Disclosure of Commercial Support

CFPC Conflict of Interest

Presenter Disclosure Presenter: Rachel Scott Relationships with commercial interests: • Grants/Research Support: None • Speakers Bureau/Honoraria: None • Consulting Fees: None • Other: None

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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

Infant Feeding Choices

Why?

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Health benefits for mom

and baby

Disparities within priority

populations

Mediates effects on the SDOH

Breastfeeding

Breastfeeding Outreach Nurse

• 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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But how? Best approach? Best practices? Need?

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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 socio-economic status (SES)

in Niagara, and are less than 25 years of age.

Multi-Phase Strategy

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Knowledge

Influence

Support

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Engaging the Participation of Young Moms &

Community Partners

The “how”

SDOH Project - Phase 1 Focus Groups

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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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Young Moms Told Us…. “My boyfriend’s mom

did formula, she told me not to breastfeed”

“My mom called me crazy because I breastfed, she

didn’t breastfeed anyone.”

“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.

SDOH Project - Phase 2

Survey Completion

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• Focus session themes used to guide survey

development • Provided both electronic and paper options for

completion • Multi-faceted access/distribution strategy

How are Young Moms Feeding their Babies?

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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

Survey results…Influence The top 5 factors:

• 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

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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…

• 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

When find out they are pregnant Later in

pregnancy

After baby is born

28.1%

25.0%

20.6%

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%

Non-planners 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

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Creative Targeting

1.

2.

3.

Creative Engagement

Staying Connected

Now what…

• 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

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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

Project Activities

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Education/ Resources

Campaigning

Peer Support

Build Capacity in Community

Knowledge Exchange