 "再创佳绩。
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-24 DOI: 10.1089/bfm.2024.0229
Deborah Hamilton, Jaime Pérez, Lydia Furman

Background: Breastfeeding is a key public health priority with known racial inequities. Despite the well-described and far-reaching health benefits of breastfeeding for mothers and infants, rates of breastfeeding initiation, continuation, and exclusivity lag meaningfully among African American and Black (AA/B) women compared with other racial and ethnic groups due in main to current and historical structural racism. Methods: The study objective was to assess the replicability of Breast for Success (BFS) on breastfeeding rates among home-visited low-income predominantly AA/B mothers. The BFS Excels a Second Time (BEST) trial was an observational study conducted at the Neighborhood Health Association, Toledo, OH, enrolling expectant women (June 2022-March 2023, followed to October 2023) participating in the Moms and Babies First (MBF) Community Health Worker (CHW)-led home visiting program. The exposure, BFS, includes 11 CHW-delivered breastfeeding-supportive modules, breastfeeding supplies, and a postnatal lactation visit. All MBF mothers received BFS; those who agreed to data sharing were BEST participants. The outcomes were breastfeeding initiation, and breastfeeding continuation, and exclusivity at 1 month. Results: The majority of participants were AA/B (48, 83%), had an income <200% poverty level (55, 95%), and were unmarried (57, 98%); mean age was 25.8 years (SD 5.5). Of the 58 participants, 57 (98%) initiated breastfeeding and continued breastfeeding at 1 month postpartum; 53 (91%) were exclusively breastfeeding at 1 month postpartum. Discussion: BFS piggybacks seamlessly onto CHW-led home-visiting curricula and increased breastfeeding rates among women at high risk for not breastfeeding. Public health programs can add BFS to fill a critical curricular and impact gap with respect to breastfeeding support.

背景:母乳喂养是一项关键的公共卫生优先事项,存在已知的种族不平等。尽管母乳喂养对母婴健康的益处已被充分描述且意义深远,但与其他种族和族裔群体相比,非裔美国人和黑人(AA/B)妇女母乳喂养的开始率、持续率和纯母乳喂养率却明显落后,这主要是由于当前和历史上的结构性种族主义造成的。研究方法研究目的是评估 "成功母乳喂养法"(BFS)在家访低收入非裔美国人和黑人母亲中母乳喂养率的可推广性。BFS Excels a Second Time (BEST) 试验是在俄亥俄州托莱多市邻里健康协会开展的一项观察性研究,研究对象为参加 "妈妈宝宝第一"(MBF)社区健康工作者(CHW)领导的家访计划的孕妇(2022 年 6 月至 2023 年 3 月,跟踪至 2023 年 10 月)。该项目包括 11 个由社区保健员提供的母乳喂养支持模块、母乳喂养用品和一次产后哺乳访视。所有 MBF 母亲都接受了 BFS;同意数据共享的母亲为 BEST 参与者。其结果是母乳喂养的开始、母乳喂养的持续和 1 个月的纯母乳喂养。结果大多数参与者为 AA/B 族(48 人,占 83%),有收入讨论:BFS与CHW主导的家访课程无缝衔接,提高了高风险妇女的母乳喂养率。公共卫生项目可以加入 BFS,以填补母乳喂养支持方面的关键课程和影响空白。
{"title":"Reducing Disparities in Breastfeeding: \"Breast for Success\" Excels a Second Time.","authors":"Deborah Hamilton, Jaime Pérez, Lydia Furman","doi":"10.1089/bfm.2024.0229","DOIUrl":"https://doi.org/10.1089/bfm.2024.0229","url":null,"abstract":"<p><p><b><i>Background:</i></b> Breastfeeding is a key public health priority with known racial inequities. Despite the well-described and far-reaching health benefits of breastfeeding for mothers and infants, rates of breastfeeding initiation, continuation, and exclusivity lag meaningfully among African American and Black (AA/B) women compared with other racial and ethnic groups due in main to current and historical structural racism. <b><i>Methods:</i></b> The study objective was to assess the replicability of Breast for Success (BFS) on breastfeeding rates among home-visited low-income predominantly AA/B mothers. The BFS Excels a Second Time (BEST) trial was an observational study conducted at the Neighborhood Health Association, Toledo, OH, enrolling expectant women (June 2022-March 2023, followed to October 2023) participating in the Moms and Babies First (MBF) Community Health Worker (CHW)-led home visiting program. The exposure, BFS, includes 11 CHW-delivered breastfeeding-supportive modules, breastfeeding supplies, and a postnatal lactation visit. All MBF mothers received