Dissertations / Theses: 'Breastfeeding'

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Carlisle, Sunny A. "Fathers and Breastfeeding: The Role of Paternal Breastfeeding Support Self-Efficacy in Breastfeeding Initiation." University of Akron / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=akron1374173382.

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Nodo, Loreen T. "Breastfeeding Support and How it Influences Breastfeeding Rates." Kent State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=kent1416168100.

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Schetzina, Karen E., and Julie Ware. "Breastfeeding Promotion." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/5023.

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Mancini, Karen. "Body Image, Eating Attitudes and Breastfeeding Intention in Breastfeeding Mothers Compared to Non-Breastfeeding Mothers." Thesis, Adelphi University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10291289.

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Breastfeeding has been identified as the perfect source of infant nutrition. Improving the rates and duration of breastfeeding is a global public health concern. Even though facilitators and barriers to successful breastfeeding have been identified in the literature, rates of breastfeeding fall below desired targets. Maternal characteristics such as body image and eating attitudes have been examined with respect to pregnancy and birth outcomes, yet have been less studied with respect to infant feeding choice. Based on existing literature it is possible that poor body image and /or disordered eating may affect the intention to breastfeed. The purpose of this study was to compare body image, eating attitudes, and breastfeeding intention of breastfeeding to non-breastfeeding mothers. A secondary aim was to determine if breastfeeding intention, body image, and/or eating attitudes predicted actual behavior. A two group, comparative design was used to analyze data for first time mothers (n = 66) recruited through a large pediatric practice with multiple offices. Instruments included the 34 item self-report Multidimensional Body Self Relations Questionnaire-Appearance Scales (MBSRQ-AS), the Eating Attitudes Test (EAT-26), and items from a Demographic and History form. Data analysis revealed that there was no significant difference in the body image or eating attitudes between breastfeeding and non-breastfeeding mothers. Breastfeeding intention was a strong determinant of actual breastfeeding (p = 0.001). Neither body image and/or eating attitudes predicted infant feeding method. It has been well established that personal and contextual factors affect breastfeeding intention. As a result, body image and eating attitudes can have an impact on a woman's health during childbearing. The present study highlights the need for improved instruments designed for pregnant and lactating women that measure the cognitive and behavioral aspects of body image. Subsequently, women who display disordered eating tendencies or body image dissatisfaction during the perinatal period can be identified.

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Santos, Livia Maria Damasceno dos. "Self-effectiveness of breastfeeding in breastfeeding: a longitudinal study." Universidade Federal do CearÃ, 2016. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=18514.

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O objetivo deste estudo foi avaliar a autoeficÃcia de mulheres no perÃodo puerperal quanto ao seu potencial em amamentar. Estudo longitudinal do tipo painel. Realizado no perÃodo de maio a dezembro de 2015, o estudo foi dividido em quatro momentos: o primeiro deu-se por contato direto com a puÃrpera realizado na unidade de Alojamento Conjunto (AC) do Hospital Distrital Gonzaga Mota de Messejana, situado em Fortaleza, CearÃ. Os trÃs contatos subsequentes foram realizados por meio telefÃnico com 2, 4 e 6 meses pÃs-parto. A amostra inicial foi de 66 puÃrperas. Os instrumentos de coleta contemplaram dados sociodemogrÃficos, obstÃtricos e da gravidez atual e parto. Para avaliar a autoeficÃcia das mulheres foi utilizada a Breastfeeding Self-Efficacy Scale â Short Form (BSES-SF). Foi constatado que a maioria das puÃrperas apresentou elevada autoeficÃcia no inÃcio da pesquisa (N= 59; 89,4%) e no final (N= 27; 96,4%). NÃo houve nenhuma puÃrpera com baixa autoeficÃcia. Houve associaÃÃo entre todas as variÃveis sociodemogrÃficas e os escores da BSES-SF em todas as etapas do estudo. Quanto a idade (p =0,003 para mulheres com 18-35 anos), raÃas negra e parda (p= 0,001), ter um parceiro (p= 0,013), mulheres com mais de 9 anos de estudos (p= 0,026), renda familiar (p= 0,001), ser dona do lar (p= 0,012), morar com atÃ duas pessoas (p= 0,001) e nÃo fumar (p= 0,001). Referentes aos antecedentes obstÃtricos observa-se associaÃÃo estatÃstica entre o nÃmero de abortos e autoeficÃcia (p= 0,001), ser primÃpara (p= 0,003). A autoeficÃcia em amamentar foi influenciada positivamente pelo planejamento da gravidez (p= 0,002), pela orientaÃÃo e incentivo que a puÃrpera recebeu dos familiares (p= 0,001), agentes de saÃde (p= 0,001), enfermeiros (p= 0,007) e mÃdicos (p= 0,001), parto vaginal (p= 0,001), amamentar apÃs o parto (p= 0,006). Observa-se que houve aumento da mÃdia dos escores da escala de autoeficÃcia (M0-60; M1-64; M2-66,5; M3-64). Constata-se que as participantes do estudo apresentaram nÃvel elevado de autoeficÃcia. Considerando o tamanho amostral, ao final de 60, 120 e 180 dias respectivamente 44(89,8%), 37(88,1%) e 28(80%) mulheres permaneciam amamentando seus filhos. No decorrer do estudo 17 mulheres interromperam a amamentaÃÃo, sendo a maioria com 180 dias quando 7(20%) das mulheres por algum motivo deixaram de amamentar. No inÃcio do monitoramento, ainda no alojamento conjunto, 100% das mulheres praticavam o AME. O AME apresentou declÃnio progressivo chegando a 17,9% aos 6 meses. Os resultados revelaram que a prÃtica da amamentaÃÃo Ã influenciada por questÃes sociais, econÃmicas, culturais e por experiÃncias anteriores da prÃtica, por isso, todas essas variÃveis devem ser levadas em consideraÃÃo nas aÃÃes de promoÃÃo do Aleitamento Materno. O fato de a mulher apresentar elevada autoeficÃcia nÃo Ã suficiente para que esta mantenha o Aleitamento Materno Exclusivo pelo perÃodo preconizado de seis meses. Sendo necessÃrio o apoio contÃnuo dos profissionais de saÃde, em especial o enfermeiro, durante o processo de amamentaÃÃo.
The aim of this study was to evaluate the self-efficacy of women in the postpartum period for their potential to breastfeed. Longitudinal study of type panel. Conducted in the period May to December 2015, the study was divided into four stages: the first was made by direct contact with puerperal held in rooming unit (AC) District Hospital Gonzaga Mota of Messejana, in Fortaleza, CearÃ. The three subsequent contacts were made by telephone through with 2, 4 and 6 months postpartum. The initial sample was 66 mothers. Data collection instruments contemplated sociodemographic, obstetric and current delivery and pregnancy. To evaluate the self-efficacy of women was used the Breastfeeding Self-Efficacy Scale Scale - Short Form (BSES-SF). As a result it was found that most of women presented high self-efficacy at baseline (N = 59; 89.4%) and the end (N = 27; 96.4%). There was no postpartum women with low self-efficacy. There was an association between all sociodemographic variables and BSES-SF scores at all stages of the study. As for age (p = 0.003 for women 18-35 years old), black and brown races (p = 0.001), having a partner (p = 0.013), women with over 9 years of study (p = 0.026), income family (p = 0.001), owner of the home (p = 0.012), living with up to two people (p = 0.001) and smoking (p = 0.001). Pertaining to obstetric history is observed statistical association between the number of abortions and self-efficacy (p = 0.001), primiparous (p = 0.003). The self-efficacy in nursing was positively influenced by the planning of pregnancy (p = 0.002), the guidance and encouragement that puerperal received from relatives (p = 0.001), health workers (p = 0.001), nurses (p = 0.007) and medical (p = 0.001), vaginally (p = 0.001), breast-feeding after birth (p = 0.006). It is observed that there was an increase of the average self-efficacy scale scores (M0-60, M1-64; M2-66,5; M3-64). It is noted that the study participants showed a high level of self-efficacy. Considering the sample size at the end of 60, 120 and 180 days respectively 44 (89.8%), 37 (88.1%) and 28 (80%) women were still breastfeeding their children. During the study 17 women stopped breastfeeding, the largest quantity of 180 days while 7 (20%) of women for some reason stopped breastfeeding. At the start of monitoring, even in the rooming, 100% of women practiced EBF. The AME showed progressive decline reaching 17.9% at 6 months. The results revealed that the practice of breastfeeding is influenced by social, economic, cultural and previous experiences of practice, so all of these variables must be taken into account in Breastfeeding promotion activities. The fact that women have high self-efficacy is not enough for it to maintain exclusive breastfeeding for recommended period of six months. Requiring the ongoing support of health professionals, especially nurses during breastfeeding.

