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Women Describing the Infant Feeding Choice: The Impact of the Special Supplemental Nutrition Program for Women, Infants, and Childrens Breastfeeding Classes in Ionia, Michigan Jennifer Proto, BA Public Health Associate Office for State, Tribal, Local and Territorial Support Centers for Disease Control and Prevention 2015 PHAP/PHPS Summer Seminar Wednesday, June 3, 2015 Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support

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Significance to Public Health Mothers in the Special Supplemental Nutrition Program for Women, Infants, and Children, a limited income group, are at risk for low breastfeeding rates and poor health outcomes.

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Background and Rationale for the Project Breastfeeding surveillance is important, yet does not provide an explanation. This project evaluated how women describe the impact of the breastfeeding classes, specifically the Bring Your Baby to Work program, on their infant feeding decisions at WIC in Ionia, MI.

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Methods The evaluation looked at two groups: Mothers in the breastfeeding class with the baby Mothers in the breastfeeding class without the baby The breastfeeding peer counselor administered pre and post surveys to each group. After collecting the surveys, all data was inputted into SPSS, and the following tests were run: Spearmans Rho test Gamma tests

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Results The breastfeeding class and the babys presence empowered women to make an infant feeding choice. Moderate correlation: decision to breastfeed and the classs impact on the ability to make an infant feeding choice Strong correlation: decision to breastfeed and the classs impact on the ability to make an infant feeding choice Strong correlation: desire to learn about breastfeeding and the classs impact on the ability to make an infant feeding choice Strong correlation: babys presence helpful in learning and influential in the decision to breastfeed

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The Decision to Breastfeed and the Classs Impact on the Infant Feeding Choice

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The Decision to Breastfeed and the Classs Impact on the Ability to Make an Infant Feeding Choice

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Desire to Learn about Breastfeeding and the Classs Impact on the Ability to Make an Infant Feeding Choice

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Babys Presence Helpful in Learning and Influential in the Decision to Breastfeed

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Results Women highly value the childs father and family members support and influence in making their infant feeding choices. Moderate/strong correlation: decision to breastfeed and the support of the childs father Moderate correlation: decision to breastfeed and the influence of family members

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The Decision to Breastfeed and the Support of the Childs Father

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The Decision to Breastfeed and the Influence of Family

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Implications for Practice Preliminary findings suggest that while WIC plays a role in womens infant feeding choices, women highly value the childs father and family members support and influence. To increase breastfeeding rates, Ionia WIC should look to involve these members. Further exploration will include administering the pre- and post-surveys to the classes without the baby present. Data within the group without the baby and across both groups will be analyzed.

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Thank you! I would like to thank my CDC supervisor, Linda Kirk, host site supervisor, Ken Bowen, collaborators, Laurie Brinks and Sara Hyland, and former professor, Aaron PeeksMease for their help and support in this project!

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For more information, please contact CDCs Office for State, Tribal, Local and Territorial Support 4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 E-mail: OSTLTSfeedback@cdc.govWeb: http://www.cdc.gov/stltpublichealthOSTLTSfeedback@cdc.govhttp://www.cdc.gov/stltpublichealth The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Any questions? Jennifer Proto ypo4@cdc.gov Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support