BFS; those who agreed to data sharing were BEST participants. The outcomes were breastfeeding initiation, and breastfeeding continuation, and exclusivity at 1 month. <b><i>Results:</i></b> The majority of participants were AA/B (48, 83%), had an income <200% poverty level (55, 95%), and were unmarried (57, 98%); mean age was 25.8 years (SD 5.5). Of the 58 participants, 57 (98%) initiated breastfeeding and continued breastfeeding at 1 month postpartum; 53 (91%) were exclusively breastfeeding at 1 month postpartum. <b><i>Discussion:</i></b> BFS piggybacks seamlessly onto CHW-led home-visiting curricula and increased breastfeeding rates among women at high risk for not breastfeeding. Public health programs can add BFS to fill a critical curricular and impact gap with respect to breastfeeding support.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Red Alert: Exclusive Breastfeeding Threatened. 红色警报:纯母乳喂养受到威胁。
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-24 DOI: 10.1089/bfm.2024.0320
Arthur I Eidelman
{"title":"Red Alert: Exclusive Breastfeeding Threatened.","authors":"Arthur I Eidelman","doi":"10.1089/bfm.2024.0320","DOIUrl":"https://doi.org/10.1089/bfm.2024.0320","url":null,"abstract":"","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Baby Calming Training Provided to Primiparous Mothers on Maternal Role Perception, Maternal Attachment, and Breastfeeding Self-Efficacy: A Randomized Controlled Trial. 为初产妇提供婴儿安抚训练对母亲角色认知、母亲依恋和母乳喂养自我效能的影响:随机对照试验
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-17 DOI: 10.1089/bfm.2024.0247
Gamzegül Altay, Arzu Sarialioğlu

Background: Mothers of crying babies have difficulty adapting to their roles and problems with breastfeeding and attachment. Objective: This study aimed to assess the impact of the baby calming training provided to primiparous mothers on maternal role perception, maternal attachment, and breastfeeding self-efficacy. Methods: The study was conducted in a randomized controlled experimental design between March 2023 and March 2024 in the gynecology and obstetrics services of a public hospital in northeastern Turkey (Clinical Trial Number: NCT05594836). The research was conducted with a total of 84 primiparous mothers, including 41 intervention and 43 control groups, who met the inclusion criteria. The Baby Calming Training was administered face-to-face in the intervention group, utilizing a baby swaddling blanket, a sleep companion emitting white noise, and a training booklet. The control group received routine care. Data were collected through the Mother and Baby Introductory Information Form, Semantic Difference Scale-Me as a Mother, Maternal Attachment Inventory, Breastfeeding Self-Efficacy Scale-Short Form, and Infant Sleep Activity Record. The data were analyzed using descriptive statistics, Pearson's chi-square test, independent samples t-test, Mann-Whitney U test, Wilcoxon test, mixed design ANOVA analysis, Cohen's d, and 95% confidence interval (CI). This study adhered to CONSORT research guidelines. Results: Mothers in the intervention group exhibited higher mean scores on the perception of maternal role (mean ± SD: 70.37 ± 5.92, t: 8.590, 95% confidence interval [CI]: [1.347-2.375], d: 1.865, p < 0.001), maternal attachment (mean ± SD: 100.42 ± 1.52, U: 151.500, 95% CI: [0.732-0.892], d: 0.828, p < 0.001), and breastfeeding self-efficacy (mean ± SD: 64.00 ± 5.98, t: 8.109, 95% CI: [1.248-2.258], d: 1.757, p < 0.001) than the control group. It was determined that the total sleep time of the babies in the intervention group was higher, and the total crying duration was lower (p < 0.001). Conclusion: The study revealed that infant soothing training for primiparous mothers enhanced maternal role perception, maternal attachment, breastfeeding self-efficacy, and extended infants' sleep duration. Furthermore, infants exhibited reduced crying.