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Van, Manen Lori. "Breastfeeding confidence and duration of breastfeeding among drop-in mothers." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0023/MQ31265.pdf.

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Schetzina, Karen E., Julie Ware, and Peter Grubb. "Breastfeeding Promotion Project." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/5019.

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Cato, Karin. "The first breastfeeding session: studies on caregivers' support and breastfeeding duration." Licentiate thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-267856.

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Abstract Cato, K. 2015 The first breastfeeding session: studies on caregivers’ support and breastfeeding duration. 33pp. Uppsala. ISBN 978-91-506-2494-6 It is well-known that the first breastfeeding session can be essential for breastfeeding duration. The hands-on approach given by health care professionals, where health care professionals touch the woman’s breast and the baby in order to stimulate latch on and breastfeeding, has been described as awkward and disturbing. The aim of this thesis was to increase knowledge on the first breastfeeding session postpartum, as to frequency and experience of the hands-on approach, and possible correlates of shorter breastfeeding duration. Questionnaires were sent five days, six weeks and six months postpartum, including questions regarding breastfeeding initiation and duration. Eight hundred and fifty-four women and 679 women were included in Study I and Study II, respectively. The prevalence of the hands-on approach was 38%. Women who received the hands-on approach were more likely to report a negative experience of the first breastfeeding session (Study I). Seventy-seven percent of the women reported exclusive breastfeeding at two months postpartum. Being a first time mother, reporting emotional distress during pregnancy and giving birth by cesarean section were factors independently associated with exclusive breastfeeding less than two months postpartum (Study II). These results can help to develop clinical practice, in order to improve women’s experience of the first breastfeeding session and identifying women in need of targeted, individualized support, to be able to promote longer exclusive breastfeeding duration.

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Graffy, Jonathan Peter. "Evaluating breastfeeding support : a randomised controlled trial of support from breastfeeding counsellors." Thesis, University of Birmingham, 2002. http://etheses.bham.ac.uk//id/eprint/696/.

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Two-thirds of UK mothers begin breastfeeding, but many soon stop. Although breastfeeding benefits health, infant feeding is influenced by social and attitudinal factors. Study one prospectively investigated the attitudes and experiences of 514 women. Past experience predicted which multiparae would stop by six weeks. Manual social class and considering bottle feeding did so for primiparae. Perceived insufficient milk was the commonest reason for stopping. Study two, a randomised trial of support from breastfeeding counsellors, recruited 720 women. At four months, 46.1% (143/310) intervention and 42.3% (131/310) control women breastfed (Chi\(^2\)=0.942, P=0.33); 73.9% (229/310) vs 79.4% (246/310) gave bottle feeds (Chi\(^2\)=2.60, P=0.11). Survival analysis confirmed that differences between intervention and control women's partial and full breastfeeding duration were not significant (P=0.45 and 0.15 respectively.) Significantly fewer intervention women felt they had insufficient milk. Qualitative analysis of women’s comments revealed they wanted better information, practical help with positioning, effective advice, encouragement and their feelings acknowledged. Women valued counselling, but their feeding behaviour changed little, which may reflect the strength of social influences and that not all mothers contacted the counsellors postnatally. Practical support in the early postnatal period is important. Counselling may increase women's confidence in breastfeeding and producing enough milk.

