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Infant feeding decisions and behaviours among low-income smoke-exposed women: timing and change during pregnancy

  • Patricia Markham Risica (a1) (a2) (a3) and Kristen McCausland (a2)
Abstract
Objective

The present study aimed to describe change in feeding intentions and predictors of breast-feeding intentions during the course of pregnancy.

Design

Analysis of prospectively collected data from a larger randomized controlled trial of a health education intervention to reduce environmental smoke exposure among women during and after pregnancy.

Setting

Participants were recruited from prenatal clinics, but all further communication occurred with participating women living in the community.

Subjects

Low-income, adult women (n 399) were interviewed during the 16th and 32nd week of pregnancy to ascertain prenatal feeding intentions and breast-feeding knowledge, attitudes and self-efficacy. Characteristics of women by infant feeding intention were assessed along with differences in intention from 16 to 32 weeks of pregnancy and feeding behaviours after delivery. Differences in psychosocial variables between women of different intention for infant feeding were measured. Women in each category of feeding intention were assessed for changes in psychosocial factors by eventual infant feeding behaviour.

Results

Feeding intention early in pregnancy was strongly, but not consistently, associated with feeding intention late in pregnancy, feeding initiation and later feeding patterns. Over one-third of women who were undecided at 16 weeks’ gestation or earlier initiated breast-feeding. Increases in knowledge and improvement in time, social factors and social support barriers were found among those who exclusively breast-fed.

Conclusions

Results indicate that feeding decisions may change during pregnancy. Determining when women make feeding decisions during their pregnancy warrants more research. Interventions to increase breast-feeding intentions should target knowledge, self-efficacy and barriers.

