Breastfeeding & Immigrant Culture
Name 3 barriers immigrant women face when trying to provide breastmilk to their babies in the US:
- Work low-wage/high-risk jobs where don’t have time/place to pump
- Reluctant to ask for help for fear of retaliation
- Lack of familiarity with pumping when away from baby
List 2 procedures we do to our patients in the hospital that can negatively impact feeding development:
Taping, tube placement, suctioning, intubation
True or False: SIDS is associated with an abnormally large thymus gland.
False
What type of study did we discuss in journal club?
A narrative review
Name 2 protective factors immigrant Latina moms have when it comes to lactation:
1. Breastfeeding is the cultural norm
2. Support from matriarch/elders to continue to breastfeed
The most critical time of structural differentiation of the brain is (in weeks gestation):
23-32 weeks
True or False: Black infants are 2-3x more at risk for SIDS than white infants.
True
True or False: According to the journal club article, if a woman was breastfed herself, she is significantly more likely to breastfeed her infant.
True
True or False: Immigrant Latina mothers have lower rates of breastfeeding initiation and continuation than American-born Latina mothers
False
What is the optimal position for baby when giving milk drops?
Side-lying
True or False: SIDS rates continue to go down, since the AAP 2022 Safe Sleep updates in recommendations.
False. Rates have plateaued.
As noted in the journal club article, in the UK, USA and Australia, about what fraction of the people think that a baby should not be breastfed in public?
About a third
The longer Latina mothers live in the US, the ______ their breastfeeding rates
Lower
Who should be in charge of oral feeding-even milk drops?
The baby
Exclusive breastfeeding can reduce the risk of SIDS by ____%
50%
What statement provides policy guidance to governments for formula marketing?
the International Code of Marketing of Breastmilk Substitutes
Name two reasons some Latina moms often supplement early on in their breastfeeding:
- Thinking there is not enough milk “no hay leche”
- Thinking of overfed/overweight babies as healthier
- Strong familial bond- early return to work to provide for family, less awareness of/access to pumping and lowered milk supply as a result.
What 3 infant responses should we look for when offering milk drops?
1. Accepting (open mouth & suck)
2. Responding (stick out tongue, lick)
3. No Response (let rest; try again later)
True or False: If a provider tells a parent not to bedshare, then most likely, they won’t.
False. 50-70% of families do, in fact, bedshare, whether intentionally or unintentionally.
What are 3 of the initiatives that Brazil implemented that led to a dramatic increase in breastfeeding rates?
- Media campaigns
- Health worker training
- Mother to mother support groups
- Enforcement of the code for marketing breastmilk substitutes
- Increase in length of maternity leave
- Hospital BFHI designation
- Milk banks