Breastfeeding Duration Rates in an InnerCity US BabyFriendly Hospital Kimberly Niles Newton, BS, Sup

1
Breastfeeding Duration Rates in an Inner-City US
Baby-Friendly Hospital Kimberly Niles Newton,
BS, Supriya D. Mehta, Ph.D., Birva Patel,
MS, Lindsay MacAuley, BA , Patricia
Francisco, Anne Merewood, MA, IBCLC. Division
of General Pediatrics, Boston University School
of Medicine, The Breastfeeding Center, Boston
Medical Center, Boston, MA Boston University
School of Public Health, Boston, MA Department
of Emergency Medicine, Boston Medical Center,
Boston, MA
BACKGROUND
RESULTS Cross Section at 6 Months
RESULTS Longitudinal Analysis

• Demographics N294
• Insurance Maternal Race
• Public 75 (219/294) Black 63
  (185/294)
• Private 13 Hispanic 10
• Unknown 12 White 9
• WIC Asian 4
• WIC received 68 (199/294) Other 8
• Cessation Factors
• Presence of breastfeeding problem at the
  hospital was statistically significant (p0.038)
• Only 13 (3/24) of those with breastfeeding
  problem in the hospital were breastfeeding at 6
  months compared to 33 of women who did not.
• Having public insurance (p0.06), and presence
  of a smoker in the home approached statistical
  significance (p0.08)
• Only 31 (69/219) of women with public insurance
  breastfed compared to 43 (17/40) of women with
  private insurance.
• 16 (6/38)of those with smokers in the home were
  breastfeeding at 6 months compared to 34
  (70/206) of women who did not.

• N 336 mother-infant pairs
• 74 of infants present for 6 month well child
  visit (248/336)
• 37 infants were breastfeeding at 6 month
  (92/248)

• Boston Medical Center (BMC) is an inner-city,
  WHO-certified Baby-Friendly hospital with
  approximately 2000 births per year
• High percentage of births to groups with
  traditionally low breastfeeding rates
• Initiation rates at BMC and other US
  Baby-Friendly hospitals have been published
• Breastfeeding duration rates at US Baby-Friendly
  hospitals have not previously been published

RESULTS Cross Section at 6 Months BMC vs.
National Data
RESULTS Longitudinal Analysis
OBJECTIVES

• To obtain a cross-sectional, 6 month
  breastfeeding rate for infants born at a
  Baby-Friendly, inner-city hospital
• To determine factors associated with cessation
  of breastfeeding in an inner-city population

Source Ross Products Division, Abbott
Laboratories. (2003).
BMC
National
BMC
National
BMC
National
Black, Non-Hispanic
WIC
Source Ross Products Division, Abbott
Laboratories. (2003).
METHODS
CONCLUSION
RESULTS Longitudinal Analysis Breastfeeding
Over Time

• 350 infants born at BMC were followed for
  primary care at BMC or 1 of 3 neighborhood health
  centers using the same electronic medical record
  system
• Breastfeeding defined as any amount of breast
  milk
• Exclusion criteria NICU admission, feeding
  status unknown, infant death
• We analyzed
• 1) Proportion of women breastfeeding over time,
  and 2) Factors associated with cessation at 6
  months among women who initiated breastfeeding in
  the hospital (assessed by chi-square test).

• Baby-Friendly hospital designation appears
  positively to impact breastfeeding rates beyond
  the immediate post-partum setting, in groups with
  traditionally low breastfeeding rates.
• Among babies born in an urban, Baby-Friendly
  hospital, race, WIC status and maternal age were
  not associated with breastfeeding status at 6
  months.
• Evidence of a breastfeeding problem in the
  postpartum stay was the only factor that
  negatively impacted breastfeeding duration rates.
  
• Breastfeeding rates at 6 months at Baby-Friendly
  Hospital compared favorably to national data.