The authors report no conflict of interest or relevant financial relationships.
Initiating and Sustaining Breastfeeding in African American Women
Version of Record online: 2 NOV 2010
© 2010 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 39, Issue 6, pages 667–674, November/December 2010
How to Cite
Lewallen, L. P. and Street, D. J. (2010), Initiating and Sustaining Breastfeeding in African American Women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 39: 667–674. doi: 10.1111/j.1552-6909.2010.01196.x
- Issue online: 2 NOV 2010
- Version of Record online: 2 NOV 2010
- Accepted August 2010
- focus groups;
Objective: To explore issues related to initiating and sustaining breastfeeding in African American women.
Design: Qualitative design using focus groups, guided by Leininger's theory of culture care diversity and universality.
Setting: Three different regions of a southeastern state in the United States.
Participants: Fifteen self-identified African American women who had recently breastfed were recruited by lactation consultants and by word of mouth.
Methods: Three focus groups were conducted with initial guiding questions. New ideas that emerged were fully explored in the group and included as a guiding question for the next group.
Results: Categories identified from the data were reasons to start and stop breastfeeding, advice about breastfeeding that was useful or not useful, and cultural issues related to breastfeeding that were perceived to be unique among African Americans. Three overall themes were identified that cut across categories: perceived lack of information about benefits and management of breastfeeding, difficulties breastfeeding in public, and lack of a support system for continued breastfeeding.
Conclusion: Women need to be taught early in their pregnancies about the benefits of breastfeeding and offered continuing support and teaching once breastfeeding is established. Peer support groups for breastfeeding African American women should be established.