Long-term breastfeeding support: Failing mothers in need

Caitlin Cross-Barnet, Marycatherine Augustyn, Susan Gross, Amy Resnik, David Paige

Research output: Contribution to journalArticlepeer-review


This qualitative study analyzes mothers' reports of breastfeeding care experiences from pregnancy through infancy. Most research on medical support for breastfeeding examines a specific practice or intervention during an isolated phase of care. Little is know about how mothers experience breastfeeding education and support from the prenatal period through their child's first year. A convenience sample of 75 black andwhiteWICparticipants with infantswas recruited at three Maryland WIC agencies. In-depth interviews covered mothers' comprehensive experiences of breastfeeding education and support frompregnancy through the interviewdate. Most mothers received education or support from a medical professional prenatally, at the hospital, or during the child's infancy, but most also reported receiving no education or support at one or more of these stages. Mothers often felt provided education and support was cursory and inadequate. Some mothers received misinformation or encountered practitioners who were hostile or indifferent to breastfeeding. Mothers were not given referrals to available resources, even after reporting breastfeeding challenges. Mothers received inconsistent messages regarding breastfeeding within and across institutions. Mothers need consistent, sustained information and support to develop and meet personal breastfeeding goals.Medical professionals should followguidelines issued by their own organizations aswell as those fromtheUS SurgeonGeneral,Healthy People 2020, and theBaby Friendly Hospital Initiative. Prenatal, postnatal, and pediatric care providers should coordinate to provide consistent messages and practices within and across sites of care.

Original languageEnglish (US)
Pages (from-to)1926-1932
Number of pages7
JournalMaternal and child health journal
Issue number9
StatePublished - Dec 1 2012


  • Breastfeeding
  • Pediatrics
  • Post-partum
  • Prenatal
  • Qualitative

ASJC Scopus subject areas

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health


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