title: Counseling About the Maternal Health Benefits of Breastfeeding and Mothers' Intentions to Breastfeed.
abstract: Objectives To evaluate the impact of counseling regarding the maternal health effects of lactation on pregnant women's intentions to breastfeed. Methods Women seeking prenatal care at an urban university hospital completed surveys before and after receiving a 5-min counseling intervention regarding the maternal health effects of breastfeeding. The counseling was delivered by student volunteers using a script and one-page infographic. Participants were asked the likelihood that breastfeeding affects maternal risk of multiple chronic conditions using 7-point Likert scales. We compared pre/post changes in individual item responses and a summary score of knowledge of the maternal health benefits of lactation (MHBL) using paired t tests. Multivariable logistic regression was used to examine the impact of increases in knowledge of MHBL on participants' intentions to breastfeed. Results The average age of the 65 participants was 24 ± 6 years. Most (72 %) were African-American and few (9 %) had college degrees. Half (50 %) had previously given birth, but few (21 %) had previously breastfed. Before counseling, few were aware of any benefits of lactation for maternal health. After counseling, knowledge of MHBL increased (mean knowledge score improved from 19/35 to 26/35, p < 0.001). Improvement in MHBL knowledge score was associated with increased intention to try breastfeeding (aOR 1.20, 95 % CI 1.02-1.42), of wanting to breastfeed (aOR 1.45, 95 % CI 1.13-1.86), and feeling that breastfeeding is important (aOR 1.21, 95 % CI 1.03-1.42). Conclusions for Practice Brief structured counseling regarding the effects of lactation on maternal health can increase awareness of the maternal health benefits of breastfeeding and strengthen pregnant women's intentions to breastfeed.
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Ross-Cowdery
authors.affiliation: Center for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, USA.
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Lewis
authors.affiliation: Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Papic
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Corbelli
authors.affiliation: Center for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, USA. ebschwarz@ucdavis.edu.|Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA. ebschwarz@ucdavis.edu.|Division of General Internal Medicine, Department of Medicine, University of California, Davis, 4150 V Street, PSSB 2400 [room 2506], Sacramento, CA, 95817, USA. ebschwarz@ucdavis.edu.
authors.forename: Eleanor Bimla
authors.initials: EB
authors.lastname: Schwarz
mesh_terms: D000293:Adolescent; D000328:Adult; D001942:Breast Feeding / Q000639:trends*; D003376:Counseling / Q000592:standards; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D016015:Logistic Models; D000068097:Maternal Health / Q000592:standards*; D009035:Mothers / Q000193:education* / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Breastfeeding; Counseling; Lactation; Maternal health