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Impact of Inpatient Patient-Provider Language Concordance on Exclusive Breastfeeding Rates Postpartum.
Abbate, Alexandra M; Saucedo, Alexander M; Ghartey, Jeny; López, Julia; Alvarez, Miriam; Hall, Emily; Avshman, Elaine; Okafor, Odera; Olshavsky, Megan; Harper, Lorie M; Cahill, Alison G.
Afiliación
  • Abbate AM; Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
  • Saucedo AM; Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas.
  • Ghartey J; Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas.
  • López J; Department of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St. Louis, Missouri.
  • Alvarez M; Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas.
  • Hall E; Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas.
  • Avshman E; Department of Obstetrics and Gynecology, Texas A&M University School of Medicine, Bryan, Texas.
  • Okafor O; Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California San Francisco School of Medicine, San Francisco, California.
  • Olshavsky M; Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas.
  • Harper LM; Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas.
  • Cahill AG; Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas.
Am J Perinatol ; 2024 Aug 29.
Article en En | MEDLINE | ID: mdl-39208872
ABSTRACT

OBJECTIVE:

Studies outside of obstetrics suggest that patient-provider language concordance may impact the efficacy of educational interventions and overall patient satisfaction. Many pregnant patients who present to the hospital for delivery with initial plans to exclusively breastfeed ultimately leave the hospital supplementing with formula. We aim to examine the impact of language concordance between patients and their primary bedside nurse during the delivery hospitalization period on the relationship between intended and actual feeding practices for term newborns of primiparous patients at a single institution. STUDY

DESIGN:

This is a single-center, prospective cohort of primiparous patients with term, singleton gestations admitted for delivery between February 2022 and January 2023. Participants completed a predelivery survey on arrival and a postpartum survey before hospital discharge. The primary outcome was the association between nurse-patient language concordance and postpartum exclusive breastfeeding. Multiple logistic regression analysis was performed to assess the primary outcome, and p-values < 0.05 were considered significant.

RESULTS:

Overall, 108 participants were surveyed, of which 84 (77.8%) noted language concordance with their primary nurse and 24 (22.2%) reported language discordance. The race/ethnicity, language spoken at home, reported plans to return to work, WIC (special supplemental nutrition program for women, infants, and children) enrollment, and prenatal feeding plan variables revealed significant differences in reported language concordance. Following adjustment for patient-reported prenatal feeding plan, patients who reported language concordance with their primary nurse were significantly more likely to exclusively breastfeed in the immediate postpartum period (adjusted odds ratio, 5.60; 95% confidence interval, 2.06-16.2).

CONCLUSION:

Patients who reported language concordance with their primary nurse were significantly more likely to breastfeed exclusively in the immediate postpartum period. These findings highlight that language concordance between patients and bedside health care providers may contribute to initiating and continuing exclusive breastfeeding during the peripartum period. KEY POINTS · Patients who reported language concordance with their primary nurse were more likely to breastfeed.. · Patient-Provider language concordance may impact infant feeding decisions in the postpartum period.. · More research is needed to further explore the impact of language concordance with other providers..
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Perinatol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Perinatol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos