Factors Influencing Feeding Decisions of Black and White Mothers of Preterm Infants
Article first published online: 12 MAY 2009
© 2009 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 38, Issue 3, pages 300–309, May/June 2009
How to Cite
Dowling, D. A., Shapiro, J., Burant, C. J. and Elfettoh, A. A. (2009), Factors Influencing Feeding Decisions of Black and White Mothers of Preterm Infants. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38: 300–309. doi: 10.1111/j.1552-6909.2009.01018.x
- Issue published online: 12 MAY 2009
- Article first published online: 12 MAY 2009
- Accepted December 2008
- preterm infant feeding decisions;
- racial differences;
- formula feeding
Objective: To examine the factors involved in mothers' decisions to provide breast milk for their premature infants and to determine if these factors differ between Black and White mothers.
Design: Secondary analysis of data from 2 primary studies at 2 time points within 2 days of hospital admission (T1) and just before discharge (T2).
Setting: Urban level III Neonatal Intensive Care Unit in the eastern United States.
Participants: Convenience sample of 80 mothers, 34 White and 46 Black, who delivered a singleton infant less than 30 weeks' gestation.
Outcome Measures: Mother-focused and infant-focused factors involved in the decision to breastfeed or formula feed as measured by the Preterm Infant Feeding Survey.
Results: Infant-focused scores ranked higher than mother-focused scores at T1. Mother-focused scores ranked higher than infant-focused scores at T2. Between T1 and T2, the increase in mother-focused scores and the decrease in infant-focused scores were significant. There were no significant differences between the Black and White mothers' scores at either time point.
Conclusion: Mothers' focus on factors that impact their feeding decisions change over time from their infant to themselves. Additionally, no differences were noted between the Black and White mothers.