The authors report no conflict of interest or relevant financial relationships.
Costs Related to Promoting Breastfeeding Among Urban Low-Income Women
Article first published online: 12 DEC 2011
© 2011 AWHONN, the Association of Women's Health, Obsteric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 41, Issue 1, pages 144–150, January/February 2012
How to Cite
Frick, K. D., Pugh, L. C. and Milligan, R. A. (2012), Costs Related to Promoting Breastfeeding Among Urban Low-Income Women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: 144–150. doi: 10.1111/j.1552-6909.2011.01316.x
- Issue published online: 23 JAN 2012
- Article first published online: 12 DEC 2011
- Manuscript Accepted: AUG 2011
- National Institute of Health, National Institute of Nursing Research. Grant Number: 1RO1NR007675
- low-income women
To describe the costs of providing support to breastfeeding low-income women and compares costs to cost offsets of the intervention.
Secondary analysis of data from a randomized controlled trial of an intervention to promote breastfeeding among low-income women with full-term infants.
A university hospital and a community hospital in Baltimore, Maryland.
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) eligible breastfeeding women (N = 328) were randomized to usual care or the community health nurse/peer counselor intervention.
The researchers collected and described personnel and mileage costs over the entire duration of the intervention (24 weeks). Researchers also compared (using t tests) change in resources associated with breastfeeding including the number of clinic visits, hospital nights, emergency room visits, prescriptions, and formula feedings per day up to 12 weeks.
The cost of the personnel and travel required for the intervention was $296 per woman. The use of medical care and number of formula feedings per day were similar for the intervention and usual care groups. When differences in use of medical care and formula feeding were statistically significant, the intervention group used fewer resources.
Support for breastfeeding by community health nurses and peer counselors is partially offset by reducing medical care utilization and formula feeding costs.