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Vincent, Adria. "The Effect of Breastfeeding Self-Efficacy on Breastfeeding Initiation, Exclusivity, and Duration." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1724.

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Breastfeeding self-efficacy is considered one of the key components of a successful breastfeeding experience. The benefits of breastfeeding are well established in the literature and have been widely communicated to the public, resulting in an increasing trend of breastfeeding initiation. However, the United States still falls short of Healthy People 2020 breastfeeding goals. The purpose of this project was to examine the effects of a standardized hospital-based prenatal breastfeeding class on breastfeeding self-efficacy. Dennis's breastfeeding self-efficacy theory was the foundation for the breastfeeding self-efficacy tool used in this project. A quasi-experimental design used a convenience sample of 30 breastfeeding class participants as the experimental group and 30 postpartum women who had no formal breastfeeding education as the control group. The Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) was administered to the intervention group prior to the breastfeeding class, at the end of the class, prior to hospital discharge, and at 2 weeks postpartum. The control group received the survey prior to hospital discharge and at 2 weeks postpartum. Key findings indicated that participants in the breastfeeding class demonstrated a statistically significant increase in breastfeeding confidence after the class (t = 9.55(29), p = 0.00). There was no difference between the intervention and control groups at discharge (t = -.412(47), p = 0.686). Nurses and lactation professionals are in a position to evoke social change by examining the impact of breastfeeding self-efficacy and using the findings to shape breastfeeding education.

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Brown, Amber L. "The Effect of Breastfeeding Education on Breastfeeding Initiation Rates Among Teenage Mothers." Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc5550/.

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The purpose of this study was to examine the effect of a breastfeeding education program on breastfeeding initiation rates, breastfeeding knowledge, and attitude towards breastfeeding among teenage mothers at an urban school for pregnant and parenting teens. Breastfeeding initiation rose from 35.7% in the control group to 85.2% in the treatment group. The mean score on the Breastfeeding Knowledge Subscale was significantly higher for the treatment group but not the control group. There was not a significant increase in mean scores on the Breastfeeding Attitude Subscale. Participants who initiated breastfeeding scored also had a significant increase in scores from pretest to posttest on the Breastfeeding Knowledge Subscale, while participants who did not initiate breastfeeding did not.

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Pollitt, Ernesto, and Patricia Kariger. "Breastfeeding and child development." Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/99744.

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This brief review focuses on the advantages and disadvantages of human lactation for the mental development of children. The review covers theree tapies: (1) Correlation between type of feeding and performance on different mental tests administered befare and after the first three years of postnatal life, (2) Prevention of nutritional deficiencies that have adverse effects on cognition and prevention of sequels from pre-term births and low birth weight; (3) Contamination of human milk.The purpose is to provide a representative view of these three tapies. Our evaluation of the publised data shows that the information does not allow for definitive conclusions, particularly in reference to the first and third tapie. The strongest available evidences is found on studies of the effects of free fatty acids on cerebral growth and on longitudinal studies of pre-term children of low birth weight. In our impression it is necessary to evaluate carefully the recommendation of the World Health Organization regarding the benefits of lactation in those cases when drugs or enviromental minerals and chemicals have contaminated human milk.
Esta reseña focaliza las ventajas y desventajas que ofrece la lactancia para el desarrollo mental del niño. Los estudios se refieren a tres temas: 1) correlación entre tipo de alimentación y rendimiento en diversas pruebas de desarrollo mental antes y después de los primeros tres años de vida; 2) prevención de deficiencias de nutrimentos que afectan adversamente el desarrollo del niño y prevención de secuelas en el desarrollo en niños nacidos antes de termino y con bajo peso; y 3) contaminación de la leche de pecho por drogas y contaminantes ambientales.Se presenta una visión sobre los efectos del amamantamiento dentro los tres temas a tratar. Nuestra evaluación indica que los estudios no permiten llegar a conclusiones definitivas, particularmente en el caso de los temas uno y tres. La mejor evidencia disponible se refiere al segundo tema; sobre todo en el caso de los efectos de los ácidos grasos en el desarrollo del cerebro y aquellas provenientes de estudios longitudinales de niños que nacieron antes de termino y con muy bajo peso. En nuestra opinión es necesario obrar con mucha cautela en la evaluación de las recomendaciones de la Organización Mundial de la Salud sobre la lactancia en aquellos casos en los que la leche de pecho puede estar contaminada por drogas o por contaminantes ambientales.

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Morrison, April H. "Breastfeeding Expert Panel Member." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7120.

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Schetzina, Karen E., Julie Ware, and Anna Morad. "Hospital Breastfeeding Promotion Workshop." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/5015.

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Schetzina, Karen E., and Julie Ware. "Breastfeeding Promotion Project: Prenatal." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/5022.

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Noel-Weiss, Joy. "The effect of prenatal education on maternal breastfeeding self-efficacy and breastfeeding duration." Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/26992.

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This thesis describes the development of a curriculum for a prenatal breastfeeding workshop and the randomized controlled trial that was completed to test the hypotheses that the workshop would have a positive influence on maternal breastfeeding self-efficacy and that increased self-efficacy would positively affect breastfeeding duration. Breastfeeding self-efficacy, measured with the Breastfeeding Self-Efficacy Scale-Short Form, and breastfeeding duration, recorded as number of days and amount of breastfeeding, were measured at 4 and 8 weeks postpartum. The results of this study suggest that the prenatal breastfeeding workshop had a positive effect on maternal breastfeeding self-efficacy and on the amount women were breastfeeding. Over time, maternal breastfeeding self-efficacy scores increased in both groups with the intervention group having higher scores. At week 4, there was a significant difference in scores (control, M = 53.38 (SD = 9.1); intervention, M = 57.98 (SD = 8.6), t(78) = -2.32, p = .023, d = .523, CI -8.53, -0.65) At week 8, there was a difference in scores, but given the small sample size, these were not statistically significant (control, M = 58.91 (SD = 9.1); intervention, M = 61.70 (SD = 5.8), t(72) = -1.60, p = .115, d = .412). Although there was little difference between the groups in the number of days of breastfeeding, the intervention group had more exclusive breastfeeding (70% vs. 58%) and less weaning (15% vs. 22%) when compared with the control group. The most common reason for weaning was insufficient milk supply. (Abstract shortened by UMI.)