背景:哭闹婴儿的母亲很难适应自己的角色,在母乳喂养和依恋方面也存在问题。研究目的本研究旨在评估为初产妇提供的婴儿安抚训练对母亲角色认知、母亲依恋和母乳喂养自我效能感的影响。研究方法研究采用随机对照实验设计,于2023年3月至2024年3月期间在土耳其东北部一家公立医院的妇产科进行(临床试验编号:NCT05594836)。符合纳入标准的初产妇共有 84 名,其中干预组 41 名,对照组 43 名。干预组面对面进行婴儿安抚训练,使用婴儿襁褓、发出白噪音的睡眠伴侣和训练手册。对照组接受常规护理。通过母婴介绍信息表、语义差异量表--我是母亲、母性依恋量表、母乳喂养自我效能感量表--简表和婴儿睡眠活动记录收集数据。数据分析采用了描述性统计、皮尔森卡方检验、独立样本 t 检验、曼-惠特尼 U 检验、威尔科克森检验、混合设计方差分析、Cohen's d 和 95% 置信区间 (CI)。本研究遵守 CONSORT 研究指南。研究结果干预组母亲在母亲角色认知方面的平均得分更高(平均值±标准差:70.37±5.92,t:8.590,95% 置信区间[CI]:[1.347-2.3]):1.347-2.375],d:1.865,P < 0.001)、母性依恋(平均值±标准差:100.42 ± 1.52,U:151.500,95% 置信区间[CI]:[0.732-0.892],d:0.828,P < 0.001)和母乳喂养自我效能感(平均值±标准差:64.00±5.98,t:8.109,95% CI:[1.248-2.258],d:1.757,P<0.001)高于对照组。结果表明,干预组婴儿的总睡眠时间更长,总哭闹时间更短(P < 0.001)。结论研究表明,初产妇的婴儿安抚训练增强了母亲的角色认知、母性依恋和母乳喂养自我效能感,并延长了婴儿的睡眠时间。此外,婴儿的哭闹也有所减少。
{"title":"The Effects of Baby Calming Training Provided to Primiparous Mothers on Maternal Role Perception, Maternal Attachment, and Breastfeeding Self-Efficacy: A Randomized Controlled Trial.","authors":"Gamzegül Altay, Arzu Sarialioğlu","doi":"10.1089/bfm.2024.0247","DOIUrl":"https://doi.org/10.1089/bfm.2024.0247","url":null,"abstract":"<p><p><b><i>Background:</i></b> Mothers of crying babies have difficulty adapting to their roles and problems with breastfeeding and attachment. <b><i>Objective:</i></b> This study aimed to assess the impact of the baby calming training provided to primiparous mothers on maternal role perception, maternal attachment, and breastfeeding self-efficacy. <b><i>Methods:</i></b> The study was conducted in a randomized controlled experimental design between March 2023 and March 2024 in the gynecology and obstetrics services of a public hospital in northeastern Turkey (Clinical Trial Number: NCT05594836). The research was conducted with a total of 84 primiparous mothers, including 41 intervention and 43 control groups, who met the inclusion criteria. The Baby Calming Training was administered face-to-face in the intervention group, utilizing a baby swaddling blanket, a sleep companion emitting white noise, and a training booklet. The control group received routine care. Data were collected through the Mother and Baby Introductory Information Form, Semantic Difference Scale-Me as a Mother, Maternal Attachment Inventory, Breastfeeding Self-Efficacy Scale-Short Form, and Infant Sleep Activity Record. The data were analyzed using descriptive statistics, Pearson's chi-square test, independent samples <i>t</i>-test, Mann-Whitney U test, Wilcoxon test, mixed design ANOVA analysis, Cohen's <i>d</i>, and 95% confidence interval (CI). This study adhered to CONSORT research guidelines. <b><i>Results:</i></b> Mothers in the intervention group exhibited higher mean scores on the perception of maternal role (mean ± SD: 