Reasons for In-Hospital Formula Supplementation of Breastfed Infants From Low-Income Families
By Tender J, Janakiram J, Arce E, Mason R, Jordan T, Marsh J, Kin S, Jianping H, Moon R
In-hospital formula supplementation of breastfed infants negatively impacts breastfeeding duration. Infants from low-income families have some of the lowest exclusive breastfeeding rates in the United States. The objectives of this study were to identify (1) reasons low-income breastfeeding mothers begin in-hospital formula supplementation and (2) risk factors for in-hospital formula supplementation. We surveyed 150 low-income mothers in a Washington, DC, clinic. Sixty percent had initiated breastfeeding, and 78% of these breastfed infants received formula supplementation in the hospital. There was no clear medical need for supplementation for 87% of the breastfed infants receiving supplementation. Infants of mothers who did not attend a prenatal breastfeeding class were almost 5 times more likely to receive in-hospital formula supplementation than those infants whose mothers had attended a class (OR, 4.7; 95% CI, 1.05-21.14). Improved knowledge about breastfeeding among nursing and medical providers is important to minimize unnecessary formula supplementation for breastfed infants.
March 16, 2018
Tender J, Janakiram J, Arce E, Mason R, Jordan T, Marsh J, Kin S, Jianping H, Moon R (2009) Reasons for In-Hospital Formula Supplementation of Breastfed Infants From Low-Income Families. Journal Of Human Lactation: Vol. 25, 1, pp. 11-17. Available online: http://journals.sagepub.com/doi/10.1177/0890334408325821