Welcoming, supportive care in US birthing facilities and realization of breastfeeding goals.
Marina Stranieri Pearsall, Alison M Stuebe, Carl Seashore and 2 others
PMID 35567867WHAT IT FOUND
Birthing parents who felt welcomed, supported, and cared for physically and emotionally were more likely to report meeting breastfeeding goals.
This survey shows a link, not that the feelings caused success.
Key findings
01Of the 2,771 analysed participants, 93.1% of birthing parents reported meeting their breastfeeding goals.
02Feeling welcomed, supported, recognized, and that care promoted physical and emotional health were associated with higher adjusted odds of meeting breastfeeding goals.
03Baby-Friendly facility designation was not associated with meeting infant feeding goals in this sample.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a cross-sectional self-report survey, so it cannot show that supportive feelings caused breastfeeding goals to be met. The sample was recruited online and was mostly non-Hispanic white, married or in a civil partnership, high income, and intended to breastfeed, so it may not represent all birthing parents. Participants could recall postnatal experiences up to five years after birth, and meeting breastfeeding goals was a single self-reported outcome that may change over time. The support measures were highly correlated with one another, so the contribution of any single aspect of care cannot be separated. Emotional health during pregnancy or postpartum was not measured, though it may affect both experiences and feeding outcomes. Data were collected before the COVID-19 pandemic, when postnatal unit care changed substantially.
Declared interests
Several authors are co-inventors on a patented postnatal unit bassinet, and the University of North Carolina at Chapel Hill invention is licensed.
The easy way to misread this
Do not conclude that making birthing parents feel welcomed and supported will increase breastfeeding success. The survey only found associations, the support measures were highly correlated, and the sample was mostly white, married, high-income, and intended to breastfeed.