70.37 ± 5.92, <i>t</i>: 8.590, 95% confidence interval [CI]: [1.347-2.375], <i>d</i>: 1.865, <i>p</i> < 0.001), maternal attachment (mean ± SD: 100.42 ± 1.52, U: 151.500, 95% CI: [0.732-0.892], <i>d</i>: 0.828, <i>p</i> < 0.001), and breastfeeding self-efficacy (mean ± SD: 64.00 ± 5.98, <i>t</i>: 8.109, 95% CI: [1.248-2.258], <i>d</i>: 1.757, <i>p</i> < 0.001) than the control group. It was determined that the total sleep time of the babies in the intervention group was higher, and the total crying duration was lower (<i>p</i> < 0.001). <b><i>Conclusion:</i></b> The study revealed that infant soothing training for primiparous mothers enhanced maternal role perception, maternal attachment, breastfeeding self-efficacy, and extended infants' sleep duration. Furthermore, infants exhibited reduced crying.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lactobacillus rhamnosus Helps to Reduce the Duration of Bleeding in Breastfed Infants with Allergic Proctocolitis. 鼠李糖乳杆菌有助于缩短患有过敏性直肠结肠炎的母乳喂养婴儿的出血时间。
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-17 DOI: 10.1089/bfm.2024.0185
Armen Malekiantaghi, Faezeh Ghanaati, Hosein Shabani-Mirzaee, Mamak Shariat, Sayed-Yousef Mojtahedi, Kambiz Eftekhari

Background: Cow's milk protein allergy (CMPA) is the most common food allergy in infants. The current standard of care (SOC) involves eliminating the allergen from both the infant's and mother's diet for 2-4 weeks. The purpose of this study is to assess the effectiveness of Lactobacillus rhamnosus (Ramnoflor) in reducing the duration of bleeding in these infants. Methods: This randomized clinical trial was conducted at Bahrami Children's Hospital on breastfed infants who were diagnosed with CMPA and had a positive occult blood (OB) test. Patients were randomly assigned to either the control or case groups. All patients received SOC therapy, with the case group receiving Ramnoflor and the control group receiving a placebo. Data were recorded on the checklist, and the children were followed and visited three times during the study, with an OB assessment at each visit. Results: The study enrolled 48 infants. Among the infants in the case group, the OB test was positive in four cases (8.3%) on the fifth day. However, there were no positive cases on the 14th and 30th days. The prevalence of this test was significantly lower in patients who received probiotics compared to the control group on the fifth day (p < 0.001). There were no positive OB tests on the 14th and 30th days in any of the groups, and no significant difference was observed between the groups. Conclusion: The addition of L. rhamnosus to SOC therapy led to a decrease in the duration of rectal bleeding in infants with CMPA compared to the control group.

