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Dionka Pierce, MPH Tri Tran, MD, MPH Joanna Habel, MPH Louisiana Office of Public Health

Women, Infant, and Children (WIC) Program Participation and the Effect on Breastfeeding Practices in Louisiana 1997-1999. Dionka Pierce, MPH Tri Tran, MD, MPH Joanna Habel, MPH Louisiana Office of Public Health. Louisiana. Background.

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Dionka Pierce, MPH Tri Tran, MD, MPH Joanna Habel, MPH Louisiana Office of Public Health

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  1. Women, Infant, and Children (WIC) Program Participation and the Effect on Breastfeeding Practices in Louisiana 1997-1999. Dionka Pierce, MPH Tri Tran, MD, MPH Joanna Habel, MPH Louisiana Office of Public Health Louisiana

  2. Background • Louisiana continues to have low rates of breastfeeding for more than one month after delivery. • A previous analysis revealed the implications of hospital breastfeeding counseling and practices on continued breastfeeding in Louisiana mothers.* • This study examines the relationship between WIC participation and breastfeeding initiation and duration in Louisiana mothers from 1997-1999. *HOSPITAL BREASTFEEDING COUNSELING AND PRACTICES: IMPLICATIONS ON CONTINUED BREASTFEEDING IN LOUISIANA’S MOTHERS. Kirti Patel, MPH, Suzanne Kim Whitmore, MPH, Juan Acuna MD, MSc

  3. Methods • Louisiana PRAMS data 1997-1999 • Multivariate logistic regression with hierarchical modeling • Alpha level 0.05 • SAS-Callable SUDAAN 7.5

  4. Methods (continued) • Outcome: • No breastfeeding or breastfeeding less than one week. • Predictors • WIC status (main risk factor) • Maternal smoking • Pregnancy intention • # Previous live births • Breastfeeding counseling • Medicaid status • Maternal demographics • Race, age, education

  5. Results Table 1. Maternal demographic and social characteristics.

  6. Results Table 2. Maternal demographic and social characteristics.

  7. Results Table 3: Percent of No Breastfeeding or Less Than One Week by Maternal Demographics and Social Characteristics in WIC Participants.

  8. Results Table 4: Percent of No Breastfeeding or Less Than One Week by Medicaid Status, Pregnancy Intention and Other Predictors in WIC Participants.

  9. Results Table 5: Adjusted Odds Ratios of Statistically Significant Predictors of No Breastfeeding or Breastfeeding Less Than 1 Week.

  10. Conclusion • This study has revealed an association between WIC participation and non-initiation or discontinuation of breastfeeding in Louisiana mothers 1997-1999. • However, the data used in this analysis does not reflect the more recent breastfeeding promotional activities conducted in Louisiana WIC clinics.

  11. Conclusion continued • Current breastfeeding promotional practices of Louisiana WIC clinics are: • Mandatory breastfeeding training for staff • Breastfeeding counseling for mothers • Available breast pumps • Encouragement by staff at initial contact and follow-up visits • Promotional outreaches

  12. Recommendation • In order to increase the rates of breastfeeding in Louisiana, breastfeeding education and outreach efforts should be framed to reach Black women, women who are less educated and women who are current smokers.

  13. Questions/Comments Dionka C. Pierce, MPH Public Health Epidemiologist, LaPRAMS Coordinator Louisiana Office of Public Health dpierce@dhh.la.gov http://www.oph.dhh.state.la.us/maternalchild/laprams/index.html

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