title: Association Between Healthcare Provider Type and Intent to Breastfeed Among Expectant Mothers.
abstract: BACKGROUND
  The primary purpose of this study was to determine the association between type of healthcare provider delivering prenatal care and intent to exclusively breastfeed.
  
  
  METHODS
  A self-report survey was administered to 455 expectant mothers. Logistic regression was performed to determine the association between prenatal care provider type [obstetrician; other primary care physician (family doctor/general practitioner/internist/or other physician); midwife/nurse midwife; more than one provider; and other] with intent to breastfeed (exclusive/non-exclusive).
  
  
  RESULTS
  Having a midwife/nurse midwife as a prenatal care provider was associated with intent to breastfeed compared to having an obstetrician (OR 2.544, 95 % CI 1.385-4.675). There was no difference in intent between women with another primary care physician and an obstetrician. Women with another type of health care provider, no prenatal care from a health professional, or no knowledge of who is providing prenatal care were less likely to intend to breastfeed (OR 0.228, CI 0.068-0.766) as compared to those with an obstetrician.
  
  
  CONCLUSIONS
  Provider type is associated with intent to breastfeed among pregnant women. Women's intent to breastfeed is an important predictor of breastfeeding initiation, continuation, and duration that may be assessed by healthcare providers during the prenatal period. A consideration of what features of provider care are associated with improved breastfeeding outcomes and characteristics of women seeking prenatal care with midwives may serve to formulate future prenatal care policies and education during prenatal care visits.
authors.affiliation: Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center (UNTHSC), Fort Worth, TX, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Balyakina
authors.affiliation: Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center (UNTHSC), Fort Worth, TX, USA. Kimberly.Fulda@unthsc.edu.|North Texas Primary Care Practice-Based Research Network (NorTex), University of North Texas Health Science Center (UNTHSC), Fort Worth, TX, USA. Kimberly.Fulda@unthsc.edu.|Texas Prevention Institute, University of North Texas Health Science Center (UNTHSC), 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA. Kimberly.Fulda@unthsc.edu.
authors.forename: Kimberly G
authors.initials: KG
authors.lastname: Fulda
authors.affiliation: Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center (UNTHSC), Fort Worth, TX, USA.|Texas Prevention Institute, University of North Texas Health Science Center (UNTHSC), 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.
authors.forename: Susan F
authors.initials: SF
authors.lastname: Franks
authors.affiliation: College of Public Health, University of Kentucky, Lexington, KY, USA.
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Cardarelli
authors.affiliation: Department of Obstetrics and Gynecology, Texas College of Osteopathic Medicine, University of North Texas Health Science Center (UNTHSC), Fort Worth, TX, USA.
authors.forename: Kollier
authors.initials: K
authors.lastname: Hinkle
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D033182:Intention; D016015:Logistic Models; D008880:Midwifery; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D009774:Obstetrics / Q000706:statistics & numerical data*; D010821:Physicians, Family; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D011295:Prenatal Care; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Breastfeeding; Healthcare provider; Intent to breastfeed