Integrating routine lactation consultant support into a pediatric practice

Ann M. Witt, Samantha Smith, Mary Jane Mason, Sue Flocke

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: Although research shows that healthcare professionals' support improves breastfeeding duration, many physicians do not believe they have adequate time to address breastfeeding concerns during office visits. This study evaluated the impact of a pediatric practice's postnatal lactation consultant intervention. To improve breastfeeding support, the study practice changed policy and began using a lactation consultant overseen by a physician, to conduct the initial postpartum office visit for all breastfeeding infants. Methods: A retrospective chart review was performed on consecutive newborns before (n=166) and after (n=184) implementation of the program. Feeding method was assessed at each well child visit during the infant's first 9 months. χ 2 and logistic growth curve analyses were used to test the association between implementation status and non-formula feeding (NFF). Results: Mothers and infants in 2007 and 2009 were similar with regard to type of insurance, parity, gestational age, multiple births, and cesarean sections. Overall, NFF improved after program implementation (odds ratio=1.12, 95% confidence interval 1.02-1.23). In 2009, NFF rates at 2 months, 4 months, 6 months, and 9 months were greater than 2007 rates by 10%, 15%, 11%, and 9%, respectively. Logistic growth curve analysis indicated the difference across these time points was significant between 2007 and 2009. Conclusion: A routine post-discharge outpatient lactation visit coordinated within a primary care practice improved breastfeeding initiation and intensity. This effect was sustained for 9 months.

Original languageEnglish (US)
Pages (from-to)38-42
Number of pages5
JournalBreastfeeding Medicine
Volume7
Issue number1
DOIs
StatePublished - Feb 1 2012
Externally publishedYes

Fingerprint

Consultants
Breast Feeding
Lactation
Pediatrics
Office Visits
Feeding Methods
Multiple Birth Offspring
Physicians
Health Services Research
Growth
Parity
Insurance
Cesarean Section
Postpartum Period
Gestational Age
Primary Health Care
Outpatients
Odds Ratio
Mothers
Newborn Infant

ASJC Scopus subject areas

  • Pediatrics
  • Health Policy
  • Obstetrics and Gynecology
  • Maternity and Midwifery

Cite this

Integrating routine lactation consultant support into a pediatric practice. / Witt, Ann M.; Smith, Samantha; Mason, Mary Jane; Flocke, Sue.

In: Breastfeeding Medicine, Vol. 7, No. 1, 01.02.2012, p. 38-42.

Research output: Contribution to journalArticle

Witt, Ann M. ; Smith, Samantha ; Mason, Mary Jane ; Flocke, Sue. / Integrating routine lactation consultant support into a pediatric practice. In: Breastfeeding Medicine. 2012 ; Vol. 7, No. 1. pp. 38-42.
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