Overcoming Barriers: Evidence Based Strategies to Promote Breastfeeding Among Low Income Young Women

Saturday, 16 November 2013

Amy B Manion, PhD, RN1
Billie E. Bitowski, FNP-BC2
Marilyn K Wideman, DNP, RN1
Sally Lemke, MS, RN, WHNP-BC1
(1)College of Nursing, Rush University, Chicago, IL
(2)College of Nursing, Northwestern State University, Shreveport, LA

Learning Objective 1: The learner will be able to describe the barriers to breastfeeding for young low income women of color.

Learning Objective 2: The learner will be able to explain effective strategies for promoting breastfeeding in the adolescent population.

Breastfeeding rates among African American young women who reside in low socioeconomic urban settings are dramatically lower than any other racial group, even after controlling for income.  In the 1970’s, the breastfeeding rate in the United States reached a nadir of 22%.  Since then breastfeeding rates have been steadily rising, however, breastfeeding rates among African American woman have remained low.  Reported barriers to breastfeeding among adolescents of color include fear of pain, public embarrassment, lack of interest, and unease with the act of breastfeeding. Social support has been proven to be a strong predictor of breastfeeding intention.  Effective social support strategies to promote breastfeeding among adolescents include the use of peer counselors and lactation consultants, inclusion of family in breastfeeding education, and breastfeeding classes.  A breastfeeding/infant support group is one such social strategy that has been implemented at Simpson Academy for Young Women in Chicago at which a Rush University- College of Nursing School Based Health center is located.  The process of implementing this support group as well as the results of this successful ongoing project will be further described in this presentation.