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Breastfeeding concerns and experiences of African American mothers.
MCN Am J Matern Child Nurs. 2013 Sep-Oct; 38(5):297-304.MA

Abstract

OBJECTIVE

To explore the perinatal experiences of African American women in Florida for obtaining information about breastfeeding and also their breastfeeding experiences.

METHODS

This qualitative study utilized convenience sampling of 253 African American women 18 to 35 years old in three Florida counties. Data were derived from the Healthy Futures Perinatal Research and System Design study. One month after giving birth, face-to face interviews were conducted using an interview schedule. Questions about breastfeeding education and experiences were explored. Taped responses were transcribed and analyzed qualitatively. Through subject-level content analysis, key themes were identified.

RESULTS

Most women received some information about breastfeeding during prenatal care. Mothers who chose to breastfeed were usually aware of some of the benefits for the baby and occasionally benefits for themselves. Mothers who did not breastfeed were concerned about pain associated with breastfeeding, time constraints, returning to work or school, personal health choices, or felt uncomfortable with the idea of breastfeeding. Factors facilitating breastfeeding included healthcare providers that encouraged the practice, knowing the advantages, attending a breastfeeding class or support group, breastfeeding in the birth or recovery room, latch assistance, rooming-in, nesting, and the availability of a breast pump. Reasons for supplementation and cessation were latch problems, pain, concerns the baby wasn't getting enough, mother-infant separation, and medical complications.

IMPLICATIONS

Intensified prenatal and postpartum efforts to support breastfeeding are needed to increase breastfeeding initiation and duration for African American mothers.

Authors+Show Affiliations

Florida State University College of Nursing, Tallahassee, FL, USA. bcottrell@fsu.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23958620

Citation

Cottrell, Barbara H., and Linda A. Detman. "Breastfeeding Concerns and Experiences of African American Mothers." MCN. the American Journal of Maternal Child Nursing, vol. 38, no. 5, 2013, pp. 297-304.
Cottrell BH, Detman LA. Breastfeeding concerns and experiences of African American mothers. MCN Am J Matern Child Nurs. 2013;38(5):297-304.
Cottrell, B. H., & Detman, L. A. (2013). Breastfeeding concerns and experiences of African American mothers. MCN. the American Journal of Maternal Child Nursing, 38(5), 297-304. https://doi.org/10.1097/NMC.0b013e31829a5606
Cottrell BH, Detman LA. Breastfeeding Concerns and Experiences of African American Mothers. MCN Am J Matern Child Nurs. 2013 Sep-Oct;38(5):297-304. PubMed PMID: 23958620.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breastfeeding concerns and experiences of African American mothers. AU - Cottrell,Barbara H, AU - Detman,Linda A, PY - 2013/8/21/entrez PY - 2013/8/21/pubmed PY - 2015/5/16/medline SP - 297 EP - 304 JF - MCN. The American journal of maternal child nursing JO - MCN Am J Matern Child Nurs VL - 38 IS - 5 N2 - OBJECTIVE: To explore the perinatal experiences of African American women in Florida for obtaining information about breastfeeding and also their breastfeeding experiences. METHODS: This qualitative study utilized convenience sampling of 253 African American women 18 to 35 years old in three Florida counties. Data were derived from the Healthy Futures Perinatal Research and System Design study. One month after giving birth, face-to face interviews were conducted using an interview schedule. Questions about breastfeeding education and experiences were explored. Taped responses were transcribed and analyzed qualitatively. Through subject-level content analysis, key themes were identified. RESULTS: Most women received some information about breastfeeding during prenatal care. Mothers who chose to breastfeed were usually aware of some of the benefits for the baby and occasionally benefits for themselves. Mothers who did not breastfeed were concerned about pain associated with breastfeeding, time constraints, returning to work or school, personal health choices, or felt uncomfortable with the idea of breastfeeding. Factors facilitating breastfeeding included healthcare providers that encouraged the practice, knowing the advantages, attending a breastfeeding class or support group, breastfeeding in the birth or recovery room, latch assistance, rooming-in, nesting, and the availability of a breast pump. Reasons for supplementation and cessation were latch problems, pain, concerns the baby wasn't getting enough, mother-infant separation, and medical complications. IMPLICATIONS: Intensified prenatal and postpartum efforts to support breastfeeding are needed to increase breastfeeding initiation and duration for African American mothers. SN - 1539-0683 UR - https://www.unboundmedicine.com/medline/citation/23958620/Breastfeeding_concerns_and_experiences_of_African_American_mothers_ L2 - http://dx.doi.org/10.1097/NMC.0b013e31829a5606 DB - PRIME DP - Unbound Medicine ER -