Table 3 Community level healthcare facility breastfeeding interventions among women of color in the U.S. : Prenatal
| Study/Setting | Study Design/Data collection | Population | Intervention/Exposure | Outcomes/ Results | Grade |
|---|---|---|---|---|---|
|
Chae et al. [48] Family Medicine Outpatient Clinic |
Design: Prospective Data: 3rd prenatal trimester, 6–8 wks surveys |
Center Pregnancy Model (CPM) (n = 120); 15% A; 28.3% AA 30% H, 26.7% W Standard Care (SC) (n = 221); 16.7% A; 20.3% AA; 34.8% H; 26.7% W |
CPM: Via health care providers; 10 prenatal and 1 p.p. sessions SC group: Individual care | CPM Participants > 2 times more likely to BF at p.p. visit | Low |
|
Robertson et al. [49] Hospital based prenatal clinic |
Design: Two group, pre/post observational Data: prenatal and p.p. surveys |
CPM n = 24 H SC n = 25 H |
Midwife care to both groups. CPM: first 4 pregnancy months groups met once a month, then biweekly until delivery. SC: Individual prenatal care | NS BF differences at 6 weeks p.p. | Very low |
|
Trudnak et al. [50] Health Department Clinics |
Design: Retrospective Data: Chart review |
CPM n = 240 H SC n = 240 H |
CPM: prenatal group care SC: individual care | At 6 wks p.p. CPM participants more likely to FF. | Low |
|
Farr et al. [51] Women’s Health Clinics |
Design: Observational Data: Chart review |
Champion iPad app n = 132; 96.2% AA Positive messaging iPad app n = 111participants. 90.8% AA, |
Champion app helped mothers identify supportive BF champion. Positive messaging app offered BF information with picture; FAQ format. | For both apps, proportion of mothers who intended EBF prenatally more likely to EBF in-hospital increased (vs. those not intending EBF) | Very low |
|
Louis-Jacques et al. [52] Prenatal clinics |
Design: Prospective Data: Pre/post; BF survey data at 2–4 and 6–8 wks p.p. | N = 121; 63.6% H | Prenatal BF, medication and substance abuse education; via Doulas and IBCLC. | Women using medications at 2–4 and 6–8 weeks p.p. were less likely to EBF and more likely to mix feed or FF vs. mothers not taking medication 2–4 wks p.p. and 6-8 weeks p.p. | Low |