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McIntosh, Michele Janet. "Exploring the social organization of breastfeeding knowledge and developing strategies for promoting breastfeeding." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ63161.pdf.

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Näslund, Tove, and Islas Sanna Syding. "Nurses’ experiences of breastfeeding and breastfeeding counselling at Mulago Hospital in Kampala, Uganda." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-225047.

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Mecinska, Lula. "Social struggles over breastfeeding : how lactivism reshapes knowledge, meanings, and practices of breastfeeding." Thesis, Lancaster University, 2018. http://eprints.lancs.ac.uk/125976/.

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This thesis examines women's role in the social struggles over the meanings and practices of breastfeeding. From an initial observation in 2011 and 2012 of two situated flash mob protests in Warsaw, Poland and Bristol, England, the thesis proceeds with an understanding of breastfeeding as a site of discursive and embodied struggle, a social and political issue. The thesis explores how women are involved in meaning-making and knowledge production on breastfeeding, through specific forms of social media participation and embodied activism (lactivism). Informed by over 30 years of feminist social scientific interest in breastfeeding, the thesis focuses on contemporary women's activism, experiences and practices of breastfeeding within the context of increased attention by state and non-governmental actors to falling breastfeeding rates in European countries. To this end, the thesis interrogates a health social movement framework, and argues that grass-roots activist endeavours are an under-researched element of the broader pro-breastfeeding movement. Based on active participation in Polish and UK lactivist spaces on- and offline, participant observation of breastfeeding-related events, and using women’s stories about breastfeeding experiences gathered through 20 in-depth interviews conducted between 2012 and 2016 with self-defined breastfeeding women, the thesis looks at the discursive and embodied tactics employed by women in struggles over breastfeeding. Specifically, it pays attention to the complex relationship between bio-medical evidence and advice, and women’s pro-breastfeeding activism. The thesis has three main strands of investigation: it tracks how on-and offline groups shape contemporary practices of breastfeeding, as well as creating a sense of solidarity and togetherness which allow lactivism to flourish; it reveals how woman to woman support within online groups increasingly ‘patches the gaps’ in state health support to breastfeeding women, transforming medical recommendations into practical, livable solutions; and it examines how lactivists actively engage in the making of new cultural representations of breastfeeding. The thesis argues that the transformation of social meaning of breastfeeding rests on women’s potential to craft effective (counter-) representations of breastfeeding, and to deploy ‘health’ claims as a discursive opportunity structure to forward pro-breast-feeding agendas.

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Kimball, Karen Yeager Lain Brian. "Milk machines exploring the breastfeeding apparatus /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-6088.

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Hayes, Alexandra F. "Breastfeeding among rural Panamanian women initiation and duration factors /." Pullman, Wash. : Washington State University, 2010. http://www.dissertations.wsu.edu/Thesis/Spring2010/a_hayes_022610.pdf.

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Thesis (M.A. in anthropology)--Washington State University, May 2010.
Title from PDF title page (viewed on June 4, 2010). "Department of Anthropology." Includes bibliographical references (p. 42-45).

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Lee, Amy. "Risk perception of maternal medication use during breastfeeding, physicians' advice, and choice of breastfeeding." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0025/MQ50453.pdf.

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Jacobson, Lisette T. "Breastfeeding interventions in Kansas: An exploration of mothers' breastfeeding practices, views, and perceived barriers." Diss., Wichita State University, 2013. http://hdl.handle.net/10057/6725.

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The American Academy of Pediatrics recommends exclusive breastfeeding for the first six months of an infant's life. In the United States, about three quarters of women start breastfeeding in the early postpartum period and less than half are still breastfeeding their infant at six months of age. The purpose of this study was to examine the influence of breastfeeding interventions on breastfeeding rates in Kansas. Fifteen public health departments agreed to participate in this research. Women who had a live birth between July 1, 2010, and April 30, 2012, were eligible to participate. The Breastfeeding Initiative Evaluation Survey was designed and consisted of selected items from the Pregnancy Risk Assessment Monitoring System survey and additional items to investigate program impact. Two multiple regression analyses were conducted to assess predictors related to length of breastfeeding. One used demographics and the other used types of breastfeeding services as predictors of breastfeeding duration. The linear combination of demographic predictor variables was significantly related to duration, F(5,112) = 30.41, p < 0.01, R2 = 0.59, adjusted R2 = 0.57. The linear combination of types of service predictor variables was also significantly related to duration, F(6,77) = 6.82, p < 0.01, R2 = 0.37, adjusted R2 = 0.31. From a public health perspective, it is important that infants are exclusively breastfed for the first six months of life. This study demonstrates that the introduction of other liquids and solid food negatively influences breastfeeding duration. Additionally, the services from a breastfeeding educator and availability of breastfeeding equipment are critical in the success of breastfeeding interventions. This study's findings can be used to enhance breastfeeding services and their delivery.
Thesis (Ph.D.)--Wichita State University, Fairmount College of Liberal Arts and Sciences, Dept. of Psychology

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Millner, Madison Sara. "Communication in the Workplace: Does Communicating Breastfeeding Needs Affect Breastfeeding Duration for Working Mothers?" Thesis, North Dakota State University, 2018. https://hdl.handle.net/10365/28756.

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The purpose of this study was to identify if employer interpersonal communication and support are factors that reduce breastfeeding duration. An online, 85-item questionnaire was completed by employed breastfeeding mothers in the state of North Dakota. Of the 502 respondents, responses of a subset of 214 mothers who had concluded breastfeeding were analyzed. Shorter breastfeeding duration was seen in mothers who reported not being confident in combining breastfeeding and working. This was further seen in shorter breastfeeding duration among mothers who did not feel comfortable asking for accommodations or taking breastfeeding breaks. Mothers who were unsure about manager?s support of breastfeeding had shorter breastfeeding duration. Many respondents stated that their employer did not provide instrumental support. Over half of the respondents (60%) were unsure or disagreed/strongly disagreed that written policies concerning breastfeeding or pumping were present. Further research is needed to determine additional workplace barriers that reduce breastfeeding duration.

