Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 CityMatCH Urban MCH Leadership ConferenceBreastfeeding and maternal infant interactions in non-feeding settings of low incomewomen in a nurse home visiting programPRIMARY CONTACT:Chris Arestides, RN, MPHSupervisorBrighter Futures Nurse-FamilyPartnership1111 Edwin C. Moses BlvdDayton, OH, 45440Phone: (937) 208-6349Fax: (937) 208-8373Email: ccarestides@mvh.orgCATEGORYChild growth, development, preventive careFOCUSData FocusBACKGROUNDCO-PRESENTER(S)/AUTHOR(S):Sara Paton, sara.paton@wright.edu (Author,Presenter)David UddinGiven the financial and social stressors associated with poverty and with young maternal age, youngmothers living in poverty face challenges beyond those experienced by all parents. These stressors maynegatively impact the interactions between a new mother and her infant, which can affect that child’ssocial and emotional development. Much research has been devoted to the physical health benefits ofbreastfeeding and increasing breastfeeding rates of those most vulnerable. Breastfeeding is known torelease calming hormones in the mother and child, necessitates human touch, and is associated with adecreased risk of postpartum depression. These factors have the potential to positively impact interactionsbetween a mother and infant.OBJECTIVESThe purpose of this study was to explore whether or not a relationship exists between infant feedingchoices and the quality of maternal infant interactions in non-feeding settings. This study was conductedwithin a nurse home visiting program aimed at enhancing maternal infant interactions in mothers that areconsidered at risk for not choosing to breastfeed and for having lower quality interactions with theirinfants.METHODSThis study was a retrospective analysis of data from a Nurse-Family Partnership program. Age, education,depression, race, birth weight, and whether or not the nurse addressed breastfeeding prenatally wereevaluated to predict breastfeeding initiation. The same variables plus feeding choice were measuredagainst the total maternal score on the Nursing Child Assessment Satellite Tool (NCAST) Teaching Scale,a standardized measure of caregiver-child interactions. The maternal scores and subscale scores werecompared by duration of breastfeeding. Finally, participants’ scores were compared to national samples4
2009 CityMatCH Urban MCH Leadership Conferencefrom the NCAST database.RESULTSMothers whose nurses addressed breastfeeding prenatally had a 3.56 times higher incidence ofbreastfeeding. Higher education (p=.039) and surprisingly, lower age (p=.029), were also associated withbreastfeeding. Breastfeeding duration was the only significant factor (p=.019) determining total NCASTscore. The mean NCAST score for the never breastfed group was significantly lower (p=.036) than thebreastfed for ≤ 8 weeks group, and significantly lower (p=.025) than the breastfed for > 8 weeks group.The two breastfeeding groups, ≤ 8 weeks and > 8 weeks, were not significantly different from each other.The sensitivity to cues subscale (p=.046) and total score (p=.041) could be predicted by the number ofweeks breastfeeding. Participant NCAST scores were significantly higher, 42.95 for those that breastfed >8 weeks compared to 37.34 for similar population of mothers from the NCAST database.LIMITATIONSLimitations include that the data is retrospective and the complexity of variables related to breastfeedingdecisions and maternal infant interactions. The results apply only to like populations of young, lowincome, first time mothers.CONCLUSIONS/IMPLICATIONSBreastfeeding was associated with improved maternal-infant interactions outside of the feeding setting.Program participants had both higher breastfeeding rates and higher maternal NCAST scores thancomparable populations. Encouraging breastfeeding in vulnerable mothers may have a subsequentinfluence on interactions with their child and interventions aimed at encouraging sensitive care-giving invulnerable mothers may improve breastfeeding rates.5
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