124 lines
4 KiB
YAML
124 lines
4 KiB
YAML
abstract: 'Background: While black mothers initiate human milk (HM) provision at
|
|
|
|
lower rates than non-black mothers in the United States, some neonatal
|
|
|
|
intensive care units (NICUs) report similar initiation rates regardless
|
|
|
|
of race/ethnicity for mothers of very-low-birth-weight (VLBW) infants.
|
|
|
|
However, racial disparity frequently becomes evident in the proportion
|
|
|
|
of black infants who continue to receive HM feedings at NICU discharge.
|
|
|
|
Since social factors have been associated with differences in HM
|
|
|
|
provision for term infants, we sought to identify differences in social
|
|
|
|
factors associated with HM feeding at discharge based on race/ethnicity.
|
|
|
|
Materials and Methods: A prospective cohort study of racially diverse
|
|
|
|
mothers of VLBW infants measured social factors including maternal
|
|
|
|
education, breastfeeding support, return to work/school, HM feeding
|
|
|
|
goal, previous breastfeeding, or formula experience. Multivariate
|
|
|
|
logistic regression modeling was applied to social factors to predict HM
|
|
|
|
feeding at discharge. Additional regression models were created for
|
|
|
|
racial/ethnic subgroups to identify differences.
|
|
|
|
Results: For all 362 mothers, WIC (Special Supplemental Nutrition
|
|
|
|
Program for Women, Infants, and Children) eligibility and maternal goal
|
|
|
|
near time of discharge of providing any HM negatively and positively
|
|
|
|
predicted HM feeding at discharge, respectively. Perceived breastfeeding
|
|
|
|
support from the infant''s maternal grandmother negatively predicted HM
|
|
|
|
feeding at discharge for black mothers.
|
|
|
|
Conclusions: Future interventions to increase duration of HM provision
|
|
|
|
in VLBW infants should focus on the establishment and maintenance of
|
|
|
|
maternal HM feeding goals. Further studies of the familial support
|
|
|
|
system of black mothers are warranted to determine multigenerational
|
|
|
|
impact and potential interventions.'
|
|
affiliation: 'Patel, AL (Corresponding Author), Rush Univ, Childrens Hosp, 1653 West
|
|
Congress Pkwy,Suite 353 Pavil, Chicago, IL 60612 USA.
|
|
|
|
Fleurant, Erin, Rush Univ, Coll Med, Chicago, IL 60612 USA.
|
|
|
|
Schoeny, Michael; Hoban, Rebecca; Meier, Paula P.; Patel, Aloka L., Rush Univ, Childrens
|
|
Hosp, Dept Pediat, Chicago, IL 60612 USA.
|
|
|
|
Hoban, Rebecca; Meier, Paula P.; Bigger, Harold; Patel, Aloka L., Rush Univ, Med
|
|
Ctr, Dept Pediat, Chicago, IL 60612 USA.
|
|
|
|
Asiodu, Ifeyinwa V., Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143
|
|
USA.
|
|
|
|
Riley, Brittany, Nationwide Childrens Hosp, Coll Nursing, Columbus, OH USA.'
|
|
author: Fleurant, Erin and Schoeny, Michael and Hoban, Rebecca and Asiodu, Ifeyinwa
|
|
V. and Riley, Brittany and Meier, Paula P. and Bigger, Harold and Patel, Aloka L.
|
|
author-email: aloka\_patel@rush.edu
|
|
author_list:
|
|
- family: Fleurant
|
|
given: Erin
|
|
- family: Schoeny
|
|
given: Michael
|
|
- family: Hoban
|
|
given: Rebecca
|
|
- family: Asiodu
|
|
given: Ifeyinwa V.
|
|
- family: Riley
|
|
given: Brittany
|
|
- family: Meier
|
|
given: Paula P.
|
|
- family: Bigger
|
|
given: Harold
|
|
- family: Patel
|
|
given: Aloka L.
|
|
da: '2023-09-28'
|
|
doi: 10.1089/bfm.2016.0105
|
|
eissn: 1556-8342
|
|
files: []
|
|
issn: 1556-8253
|
|
journal: BREASTFEEDING MEDICINE
|
|
keywords: premature infant; social factors; barriers; NICU; human milk
|
|
keywords-plus: 'INTENSIVE-CARE-UNIT; AFRICAN-AMERICAN WOMEN; BREAST-MILK; LOW-INCOME;
|
|
|
|
NECROTIZING ENTEROCOLITIS; NICU HOSPITALIZATION; PREMATURE-INFANTS; PEER
|
|
|
|
COUNSELORS; MOTHERS; RISK'
|
|
language: English
|
|
month: JAN-FEB
|
|
number: '1'
|
|
number-of-cited-references: '40'
|
|
orcid-numbers: 'Patel, Aloka L./0000-0003-1751-0421
|
|
|
|
Hoban, Rebecca/0000-0001-9457-8791'
|
|
pages: 20-27
|
|
papis_id: f27a05811199c45d813f369f250edfd0
|
|
ref: Fleurant2017barriershuman
|
|
researcherid-numbers: 'Patel, Aloka L./T-1802-2019
|
|
|
|
'
|
|
times-cited: '41'
|
|
title: 'Barriers to Human Milk Feeding at Discharge of Very-Low-Birth-Weight Infants:
|
|
Maternal Goal Setting as a Key Social Factor'
|
|
type: Article
|
|
unique-id: WOS:000391843800005
|
|
usage-count-last-180-days: '1'
|
|
usage-count-since-2013: '21'
|
|
volume: '12'
|
|
web-of-science-categories: Obstetrics \& Gynecology; Pediatrics
|
|
year: '2017'
|