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Improving exclusive breastfeeding rates in the Latina population
Dissertation   Open access

Improving exclusive breastfeeding rates in the Latina population

Judy E. Harkins
Doctor of Nursing Practice (D.N.P.), Drexel University
12 Jun 2021
DOI:
https://doi.org/10.17918/00001523
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Abstract

Breastfeeding Breastfeeding promotion Hispanic American women
The benefits of exclusive breastfeeding until age six months include positive maternal outcomes such as decreased post-partum bleeding and risk of post-partum depression. Infants experience a reduction in sudden infant death syndrome, sepsis, and necrotizing enterocolitis, while development is improved. Despite the benefits to both health and cost, exclusive breastfeeding rates remain low worldwide. Latina immigrant mothers face unique challenges that further affect their success with breastfeeding. The purpose of this evidenced based quality improvement project was to improve exclusive breastfeeding rates in the local Latina population, by providing interventions based on self-efficacy theory. For this pilot program, a convenience sample of pregnant Latina women, of at least 36-weeks gestation, were given the opportunity to enroll in a program providing additional breastfeeding support. All women enrolled demonstrated intent to breastfeed prior to entering the program. Exclusive breastfeeding rates were measured, as well as pre-and-post intervention surveys were completed to assess from intervention effect. The project was an effort to promote exclusive breastfeeding through interventions that address self-efficacy. However, the lessons learned expanded well beyond improving exclusive breastfeeding rates. The results highlighted the challenges of caring for a marginalized patient population and how patient-provider relationships can be affected. The results can inform other clinical sites on how interventions must be tailored specific to individual cultures and communities.

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