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Mercer, Riselli Dawn. "University women's attitudes toward breastfeeding." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0027/MQ38405.pdf.

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Kools, Elisabeth Johanna. "Promotion and support of breastfeeding." Maastricht : Maastricht : Universitaire Pers Maastricht ; University Library, Universiteit Maastricht [host], 2004. http://arno.unimaas.nl/show.cgi?fid=9553.

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Snijders, Bianca E. P. "Breastfeeding and infant atopic manifestations." [Maastricht] : Maastricht : [Maastricht University] ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=11651.

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Edwards, Margaret Ellenor. "Confidence in initiation of breastfeeding." Thesis, University of Stirling, 2013. http://hdl.handle.net/1893/21014.

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Background: Breastfeeding confers health and social benefits on both mother and baby and is thus a key global public health priority, with exclusive breastfeeding for the first six months recommended. A variety of factors can influence a woman’s decision to initiate breastfeeding but a short duration of breastfeeding appears to be common in developed countries. In the UK, promotion of breastfeeding has been government policy since 1974 and gradually the incidence has increased. In Scotland in 2010 the incidence was 74% but by one week 17% of women had given up. A minority of women find that their babies attach easily at birth and more than half report problems at this time. The prevalence of exclusive breastfeeding falls sharply in the first few weeks and the introduction of formula is associated with a shorter duration. It is therefore crucial to understand what happens at this time to enable women to continue breastfeeding effectively. Study Aim: To use Social Cognitive Theory (SCT) to explore and help explain the expectations, knowledge and experiences of women and midwives with regard to breastfeeding initiation. Methods: A systematic review of qualitative studies synthesised using thematic analysis and SCT was conducted and afforded insight into what had been known before and highlighted further aspects that needed to be explored with a qualitative study. The qualitative study was comprised of five focus groups with ten antenatal women, eight postnatal women and eighteen midwives. Photographs included in a leaflet “Feeding cues at birth”, and the chart of “Feeding cues after the first few hours” were developed and used as focussing exercises during the focus groups and interviews. The focus groups and interviews were recorded, transcribed and analysed using a hybrid process of inductive and deductive thematic analysis which integrated data driven codes with theory driven codes based on SCT. Results: Twenty one studies were included in the systematic review and identified clear differences in the experiences of women when breastfeeding was going well as compared to when it was going wrong at the start. There were also differences in the midwives’ knowledge, experience and confidence when breastfeeding was going well in contrast to when it was going wrong. The synthesis did not identify any qualitative studies relevant to initiation which explored skin contact, instinctive behaviour or strategies to resolve failure to attach in the first few days after birth, from the perspectives of mothers and midwives. These topics were therefore explored in detail in the qualitative study. Few mothers recruited to my study experienced instinctive behaviour and successful attachment (in SCT enactive behaviour) at birth. The majority of mothers did not experience attachment at birth and struggled to persist and maintain their motivation to enable breastfeeding initiation in an unfamiliar environment. Midwives’ social expectations and environmental circumstances made women centred care difficult. Midwives considered that sleepy babies who were unable to feed were normal, but women were unprepared for this, compounding the difficulties in initiating breastfeeding. The triangulation of the findings from the systematic review and the qualitative study provide a more complete picture of contributory factors to understanding of difficulties in breastfeeding initiation. Conclusion: It is recognised that behaviour interacts with emotions, perceived abilities and the environment, as in triadic reciprocal causation, which affects peoples’ decisions, experiences and abilities to enable the successful initiation of breastfeeding. Social Cognitive Theory could be used as a framework to develop strategies and materials to enhance women’s confidence both antenatally and in the postnatal period. In a minority of women, breastfeeding goes well and is more likely when the baby is an active participant and the midwife a knowledgeable and confident supporter. This is not the case for the majority of women and babies or their midwives. There is a need to consider strategies to develop appropriate skills and environmental changes that would in turn lead to changes in behaviour and successful interventions. More emphasis should be made clinically on facilitating instinctive behaviour. The current position where babies’ sleepy behaviour is considered normal in this particular environment could be challenged. Social Cognitive Theory could be utilised in research to develop strategies to increase women’s and midwives’ confidence specifically in initiation.

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Eriksson, Hanna, and Hagerius Michaela Garzon. "Översättning av bedömningsformuläret NeoEAT Breastfeeding." Thesis, Umeå universitet, Logopedi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-172319.

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Sammanfattning Bakgrund Att tidigt bedöma barn som riskerar att utveckla matningssvårigheter och att ge insatser som underlättar matning, är avgörande för att optimera nutrition och utveckling av oralmotorisk förmåga samt förebygger långvariga matningssvårigheter. Neonatal Eating Assessment Tool - Breastfeeding (NeoEAT Breastfeeding) är ett validerat och normerat heltäckande formulär avsett att användas för bedömning av matningssvårigheter vid amning hos friska och sjuka spädbarn i åldrarna 0–7 månader. Eftersom ett liknande material i dagsläget saknas inom svensk sjukvård skulle en översättning av NeoEAT Breastfeeding till svenska kunna användas i arbetet med att tidigt identifiera och behandla barn med matningssvårigheter och därmed bidra till att förebygga långvariga matningssvårigheter. Syfte Syftet med studien var att översätta bedömningsformuläret NeoEAT Breastfeeding och NeoEAT Breastfeeding screeningformulär till svenska. Metod Bedömningsformuläret översattes genom en framåt-bakåt översättning. Bakåt-översättningen analyserades och jämfördes med originalversionen av en grupp bestående av studiens författare och handledare tillsammans med Dr Britt Pados som representant för The Feeding Flock. Skillnader mellan originalversionen och den svenska översättningen identifierades och analyserades med hjälp av fyra vanliga feltyper. Resultat Flera skillnader mellan originalversion och översättning identifierades. Skillnaderna ledde till revideringsförslag av ett flertal påståenden. Resterande påståenden godtogs utifrån lingvistiska och kulturella anpassningar. Slutsatser Vi anser att NeoEAT Breastfeeding skulle utgöra ett gott komplement till de bedömningsverktyg som används i Sverige i dagsläget. Formuläret är godkänt av författarna i the Feeding Flock och därmed kan NeoEAT-Amning användas kliniskt.

