RNSurveyJournal of pediatric nursing2018

Institute of Medicine Early Infant Feeding Recommendations for Childhood Obesity Prevention: Implementation by Immigrant Mothers From Central America.

Kathleen F Gaffney, Albert V Brito, Panagiota Kitsantas and 3 others

PMID 29776476

WHAT IT FOUND

Central American immigrant mothers rarely exclusively breastfed at 2 months, with 62% using mixed feeding.

High bottle-feeding intensity predicted insisting infants finish bottles. Food insecurity was linked to less controlling of intake, while higher depressive symptoms predicted more controlling feeding.

Key findings

01Exclusive breastfeeding was low at 2 months, with most infants receiving mixed or bottle feeding only.

02Mothers with moderate or high bottle-feeding intensity were more than twice as likely to believe infants should finish a bottle, a non-responsive feeding style.

03Higher postpartum depressive symptom scores were associated with increased likelihood of using controlling, non-responsive feeding styles.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was a convenience group from a single clinic, limiting generalizability to other populations or regions. Data relied on maternal self-report, which may be influenced by social desirability bias. The study did not distinguish between feedings administered by the mother versus other caregivers.

Declared interests

No specific funding sources or conflicts of interest were declared in the provided text.

The easy way to misread this

Do not interpret the association between bottle-feeding intensity and controlling feeding styles as causation, nor assume that food insecurity leads to more controlling feeding; this study found the opposite, with food-insecure mothers being less likely to control intake.

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