背景:牛奶蛋白过敏(CMPA)是婴儿最常见的食物过敏。目前的治疗标准(SOC)包括在 2-4 周内从婴儿和母亲的饮食中去除过敏原。本研究旨在评估鼠李糖乳杆菌(Ramnoflor)在缩短这些婴儿出血时间方面的效果。研究方法这项随机临床试验是在 Bahrami 儿童医院进行的,对象是被诊断为 CMPA 且隐血 (OB) 检测呈阳性的母乳喂养婴儿。患者被随机分配到对照组或病例组。所有患者均接受 SOC 治疗,病例组接受 Ramnoflor 治疗,对照组接受安慰剂治疗。数据记录在检查表上,研究期间对患儿进行了三次随访和探视,每次探视都进行了一次潜血评估。研究结果研究共招募了 48 名婴儿。在病例组的婴儿中,有 4 例(8.3%)在第五天的产前检查中呈阳性。但是,在第 14 天和第 30 天没有阳性病例。与对照组相比,接受益生菌治疗的患儿在第五天的转阴率明显降低(p < 0.001)。在第 14 天和第 30 天,各组均未出现 OB 检测呈阳性的病例,且各组之间未发现明显差异。结论与对照组相比,在 SOC 治疗中添加鼠李糖可缩短 CMPA 患儿直肠出血的持续时间。
{"title":"<i>Lactobacillus rhamnosus</i> Helps to Reduce the Duration of Bleeding in Breastfed Infants with Allergic Proctocolitis.","authors":"Armen Malekiantaghi, Faezeh Ghanaati, Hosein Shabani-Mirzaee, Mamak Shariat, Sayed-Yousef Mojtahedi, Kambiz Eftekhari","doi":"10.1089/bfm.2024.0185","DOIUrl":"https://doi.org/10.1089/bfm.2024.0185","url":null,"abstract":"<p><p><b><i>Background:</i></b> Cow's milk protein allergy (CMPA) is the most common food allergy in infants. The current standard of care (SOC) involves eliminating the allergen from both the infant's and mother's diet for 2-4 weeks. The purpose of this study is to assess the effectiveness of <i>Lactobacillus rhamnosus</i> (Ramnoflor) in reducing the duration of bleeding in these infants. <b><i>Methods:</i></b> This randomized clinical trial was conducted at Bahrami Children's Hospital on breastfed infants who were diagnosed with CMPA and had a positive occult blood (OB) test. Patients were randomly assigned to either the control or case groups. All patients received SOC therapy, with the case group receiving Ramnoflor and the control group receiving a placebo. Data were recorded on the checklist, and the children were followed and visited three times during the study, with an OB assessment at each visit. <b><i>Results:</i></b> The study enrolled 48 infants. Among the infants in the case group, the OB test was positive in four cases (8.3%) on the fifth day. However, there were no positive cases on the 14th and 30th days. The prevalence of this test was significantly lower in patients who received probiotics compared to the control group on the fifth day (<i>p</i> < 0.001). There were no positive OB tests on the 14th and 30th days in any of the groups, and no significant difference was observed between the groups. <b><i>Conclusion:</i></b> The addition of <i>L. rhamnosus</i> to SOC therapy led to a decrease in the duration of rectal bleeding in infants with CMPA compared to the control group.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breastfeeding Behaviors by Race/Ethnicity and Foreign-Born Status in the United States: An Analysis of the U.S. National Survey of Children's Health. 美国按种族/族裔和外国出生身份分列的母乳喂养行为:美国全国儿童健康调查分析》。
IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-11 DOI: 10.1089/bfm.2024.0271
Angela G Campbell, Saman Naz, Armando Peña

Objective: The foreign-born population is growing in the United States, but no nationally representative statistics of breastfeeding behavior disaggregated by race/ethnicity and foreign-born status have been published in recent years. This study examines breastfeeding initiation, any breastfeeding, and exclusive breastfeeding at 3 and 6 months among foreign-born and U.S.-born Non-Hispanic (NH) Black, NH White, and Hispanic women in the United States. Methods: This is a cross-sectional study utilizing years 2021 and 2022 of the National Survey of Children's Health. Sample children identified as NH White, NH Black, and Hispanic who were 6 months to 5 years old and residing with their biological or adoptive mother were included (n = 27,818). Results: Foreign-born women in all racial/ethnic groups (NH Black, NH White, and Hispanic) had significantly higher odds of any breastfeeding at 6 months relative to U.S.-born NH White women. However, they did not have significantly different odds of exclusive breastfeeding for 6 months relative to U.S.-born NH White women. U.S.-born Hispanic women had rates of exclusive breastfeeding for 6 months (23.2%) that were much closer to U.S.-born NH Black women (23.4%) than to foreign-born Hispanic women (29.4%) or U.S.-born White women (32.1%). Conclusions: The large percentage of foreign-born women who reported some breastfeeding at 6 months indicates a strong commitment to breastfeeding and may be a leverage point for future exclusive breastfeeding interventions among this group. U.S.-born Hispanic women appear to be struggling with exclusive breastfeeding and may need additional interventions.