Vt 2020

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Robson, Beverley Anne. "Breast engorgement in breastfeeding mothers." Case Western Reserve University School of Graduate Studies / OhioLINK, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=case1054750626.

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Ware, Julie, Anna Morad, and Karen E. Schetzina. "The Pediatrician’s Role in Breastfeeding." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/5017.

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Schetzina, Karen E., Julie Ware, and Anna Morad. "TIPQC Breastfeeding Collaborative: Lessons Learned." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5018.

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Jones, Jackie Denise. "Postpartum Mothers' Attitudes Toward Breastfeeding." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4639.

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Breast milk is the optimal source of nourishment for babies, providing positive nutritional and psychosocial benefits for infants' growth and development. Rates for initiation of breastfeeding and exclusive breastfeeding at 6 months in the United States are well below the target rates for the Healthy People 2020 Maternal, Infant, and Children's Health objectives. Using Ajzen's theory of planned behavior, the purpose of this project was to ascertain how knowledge and attitudes influenced a mother's intent to breastfeed during her hospital stay and the likelihood of exclusive breastfeeding continuing after discharge. A convenience sample of 68 postpartum mothers was recruited from women who delivered a viable infant between January and March 2017 at a large urban teaching hospital. Mothers completed the 17-question 5-point Likert scale instrument, the Iowa Infant Feeding Attitude Scale, and demographic information before discharge from the hospital. Mothers who planned to breastfeed and mothers who did not plan to breastfeed scored above the midpoint on the scale; however, women who intended to breastfeed after discharge scored significantly higher (p < .001). Demographic variables were not significant with the exception of education level. Women with higher education levels scored higher on the scale and were more likely to plan to breastfeed after discharge than women with lower levels of education. Findings may promote social change through development and implementation of tailored nursing interventions, such as community prenatal education and clinical reinforcement, which will support initiation of breastfeeding in the hospital setting and exclusivity of breastfeeding upon discharge.

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Zhao, Jian. "Statistical Modelling of Breastfeeding Data." Thesis, Curtin University, 2018. http://hdl.handle.net/20.500.11937/75646.

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This thesis addresses some key methodological problems in statistical modelling of breastfeeding data. Meta-analysis techniques were used to analyse aggregated breastfeeding data. Generalised linear mixed model and an extended Cox model were used with time-varying exposures to analyse longitudinal and time-to-event breastfeeding data, respectively. Shared frailty models were applied to correlated breastfeeding duration data controlling for heterogeneity. A novel two-part mixed-effects model was proposed for modelling clustered time-to-event breastfeeding data with clumping at zero.

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Schetzina, Karen, Julie Ware, and Anna Morad. "TIPQC Breastfeeding Promotion Projects Monthly Huddle on each of the 10 Steps for Successful Breastfeeding." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/5337.

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Hoddinott, Pat. "Group based approaches to supporting breastfeeding in primary care." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources. Online version available for University members only until Mar. 21, 2010, 2008. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=25820.

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Thesis (Ph.D.)--Aberdeen University, 2008.
Title from web page (viewed on June 26, 2009). With: A clinical review of breastfeeding / Pat Hoddinott, David Tappin, Charlotte Wright. BMJ. 2008: 336, 881-887. With: Effectiveness of a breastfeeding peer coaching intervention on breastfeeding rates in rural Scotland / Pat Hoddonott, Amanda J. Lee, Roisin Pill. Birth. 2006: 33 (1) 27-36. With: One-to-one or group based peer support for breastfeeding? Women's perceptions of a breastfeeding peer coaching intervention/ Pat Hoddinott, Maretta Chalmers, Roison Pill. Birth. 2006: 33(2), 139-146. With: Health professionals, implementation and outcomes: reflections on a complex intervention to improve breastfeeding rates in primary care / Pat Hoddinott, Roisin Pill, Maretta Chalmers. Family practice. 2007: 24, 84-91. With: Recruitment issues when primary care population clusters are used in randomised controlled clinical trials: climbing mountains or pushing boulders uphill / Pat Hoddonott ... et al. Contemporary clinical trials. 2007: 28: 232-241. With: Effectiveness of a policy to provide breastfeeding groups (BIG) for pregnant and breastfeeding mothers in primary care--: a cluster randomised controlled trial / Pat Hoddinott ... et al. BMJ 2009: 338 a 3026. With: Randomised controlled trials of complex interventions: understanding why a trial of a policy to provide breastfeeding groups was more effective in some primary care organisation than others / Pat Hoddonott, Jane Britten, Roison Pill. Includes bibliographical references.

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談詠珊 and Wing-shan Tam. "Evidence-based guidelines of breastfeeding focused on skill training for improving duration and exclusiveness of breastfeeding." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hdl.handle.net/10722/193037.

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Breast milk provides optimal nutrition for babies and exhibits short and long-term health benefits for mothers and babies. Comparing the breastfeeding figures worldwide, Hong Kong has lower breastfeeding rates compared with other developed countries. Clinically and locally, inadequate skill support from nurses decreases breastfeeding rates. This thesis introduces evidenced-based guidelines of breastfeeding focused on skill training for improving duration and exclusiveness of breastfeeding. Based on available evidence, the guidelines aim to improve breastfeeding rates. The guidelines focus on skill training (position and attachment) as major component. Transferability and feasibility to apply the guidelines clinically was assessed. Lastly, an implementation plan was discussed.
published_or_final_version
Nursing Studies
Master
Master of Nursing

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Vong-Ek, Panee. "Individual versus structural perspectives on breastfeeding behaviours in Thailand : towards a new model of breastfeeding promotion." Thesis, University of Exeter, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322263.

