A14.3 Community Approach to Exploring Infant Feeding Choices_Rachel Scott

CFPC Conflict of Interest

Disclosure of Commercial Support Presenter Disclosure Presenter: Rachel Scott Relationships with commercial interests: • • • •

Grants/Research Support: None Speakers Bureau/Honoraria: None Consulting Fees: None Other: None

Infant Feeding Choices A collaborative community approach to exploring infant feeding choices among young mothers of low socioeconomic status

Rachel Scott Public Health Nurse Niagara Region Public Health 2

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Why? Health benefits for mom and baby

Breastfeeding

Disparities within priority populations

Mediates effects on the SDOH

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Breastfeeding Outreach Nurse •

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MOHLTC Comprehensive Nursing Strategy funding NRPH identified areas of priority/potential for impact Increase breastfeeding initiation rates in moms less than 25 years of age with lower SES

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Position Goal Breastfeeding Outreach Nurse

To increase breastfeeding initiation rates and ultimately the duration rates in mothers who are identified as having a low socioeconomic status (SES) in Niagara, and are less than 25 years of age.

But how?

Best approach?

Best practices?

Need?

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Multi-Phase Strategy Knowledge Influence Support of 20

The “how”

Engaging the Participation of Young Moms & Community Partners

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SDOH Project - Phase 1 Focus Groups 5 sessions held with total of 33 participants

Facilitated by students recruited from local university

Qualitative data analysis by NRPH epidemiologist

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“My boyfriend’s mom did formula, she told me not to breastfeed”

“I was proud to

breastfeed because my boyfriend was proud of me”

I just knew it was best for her him, so right away I knew this was something I had to do. I knew it would get his immune system up.

Young Moms Told Us….

“My mom called me crazy because I breastfed, she didn’t breastfeed anyone.”

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SDOH Project - Phase 2 Survey Completion •

Focus session themes used to guide survey development

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Provided both electronic and paper options for completion

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Multi-faceted access/distribution strategy

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How are Young Moms Feeding their Babies?

Survey results…Knowledge • 52% of moms commented on the benefits of breastfeeding • 28.1% felt formula was just as good as breast milk • 16.3% couldn’t tell how much baby was drinking No different than the average aged childbearing mom in regard to reasons for introducing formula of 20

Survey results…Influence The top 5 factors: • •

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Knew breast was best Heard of positive experiences with breastfeeding (46%) Partner wanted them to breastfeed (35%) Wanted to let others feed their baby (33.8%) Felt formula was just as good as breastmilk of 20

Survey results…Support Where do young moms go for help?

• Doctor/Health Care provider (54.4%) • Public Health Nurse/Home Visitor (45.0%) • Mom/Dad (43.1%) • Family (aunts, uncles, cousins) (21.9%) • Internet (21.3%)

Survey results…Support What young moms said would be helpful with feeding…

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Home visit (42.1%) Text messaging (29.6%) Teen/Mom Baby Drop-in(26.4%) Phone Support (24.5%) Breastfeeding clinic (23.3%)

Planning or Not Planning?

Before baby is born

28.1 %

When find out they are pregnant 25.0 %

Later in pregnancy 20.6 %

After baby is born

26.3 %

Almost 50% of young moms plan how to feed their baby late in pregnancy and even after baby is born

Why Does Planning Matter?

Any breastmilk in hospital

Any breastmilk at home

Planners

81.9%

73.0%

Nonplanners

56.1%

28.6%

Young moms who plan on how they will feed their baby are more likely to initiate breastfeeding in hospital and continue to the home

Community Forums

1.

Creative Engagement

2.

Creative Targeting

3.

Staying Connected of 20

Now what…

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Nurture new and existing relationships with key community partners Support prenatal programming for young mothers Resource for HBHC program – home visiting Support NRPH breastfeeding clinics Lead Community Breastfeeding Project

Project Goals Increase # of young moms who choose to breastfeed

Create consistent, reliable , accessible continuum of support for young breastfeeding mothers

Establish the unique role of the outreach nurse of 20

Project Activities Education/

Campaigning

Resources Build Capacity in Community

Knowledge Exchange

Peer Support

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