Copyright
Corresponding author
* Corresponding author: Email patricia_risica@brown.edu
References
Hide All
1. Section on Breastfeeding (2012) Breastfeeding and the use of human milk. Pediatrics 129, e827e841.
2. US Department of Health and Human Services (2011) The Surgeon General’s Call to Action to Support Breastfeeding. Washington, DC: US DHHS, Office of the Surgeon General.
3. World Health Organization & UNICEF (2003) Global Strategy for Infant and Young Child Feeding, http://apps.who.int/iris/bitstream/10665/42590/1/9241562218.pdf (accessed July 2017).
4. Bartick, M & Reinhold, A (2010) The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics 125, 10481056.
5. Centers for Disease Control and Prevention, Department of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health (2014) Breastfeeding Among US Children Born 2001–2011, CDC National Immunization Survey. http://www.cdc.gov/BREASTFEEDING/DATA/NIS_data/ (accessed August 2014).
6. US Department of Health and Human Services, Office of Disease Prevention and Health Promotion (2014) Healthy People 2020. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=26 (accessed August 2014).
7. Khoury, AJ, Moazzem, SW, Jarjoura, CM et al. (2005) Breast-feeding initiation in low-income women: Role of attitudes, support, and perceived control. Womens Health Issues 15, 6472.
8. Mitra, AK, Khoury, AJ, Hinton, AW et al. (2004) Predictors of breastfeeding intention among low-income women. Matern Child Health J 8, 6570.
9. Brown, A, Raynor, P & Lee, M (2011) Healthcare professionals’ and mothers’ perceptions of factors that influence decisions to breastfeed or formula feed infants: a comparative study. J Adv Nurs 67, 19932003.
10. Bunik, M, Clark, L, Zimmer, LM et al. (2006) Early infant feeding decisions in low-income Latinas. Breastfeed Med 1, 225235.
11. Arora, S, McJunkin, C, Wehrer, J et al. (2000) Major factors influencing breastfeeding rates: mother’s perception of father’s attitude and milk supply. Pediatrics 106, E67.
12. Losch, M, Dungy, CI, Russell, D et al. (1995) Impact of attitudes on maternal decisions regarding infant feeding. J Pediatr 126, 507514.
13. Wagner, CL & Wagner, MT (1999) The breast or the bottle? Determinants of infant feeding behaviors. Clin Perinatol 26, 505525.
14. Labbok, M & Taylor, E (2008) Achieving Exclusive Breastfeeding in the United States: Findings and Recommendations. Washington, DC: US Breastfeeding Committee.
15. Jones, JR, Kogan, MD, Singh, GK et al. (2011) Factors associated with exclusive breastfeeding in the United States. Pediatrics 128, 11171125.
16. Newton, KN, Chaudhuri, J, Grossman, X et al. (2009) Factors associated with exclusive breastfeeding among Latina women giving birth at an inner-city baby-friendly hospital. J Hum Lact 25, 2833.
17. Phillips, G, Brett, K & Mendola, P (2011) Previous breastfeeding practices and duration of exclusive breastfeeding in the United States. Matern Child Health J 15, 12101216.
18. Belanoff, CM, McManus, BM, Carle, AC et al. (2012) Racial/ethnic variation in breastfeeding across the US: a multilevel analysis from the National Survey of Children’s Health, 2007. Matern Child Health J 16, Suppl. 1, S14S26.
19. Sussner, KM, Lindsay, AC & Peterson, KE (2008) The influence of acculturation on breast-feeding initiation and duration in low-income women in the US. J Biosoc Sci 40, 673696.
20. Hinic, K (2016) Predictors of breastfeeding confidence in the early postpartum period. J Obstet Gynecol Neonatal Nurs 45, 649660.
21. Rempel, LA, Rempel, JK & Moore, KC (2016) Relationships between types of father breastfeeding support and breastfeeding outcomes. Matern Child Nutr (Epublication ahead of print version).
22. Kitano, N, Nomura, K, Kido, M et al. (2016) Combined effects of maternal age and parity on successful initiation of exclusive breastfeeding. Prev Med Rep 3, 121126.
23. Fleurant, E, Schoeny, M, Hoban, R et al. (2016) Barriers to human milk feeding at discharge of very-low-birth-weight infants: maternal goal setting as a key social factor. Breastfeed Med 12, 2027.
24. Bai, Y, Middlestadt, SE, Peng, CY et al. (2010) Predictors of continuation of exclusive breastfeeding for the first six months of life. J Hum Lact 26, 2634.
25. Bai, Y, Wunderlich, SM & Fly, AD (2011) Predicting intentions to continue exclusive breastfeeding for 6 months: a comparison among racial/ethnic groups. Matern Child Health J 15, 12571264.
26. de Jager, E, Skouteris, H, Broadbent, J et al. (2013) Psychosocial correlates of exclusive breastfeeding: a systematic review. Midwifery 29, 506518.
27. McDonald, SD, Pullenayegum, E, Chapman, B et al. (2012) Prevalence and predictors of exclusive breastfeeding at hospital discharge. Obstet Gynecol 119, 11711179.
28. Semenic, S, Loiselle, C & Gottlieb, L (2008) Predictors of the duration of exclusive breastfeeding among first-time mothers. Res Nurs Health 31, 428441.
29. Stuebe, AM & Bonuck, K (2011) What predicts intent to breastfeed exclusively? Breastfeeding knowledge, attitudes, and beliefs in a diverse urban population. Breastfeed Med 6, 413420.
30. Holbrook, KE, White, MC, Heyman, MB et al. (2013) Maternal sociodemographic characteristics and the use of the Iowa Infant Attitude Feeding Scale to describe breastfeeding initiation and duration in a population of urban, Latina mothers: a prospective cohort study. Int Breastfeeding J 8, 7.
31. Ziol-Guest, KM & Hernandez, DC (2010) First- and second-trimester WIC participation is associated with lower rates of breastfeeding and early introduction of cow’s milk during infancy. J Am Diet Assoc 110, 702709.
32. Haslam, C, Lawrence, W & Haefeli, K (2003) Intention to breastfeed and other important health-related behaviour and beliefs during pregnancy. Fam Pract 20, 528530.
33. Kronborg, H & Vaeth, M (2004) The influence of psychosocial factors on the duration of breastfeeding. Scand J Public Health 32, 210216.
34. Simard, I, O’Brien, HT, Beaudoin, A et al. (2005) Factors influencing the initiation and duration of breastfeeding among low-income women followed by the Canada prenatal nutrition program in 4 regions of Quebec. J Hum Lact 21, 327337.
35. Donath, SM & Amir, LH (2004) The relationship between maternal smoking and breastfeeding duration after adjustment for maternal infant feeding intention. Acta Paediatr 93, 15141518.
36. Goldade, K, Nichter, M, Adrian, S et al. (2008) Breastfeeding and smoking among low-income women: results of a longitudinal qualitative study. Birth 35, 230240.
37. Leung, GM, Ho, LM & Lam, TH (2002) Maternal, paternal and environmental tobacco smoking and breast feeding. Paediatric Perinat Epidemiol 16, 236245.
38. Weiser, TM, Lin, M, Garikapaty, V et al. (2009) Association of maternal smoking status with breastfeeding practices: Missouri, 2005. Pediatrics 124, 16031610.
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Public Health Nutrition
  • ISSN: 1368-9800
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