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Yeh, Ching-Hsueh. "Quasi-Experimental Longitudinal Cohort of the Perinatal Breastfeeding Program (PBP): Effects on Breastfeeding Outcomes in Taiwan." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1305733646.

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Cornett, Barbara Baker. "Postpartal mothers' perceptions of in-hospital breastfeeding information and affective support as related to breastfeeding status /." The Ohio State University, 1989. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487668215805079.

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Cheng, Man-wai, and 鄭敏惠. "Does breastfeeding affect maternal postpartum mood?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206925.

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Breastfeeding is well known to be beneficial to both the mother and the baby. To the baby, it is associated with decreased short-term health problems such as diarrhea and respiratory infections, as well as decreased long-term health consequences such as type 2 diabetes, obesity, and raised blood cholesterol levels. To the mother, it is suggested to reduce type 2 diabetes, breast cancer, as well as ovarian cancer. Increasing exclusive breastfeeding rate, in which higher proportion of infants are given breast milk only, could also benefit the society as a whole. It is shown to reduce health care cost and premature deaths. Despite the gradual elevation of ever breastfeeding rate in Hong Kong up to 83% in 2013, the exclusive breastfeeding rate at 2 months postpartum remained relatively low at 21.7%. On the other hand, postpartum depression is a debilitating condition to both the mother and the baby. The prevalence was about 10-15%. And it could lead to deteriorated quality of life to the mother and increased maternal suicidal rate. It could also affect the long-term development of the baby. Previous studies showed controversial results on the association between breastfeeding and postpartum depression. Some suggested breastfeeding being protective against postpartum depression, while other studies did not show significant results. However, there was still no formal study in the local Chinese population about the issue. In view of that, the current study aimed at assessing the association between breastfeeding and postpartum depressive symptoms in the local Chinese population. This was a cross-sectional study which included 600 mothers with data retrieved from MCHCs’ database. Demographic data and breastfeeding status were included in binary logistic regression analysis with Edinburgh Postnatal Depression Scale (EPDS) result of either screened positive or negative as the outcome. The odds ratio of being screened positive in EPDS with more depressive symptoms for mothers with exclusive breastfeeding, compared with mothers not on breastfeeding (OR=0.42, 95% CI=0.19, 0.93) and mothers with non-exclusive breastfeeding (OR=0.40, 95% CI=0.19, 0.85) were both statistically significant after adjusted for the demographic data. Subgroup analysis on those intended for exclusive breastfeeding shortly after delivery also showed significant results. Those who succeeded in maintaining exclusive breastfeeding at 6-8 weeks postpartum were significantly less likely to be screened positive in EPDS (OR=0.07, 95% CI=0.01, 0.41) compared to those who could not maintain exclusive breastfeeding. This study proposed to assess whether there is an association between breastfeeding and decreased maternal postpartum depressive symptoms in local Chinese population. The results reiterated the advantages of breastfeeding and warranted more intense efforts in promoting and protecting breastfeeding. The large effect shown in the subgroup analysis highlighted the importance of maintaining exclusive breastfeeding. Since this study could only establish association, the results could not show causation and future studies should focus on establishing the temporality of causation between breastfeeding and decreased maternal postpartum depressive symptoms. Stricter adjustment for potential confounders should also be achieved with a prospective study better designed to control for temporality and time-varying confounders in the future.
published_or_final_version
Public Health
Master
Master of Public Health

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Morrison, April H., Retha Gentry, and Joanna Anderson. "Mothers’ Reasons for Early Breastfeeding Cessation." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7116.

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Purpose: The purpose of this review is to assess maternal explanations for early breastfeeding cessation in economically developed countries. Study Design and Methods: The electromic databases EBSCO, CINAHL, Child Development & Adolescent Studies, PsycInfo, Health Source: Nursing/Academic Edition, Nursing and Allied Health; ProQuest databases: Family Health Database, Health and Medical Collection, Nursing and Allied Health, Psychology Database, and Public Health Databases were searched using the terms breastfeeding, cessation, stop, discontinuation, early weaning, quit∗, early termination, and six months. Inclusion criteria included infants born at least 37 weeks gestation, single birth, and infant birthweight > 2,500 g. Results: Initial literature search yielded 117 studies; 10 studies met inclusion criteria. The two most common reasons for early breastfeeding cessation were perceived inadequate milk supply and maternal breast or nipple pain. Conclusion: Research on maternal reasons for early breastfeeding cessation is limited. Reasons for early breastfeeding cessation are varied; however, the most common themes were perceived inadequate supply and breast or nipple pain. Nurses should tailor assessment of each breastfeeding mother-baby couplet and associated interventions based on these findings.

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Morrison, April H. "Sustaining Breastfeeding Success After Hospital Discharge." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7118.

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Kimball, Karen Yeager. "Milk machines: Exploring the breastfeeding apparatus." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc6088/.

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Arguing that current discourse surrounding breastfeeding and the lactating body promotes management of the female body, I attempt to devise an explanation of the breastfeeding apparatus and its strategies. In this study, the strategies include visual and linguistic representations of breastfeeding through art, promotional materials for advertisement and recommendations from the medical community, and the language used in the legal protection of breastfeeding. Using a rhetorical lens, I explore how these varied junctions operate within the breastfeeding apparatus and how breastfeeding is both a product of and a product in the technology. I seek to find what else is at work and how breastfeeding functions as a discursive element in its own right, allowing it to function as an apparatus for control. Finally, I question the potential for resistance in breastfeeding, asking if the lactating body has options, or is the subject so policed and managed that decisions are dictated by the breastfeeding apparatus.

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Burks, Katrina Marie Russo. "Mothers' Perceptions of Workplace Breastfeeding Support." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/371.

