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Comparing the Breastfeeding Patterns of Nulliparous and Multiparous African-American Women [1B]

Carter, Laneddye D., BS; Ukoli, Flora, MD, MPH

Obstetrics & Gynecology: May 2016 - Volume 127 - Issue - p 19S
doi: 10.1097/01.AOG.0000483322.36671.fe
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INTRODUCTION: This research sought to describe associations among parity; demographic factors; and breastfeeding patterns in African-American women and determine their key motivations and impediments for breastfeeding. Parity and demographic factors have been associated with breastfeeding initiation and longevity.

METHODS: Cross-sectional data from 224 pregnant African-American women (aged 15–42 years) participating in the Meharry Medical College Early Childhood Obesity Prevention Education Intervention Study from 2012-2014 were used to study parity in association with demographic factors (age, education, work status, marital status, income, and health insurance) and breastfeeding patterns (knowledge, barriers, and attitudes). Pearson chi-square tests were used to determine significant associations. The data was also used to probe motivations and impediments for breastfeeding among the women.

RESULTS: Parity alone had no statistically significant effect on breastfeeding knowledge, barriers, or attitudes. Breastfeeding knowledge was associated with age (P<.01) in nulliparous women. Breastfeeding barriers were associated with education (P<.01), marital status (P<.05), and income (P<.05) in all women and education (P<.05) and income (P<.05) in multiparous women. Breastfeeding attitudes were associated with education (P<.05) in all women and education (P<.05) and marital status (P<.01) in multiparous women. The top three motivations for breastfeeding were a healthy baby, nutrients, and bonding experience. The top three impediments were emotional issues, negative attitude, and lack of available time to breastfeed.

CONCLUSION: Younger, less educated, less wealthy, unmarried African-American women need greater support to improve breastfeeding patterns. Breastfeeding support programs should promote healthy babies, nutrients, and bonding experience; help resolve emotional issues and negative attitudes; and provide time management education.

Meharry Medical College, Nashville, TN

Financial Disclosure: The authors did not report any potential conflicts of interest.

© 2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.