{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T23:49:49Z","timestamp":1773704989589,"version":"3.50.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>\n            Objective\u2003Studies outside of obstetrics suggest that patient\u2013provider language concordance may impact the efficacy of educational interventions and overall patient satisfaction. Many pregnant patients who present to the hospital for delivery with initial plans to exclusively breastfeed ultimately leave the hospital supplementing with formula. We aim to examine the impact of language concordance between patients and their primary bedside nurse during the delivery hospitalization period on the relationship between intended and actual feeding practices for term newborns of primiparous patients at a single institution.<\/jats:p><jats:p>\n            Study Design\u2003This is a single-center, prospective cohort of primiparous patients with term, singleton gestations admitted for delivery between February 2022 and January 2023. Participants completed a predelivery survey on arrival and a postpartum survey before hospital discharge. The primary outcome was the association between nurse\u2013patient language concordance and postpartum exclusive breastfeeding. Multiple logistic regression analysis was performed to assess the primary outcome, and p-values\u2009&lt;\u20090.05 were considered significant.<\/jats:p><jats:p>\n            Results\u2003Overall, 108 participants were surveyed, of which 84 (77.8%) noted language concordance with their primary nurse and 24 (22.2%) reported language discordance. The race\/ethnicity, language spoken at home, reported plans to return to work, WIC (special supplemental nutrition program for women, infants, and children) enrollment, and prenatal feeding plan variables revealed significant differences in reported language concordance. Following adjustment for patient-reported prenatal feeding plan, patients who reported language concordance with their primary nurse were significantly more likely to exclusively breastfeed in the immediate postpartum period (adjusted odds ratio, 5.60; 95% confidence interval, 2.06\u201316.2).<\/jats:p><jats:p>\n            Conclusion\u2003Patients who reported language concordance with their primary nurse were significantly more likely to breastfeed exclusively in the immediate postpartum period. These findings highlight that language concordance between patients and bedside health care providers may contribute to initiating and continuing exclusive breastfeeding during the peripartum period.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0044-1789587","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T23:18:35Z","timestamp":1724973515000},"page":"435-441","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Inpatient Patient\u2013Provider Language Concordance on Exclusive Breastfeeding Rates Postpartum"],"prefix":"10.1055","volume":"42","author":[{"given":"Alexandra M.","family":"Abbate","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander M.","family":"Saucedo","sequence":"additional","affiliation":[{"name":"Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeny","family":"Ghartey","sequence":"additional","affiliation":[{"name":"Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St. Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Avshman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Texas A&M University School of Medicine, Bryan, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Odera","family":"Okafor","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California San Francisco School of Medicine, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Olshavsky","sequence":"additional","affiliation":[{"name":"Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0132-2194","authenticated-orcid":false,"given":"Lorie M.","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison G.","family":"Cahill","sequence":"additional","affiliation":[{"name":"Department of Women's Health, The University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,8,29]]},"reference":[{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1186\/s13006-020-00341-5","article-title":"Factors that influence mothers' prenatal decision to breastfeed in Spain","volume":"15","author":"A Ballesta-Castillejos","year":"2020","journal-title":"Int Breastfeed J"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1007\/s10995-020-02928-0","article-title":"Psychosocial and 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Lewkowitz","year":"2018","journal-title":"Breastfeed Med"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1093\/jn\/nxz327","article-title":"Infant formula consumption is positively correlated with wealth, within and between countries: a multi-country study","volume":"150","author":"P AR Neves","year":"2020","journal-title":"J Nutr"},{"issue":"11","key":"ref13","first-page":"CD001688","article-title":"Interventions for promoting the initiation of breastfeeding","volume":"11","author":"O O Balogun","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"12","key":"ref14","first-page":"CD006425","article-title":"Antenatal breastfeeding education for increasing breastfeeding duration","volume":"12","author":"P Lumbiganon","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"104310","DOI":"10.1016\/j.ijnurstu.2022.104310","article-title":"Breastfeeding education in Chinese hospitals: a cross-sectional study","volume":"133","author":"C Huang","year":"2022","journal-title":"Int J Nurs Stud"}],"container-title":["American Journal of 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