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Despite substantial evidence that breastfeeding is the optimal way to feed the healthy, full-term infant, data show that, although most mothers in the United States start out breastfeeding their infants, there are often barriers to continued breastfeeding beyond the first few weeks or months. Among the reasons cited are lack of support and the need to return to full or part time paid employment. As a result of the Surgeon General's 2011 Call to Action to Support Breastfeeding, many initiatives have been implemented on national, state, and local levels to improve support for breastfeeding in the workplace. The purpose of this study was to investigate mothers' perceptions of workplace breastfeeding support. The study surveyed a convenience sample of 44 women employed by a 562-bed academic and university medical center in Northern New England who had a baby less than two years ago. The Employee Perceptions of Breastfeeding Support Questionnaire was used to collect mothers' perceptions about organization support, manager support, co-worker support, time considerations, and the physical environment of the worksite breastfeeding or pumping facilities. Descriptive statistics revealed that mothers had favorable perceptions of support for breastfeeding in their workplace. Similar studies with different types of employers or with hospitals in different areas of the United States may have different results. Adapting breastfeeding accommodations and support in the workplace in ways that facilitate increased initiation and duration of breastfeeding is an important step toward achieving Healthy People 2020 goals.

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Loroña, Nicole Catalina, and Nicole Catalina Loroña. "Facilitators to Breastfeeding Among WIC Participants." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/625046.

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Purpose: This study was developed to assess the facilitators to breastfeeding in the Pima County Women, Infants, and Children Program (WIC) in order to inform programming and improve breastfeeding rates. Background: Although breastfeeding for at least six months has numerous maternal and child health benefits, and is promoted by WIC, WIC women have historically had low breastfeeding rates. Improving lower than desired breastfeeding rates in the Pima County WIC program is a priority. Methods: A paper survey was administered to participants in the Pima County WIC program who had breastfed their youngest child under 12 months of age. Results: The most frequent reported influence on the decision to breastfeed was family. Likewise, support of family or friends was the highest reported facilitator to breastfeeding continuation. The most important reason indicated for breastfeeding was infant health. The greatest barrier to breastfeeding continuation was concerns of low milk supply, followed by returning to work or school. Conclusion: The Pima County WIC program can build upon the ways they support breastfeeding by incorporating family in education efforts and identifying what will facilitate participants' breastfeeding goals and participants overcome barriers to breastfeeding.

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Furkin, Jennifer D. "MOM TO MOM: ONLINE BREASTFEEDING ADVICE." UKnowledge, 2018. https://uknowledge.uky.edu/comm_etds/64.

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Exploring online support groups has gained more and more popularity in the last decade. Investigating the type of support messages users send each other has broadened the already extensive social support framework built in the last forty years. Mothers utilize online support for various topics, and a very common topic is breastfeeding. The perception of breastfeeding has changed throughout history with shifting beliefs and societal norms coupled with solid facts about its importance in the sustaining of infants. Online breastfeeding support has been previously explored through the categorization of types of support and themes within the interactions. This study extended this by investigating deeper into the advice solicitation patterns and directness of advice patterns. Results indicated that informational support most commonly was responded to support seekers. Support seekers utilized the requesting an opinion or information solicitation type most often when posting to the discussion board. Mothers most commonly offered storytelling as responses to posts and embedded advice within the stories.

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Schetzina, Karen E. "Breastfeeding Advocacy Benefits Everyone (BABE) Coalition." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/5125.

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Mbonifor, Patience Sirri. "Improving Breastfeeding Knowledge of Staff Nurses." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4231.

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The World Health Organization advocates that newborn babies require exclusive breastfeeding until 6 months of age to attain a desired level of growth. Despite this recommendation, exclusive breastfeeding rates continue to be at low levels globally. The purpose of this DNP project was to examine best practices for increasing the breastfeeding knowledge of health care workers, and to understand how breastfeeding is promoted in different healthcare systems. The Critical Appraisal Checklist and the Cochrane Handbook for Systematic Reviews framed this systematic literature review. Additionally, Melnyk's levels of evidence was used to evaluate each article. Articles for inclusion were limited to adults over the age of 18, nurses as providers, and literature published in English between 2012 and 2017. Keywords used in the literature search included breastfeeding promotion, breastfeeding support, breastfeeding outcomes, and breastfeeding education. The search identified 159 articles, of which 40 were selected for the final review. Twenty-two articles met the criteria for levels V-VI (qualitative), 11 met the criteria for levels III-IV (case control or cohort), 1 met the criteria for level II (randomized control trials), and 6 were level 1 (systematic review). The analysis of evidence demonstrated the importance of exclusive breastfeeding and led to the development of breastfeeding education recommendations. The recommendations will be presented to the organization and will provide nurses with the tools to support breastfeeding education. Application of the findings may lead to social change because new mothers will receive enhanced breastfeeding information, which will result in higher rates of breastfeeding of newborns and increased benefits for both infants and mothers.

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Glover, Evangeline Starks. "Factors Affecting Breastfeeding in Preterm Infants." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7143.

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Even though initiation of breastfeeding among term and preterm infants has increased, the incidence and duration among preterm infants continues to lag because of the unique challenges of breastfeeding preterm infants. African American mothers have the lowest rates of breastfeeding initiation and duration, and their preterm infants are less likely to receive breast milk while in the neonatal intensive care unit. The objective of this cross-sectional quantitative study was to evaluate the relationship between breastfeeding and maternal sociodemographic factors as well as medical and obstetrical conditions for infants born between 32-37 weeks gestational age in South Carolina from 2009 to 2011. The health belief model provided the framework for this study. Secondary data from the South Carolina Pregnancy Risk Assessment Monitoring System included 1,752 preterm pregnancies. Results of binary logistic regression and multivariate logistic regression analysis indicated that mothers who were African American and those who had lower income, no Medicaid, and lower education level breastfed less frequently. Findings may be used to decrease neonatal, postnatal, and infant morbidity and mortality, and to increase breastfeeding knowledge and support to ensure successful breastfeeding of preterm infants beyond the hospital.

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Dissertations / Theses on the topic 'Breastfeeding'

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