Table 2.
Associations of Maternal Race/Ethnicity and Primary Language with Mother's Milk Provision and with Receipt of Hospital Support Practices (English-Speaking Non-Hispanic White as Reference, n = 348)
| NHB |
Hispanic |
|||
|---|---|---|---|---|
| English n = 143 | Non-English n = 27 | English n = 90 | Non-English n = 44 | |
| Mother's milk provision at specific time points | aOR (95% CI) | aOR (95% CI) | aOR (95% CI) | aOR (95% CI) |
| Day 7 any mother's milk | 0.61 (0.36–1.04) | 1.27 (0.35–4.62) | 0.87 (0.45–1.66) | 1.10 (0.43–2.83) |
| Day 7 exclusive mother's milk | 0.64 (0.40–1.00) | 0.53 (0.20–1.40) | 0.89 (0.43–1.83) | 0.54 (0.32–1.01) |
| Day 28 any mother's milk | 0.51 (0.30–0.88) | 1.58 (0.33–7.59) | 0.59 (0.31–1.13) | 0.42 (0.18–0.92) |
| Day 28 exclusive mother's milk | 0.37 (0.23–0.60) | 0.41 (0.14–1.20) | 0.52 (0.24–1.12) | 0.35 (0.20–0.62) |
| Discharge/transfer any mother's milka | 0.28 (0.17–0.44) | 0.55 (0.19–0.98) | 0.63 (0.24–1.00) | 0.29 (0.21–0.87) |
| Discharge/transfer exclusive mother's milka | 0.30 (0.18–0.48) | 0.34 (0.14–0.84) | 0.59 (0.30–1.16) | 0.47 (0.22–0.73) |
| Hospital support practices | ||||
| Prenatal consultation with education on human milk benefits | 0.91 (0.42–1.98) | 0.54 (0.14–2.07) | 4.43 (0.92–21.3) | 6.24 (0.74–52.59) |
| First milk expression within 6 hours | 0.66 (0.44–1.03) | 0.23 (0.08–0.64) | 0.54 (0.32–1.00) | 0.90 (0.42–1.94) |
| First lactation visit within 24 hours | 0.71 (0.38–1.30) | 1.03 (0.32–3.30) | 0.87 (0.36–2.11) | 0.69 (0.25–1.95) |
| Any skin-to-skin with the mother on day 7, 14, 21, or 28 | 0.81 (0.52–1.22) | 1.39 (0.56–2.43) | 0.97 (0.58–1.63) | 0.66 (0.32–0.89) |
Models adjusted for gestational age, birthweight, and clustering by plurality and hospital. Infants that were NPO at each time point were excluded in the respective models (day 7, 4.3%; day 28, 2.6%; discharge/transfer, 2.3%).
Additional adjustment for length of stay. Bold indicates p < 0.5.
aOR, adjusted odds ratio; CI, confidence interval.