1. Meeting Healthy People 2010
Breastfeeding Goals
Currently
Breastfeeding
Mothers Experiencing Low Income Women Working Women
Difficulties
Disincentives Disincentives Disincentives
· WIC Participation at 2-4 mos
· Mothers’ returning to work 20-40 hrs
· Mothers’ not receiving MD follow-up
· Father not being in the home
· Smoker in the household
Physical Adjustments-Breast Discomfort · No BF instruction in MD office · Return to work in 6-12 wks
· Breast Infection · No MD encouragement · Women in non-managerial position
· Sore nipples · Mother with symptoms of depression · Psychological stress
· Engorgement · Lack of privacy for pumping/BF
· Breast Leaking · Lack of paid maternity leave
Infant Difficulties · Serious time commitment
· Infant Illness · Social & Professional Support Barriers
· Potential to decrease family income
· Won’t Latch · Infant Health · Inconvenience of lactation facility
· Pain with Latch · Infant Development · Possible need for change of clothing
· Maternal Health · Safe milk storage
· Cost savings
· Time saved
· Belief in Breastfeeding · Introduction of formula or solid foods
Nutritional Factors · Bond with Infant · Essential information is often ignored
· Mothers’ perception of Insufficient Milk
· Perception that HP did not understand
· Concern with nutrition (not getting enough)
situation & did not ask for assistance
· HP states not making enough milk
· Relied on relatives or friends for BF advice
· HP not gaining enough weight Professional Advice = Credibility if:
· Confident
Psychosocial Distress · Empathetic
· Respectful
Mothers’ response to negative support Family & · Calm
Professional
· Return to work in 6 weeks
· Inflexible work responsibilities
· Managerial position
· Lack of breaks
Lifestyle Factors · Flexible position
· Lack of support at work by co-workers
Contrast between real experience & idealization · Labor Law Protection
· Cost of supplies
· Mother wants to leave · Paid Maternity Leave
· Mother wants someone else to feed · Clean Convenient Pumping/BF Facility
Conflicting Activities- Work School · Employer Lactation Program
· Mother wants to leave · Support of Co-workers
· Mother wants someone else to feed
Incentives
Continue Breastfeeding Decision to continue or
Discontinue Breastfeeding
discontinue breastfeeding
Not Meeting Healthy People 2010 Goals