目的:美国的外国出生人口在不断增长,但近年来尚未公布按种族/族裔和外国出生身份分列的具有全国代表性的母乳喂养行为统计数据。本研究调查了美国外国出生和美国出生的非西班牙裔(NH)黑人、NH 白人和西班牙裔妇女的母乳喂养启动情况、任何母乳喂养情况以及 3 个月和 6 个月的纯母乳喂养情况。研究方法:这是一项利用 2021 年和 2022 年全国儿童健康调查进行的横断面研究。样本包括 6 个月至 5 岁、与生母或养母同住的 NH 白人、NH 黑人和西班牙裔儿童(n = 27,818)。结果:与美国出生的北荷兰裔白人妇女相比,所有种族/族裔群体(北荷兰裔黑人、北荷兰裔白人和西班牙裔)中的外国出生妇女在 6 个月时进行母乳喂养的几率明显更高。然而,与在美国出生的新罕布什尔州白人妇女相比,她们在 6 个月内进行纯母乳喂养的几率并无明显差异。在美国出生的西班牙裔妇女 6 个月内纯母乳喂养的比率(23.2%)与在美国出生的新罕布什尔州黑人妇女(23.4%)相比,更接近于在外国出生的西班牙裔妇女(29.4%)或在美国出生的白人妇女(32.1%)。结论:有很大比例的外国出生妇女在 6 个月大时曾进行过母乳喂养,这表明她们对母乳喂养有着坚定的承诺,这可能是未来对这一群体进行纯母乳喂养干预的一个杠杆点。在美国出生的西班牙裔妇女在纯母乳喂养方面似乎有困难,可能需要额外的干预措施。
{"title":"Breastfeeding Behaviors by Race/Ethnicity and Foreign-Born Status in the United States: An Analysis of the U.S. National Survey of Children's Health.","authors":"Angela G Campbell, Saman Naz, Armando Peña","doi":"10.1089/bfm.2024.0271","DOIUrl":"https://doi.org/10.1089/bfm.2024.0271","url":null,"abstract":"<p><p><b><i>Objective:</i></b> The foreign-born population is growing in the United States, but no nationally representative statistics of breastfeeding behavior disaggregated by race/ethnicity and foreign-born status have been published in recent years. This study examines breastfeeding initiation, any breastfeeding, and exclusive breastfeeding at 3 and 6 months among foreign-born and U.S.-born Non-Hispanic (NH) Black, NH White, and Hispanic women in the United States. <b><i>Methods:</i></b> This is a cross-sectional study utilizing years 2021 and 2022 of the National Survey of Children's Health. Sample children identified as NH White, NH Black, and Hispanic who were 6 months to 5 years old and residing with their biological or adoptive mother were included (<i>n</i> = 27,818). <b><i>Results:</i></b> Foreign-born women in all racial/ethnic groups (NH Black, NH White, and Hispanic) had significantly higher odds of any breastfeeding at 6 months relative to U.S.-born NH White women. However, they did not have significantly different odds of exclusive breastfeeding for 6 months relative to U.S.-born NH White women. U.S.-born Hispanic women had rates of exclusive breastfeeding for 6 months (23.2%) that were much closer to U.S.-born NH Black women (23.4%) than to foreign-born Hispanic women (29.4%) or U.S.-born White women (32.1%). <b><i>Conclusions:</i></b> The large percentage of foreign-born women who reported some breastfeeding at 6 months indicates a strong commitment to breastfeeding and may be a leverage point for future exclusive breastfeeding interventions among this group. U.S.-born Hispanic women appear to be struggling with exclusive breastfeeding and may need additional interventions.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Breastfeeding Medicine
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1