{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:29:14Z","timestamp":1789500554783,"version":"build-2803163510"},"reference-count":45,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,8,9]],"date-time":"2025-08-09T00:00:00Z","timestamp":1754697600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institutes of Health","award":["P20GM109097"],"award-info":[{"award-number":["P20GM109097"]}]},{"name":"Fran and Earl Ziegler Endowed Chair in Nursing Research","award":["P20GM109097"],"award-info":[{"award-number":["P20GM109097"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Positive childbirth experiences increase breastfeeding in the early postpartum period. Using a diverse, clinic-based sample of predominately low-income women (n = 118) recruited at their first prenatal appointment in 2017\u20132018 and followed through six months postpartum, binary logistic regression analyses were used to examine the association between maternal satisfaction with perinatal care measured two weeks postpartum and breastfeeding at six months postpartum. Participants reported high satisfaction with perinatal care overall (mean = 25.7; range of 6\u201330), and 25% of participants reported breastfeeding at six months postpartum. Regression results found that greater satisfaction with perinatal care is associated with higher odds of breastfeeding at six months postpartum (OR = 1.19; p &lt; 0.05), controlling for sociodemographic characteristics. These findings that have important implications for providers as they identify a group at risk for shorter breastfeeding duration: those who are less satisfied with their perinatal care. More research is needed to identify methods providers can use to increase satisfaction with care as well as to successfully encourage and assist mothers with breastfeeding despite challenges that might arise during pregnancy or childbirth that are associated with low satisfaction.<\/jats:p>","DOI":"10.3390\/ijerph22081246","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T08:10:32Z","timestamp":1754899832000},"page":"1246","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Maternal Satisfaction with Perinatal Care and Breastfeeding at 6 Months Postpartum"],"prefix":"10.3390","volume":"22","author":[{"given":"Caitlin M.","family":"Dressler","sequence":"first","affiliation":[{"name":"Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0475-5817","authenticated-orcid":false,"given":"Karina M.","family":"Shreffler","sequence":"additional","affiliation":[{"name":"Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3500-7686","authenticated-orcid":false,"given":"Ingrid R.","family":"Wilhelm","sequence":"additional","affiliation":[{"name":"Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jameca R.","family":"Price","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The University of Oklahoma School of Community Medicine, Tulsa, OK 74135, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen P.","family":"Gold","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The University of Oklahoma School of Community Medicine, Tulsa, OK 74135, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e2022057989","DOI":"10.1542\/peds.2022-057989","article-title":"Technical report: Breastfeeding and the use of human milk","volume":"150","author":"Noble","year":"2022","journal-title":"Pediatrics"},{"key":"ref_2","unstructured":"World Health Organization (2025, July 24). The Optimal Duration of Exclusive Breastfeeding: Report of the Expert Consultation. Available online: https:\/\/apps.who.int\/nutrition\/publications\/infantfeeding\/WHO_NHD_01.09\/en\/index.html."},{"key":"ref_3","unstructured":"Centers for Disease Control and Prevention (2025, August 06). Maternity Practices in Infant Nutrition and Care (mPINCTM) Survey, Available online: https:\/\/www.cdc.gov\/breastfeeding-data\/mpinc\/?CDC_AAref_Val=https:\/\/www.cdc.gov\/breastfeeding\/data\/mpinc\/index.htm."},{"key":"ref_4","unstructured":"Centers for Disease Control and Prevention (2025, July 24). Breastfeeding Benefits Both Baby and Mom, Available online: https:\/\/www.cdc.gov\/breastfeeding\/features\/breastfeeding-benefits.html."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s13006-023-00571-3","article-title":"The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: An observational cohort study","volume":"18","author":"Pathirana","year":"2023","journal-title":"Int. Breastfeed. J."},{"key":"ref_6","unstructured":"World Health Organization (2025, July 24). Continued Breastfeeding for Healthy Growth and Development. Available online: https:\/\/www.who.int\/tools\/elena\/interventions\/continued-breastfeeding."