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- Title
Perceptions About Lactation Consultant Support, Breastfeeding Experiences and Postpartum Psychosocial Outcomes.
- Authors
Keim, Sarah A.; Jackson, Jamie L.; Litteral, Jennifer L.; Schofield, Kyle A.; Crerand, Canice E.
- Abstract
Introduction: Many women seek lactation consultant support in the postpartum period. Lactation consultant support in community or clinical settings is often assumed to extend breastfeeding duration, improve breastfeeding experiences, and be well-received. Few studies have assessed women's perceptions of the support they received, nor have perceptions been examined in relationship to breastfeeding outcomes and maternal well-being. Our objective was to characterize the lactation consultant support women received and examine how women's perceptions about the support related to their breastfeeding outcomes, anxiety and depressive symptoms, and parenting stress. Methods: This observational, cross-sectional study examined receipt of postpartum lactation consultant support among 210 US women. Perceptions of lactation consultant support were examined in relation to breastfeeding outcomes, anxiety and depressive symptoms, and parenting stress to explore outcomes of negative versus positive lactation consultant support experiences, using linear and proportional hazards regression. Results: While overall perceptions of lactation consultant support were positive for most recipients (71%, n = 98), 29% (n = 40) reported negative perceptions of lactation consultant support. Negative perceptions were associated with lower breastfeeding self-efficacy (β = − 11.7, 95% CI − 17.3, − 6.0), a less successful breastfeeding experience (β = − 19.5, CI − 27.8, − 11.3), greater general anxiety (β = 6.5, CI 2.1, 10.9), and shorter total duration of milk production (HR = 0.39, 95% CI 0.18, 0.84). Perceptions were not associated with depressive symptoms or parenting stress. Discussion: Findings highlight the importance of ensuring that postpartum breastfeeding support provided by lactation consultants is perceived as positive by women.
- Subjects
WELL-being; OCCUPATIONAL roles; STATE-Trait Anxiety Inventory; ATTITUDES of mothers; POSTPARTUM depression; SOCIAL support; SCIENTIFIC observation; CONFIDENCE intervals; CROSS-sectional method; MENTAL health; HEALTH outcome assessment; SURVEYS; PSYCHOLOGICAL tests; PARENT-infant relationships; BREASTFEEDING; RESEARCH funding; POSTNATAL care; EDINBURGH Postnatal Depression Scale
- Publication
Maternal & Child Health Journal, 2021, Vol 25, Issue 3, p497
- ISSN
1092-7875
- Publication type
Article
- DOI
10.1007/s10995-020-03056-5