},{"key":"ref_7","unstructured":"Pan American Health Organization (2025, July 24). Strengthening Maternal and Child Health Through Improved Breastfeeding Practices. Available online: https:\/\/www.paho.org\/en\/news\/15-6-2025-strengthening-maternal-and-child-health-through-improved-breastfeeding-practices."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e251540","DOI":"10.1001\/jamanetworkopen.2025.1540","article-title":"Breastfeeding duration and child development","volume":"8","author":"Goldstein","year":"2025","journal-title":"JAMA Netw. Open"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.pcl.2012.09.010","article-title":"Breastfeeding and health outcomes for the mother-infant dyad","volume":"60","author":"Dieterich","year":"2013","journal-title":"Pediatr. Clin. N. Am."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1002\/(SICI)1098-240X(199910)22:5<399::AID-NUR6>3.0.CO;2-4","article-title":"Development and psychometric testing of the breastfeeding self-efficacy scale","volume":"22","author":"Dennis","year":"1999","journal-title":"Res. Nurs. Health"},{"key":"ref_11","unstructured":"Centers for Disease Control and Prevention (2025, August 06). Breastfeeding Report Card United States, Available online: https:\/\/www.cdc.gov\/breastfeeding-data\/media\/pdfs\/2024\/05\/2020-breastfeeding-report-card-h.pdf."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1177\/0890334410362222","article-title":"Maternal hospital experiences associated with breastfeeding at 6 months in a northern California county","volume":"26","author":"Dabritz","year":"2010","journal-title":"J. Hum. Lact."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.jogn.2015.12.015","article-title":"The effects of single-family rooms on parenting behavior and maternal psychological factors","volume":"45","author":"Jones","year":"2016","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"153","DOI":"10.5603\/GP.a2018.0026","article-title":"Socio-demographic and psychological determinants of exclusive breastfeeding after six months postpartum\u2014a Polish case-cohort study","volume":"89","author":"Maliszewska","year":"2018","journal-title":"Ginekol. Pol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1111\/j.1523-536X.2007.00172.x","article-title":"Hospital practices that increase breastfeeding duration: Results from a population-based study","volume":"34","author":"Murray","year":"2007","journal-title":"Birth"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1111\/birt.12340","article-title":"Evaluation of factors contributing to the decline in exclusive breastfeeding at 6 months postpartum: The 2011\u20132016 National Surveys in Taiwan","volume":"45","author":"Waits","year":"2018","journal-title":"Birth"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Bizon, A.M.B., and Giugliani, E.R.J. (2023). Women\u2019s satisfaction with breastfeeding and risk of exclusive breastfeeding interruption. Nutrients, 15.","DOI":"10.3390\/nu15245062"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1177\/08445621221089475","article-title":"Birth experiences, breastfeeding, and the mother\u2013child relationship: Evidence from a large sample of mothers","volume":"54","author":"Davis","year":"2022","journal-title":"Can. J. Nurs. Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"01083","DOI":"10.1051\/shsconf\/20173701083","article-title":"The effects of women\u2019s satisfaction with their birth experience on breastfeeding sufficiency","volume":"37","year":"2017","journal-title":"SHS Web Conf."},{"key":"ref_20","first-page":"394","article-title":"Determinants of 6-month maternal satisfaction with breastfeeding experience in a multicenter prospective cohort study","volume":"28","author":"Ayral","year":"2012","journal-title":"J. Hum. Lact."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"342.e1","DOI":"10.1016\/j.ajog.2017.04.027","article-title":"The maternal childbirth experience more than a decade after delivery","volume":"217","author":"Bossano","year":"2017","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_22","first-page":"210","article-title":"Understanding and promoting birth satisfaction in new mothers","volume":"42","author":"Hinic","year":"2017","journal-title":"MCN"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e020347","DOI":"10.1136\/bmjopen-2017-020347","article-title":"Women\u2019s psychological experiences of physiological childbirth: A meta-synthesis","volume":"18","author":"Olza","year":"2018","journal-title":"BMJ Open"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1111\/birt.12534","article-title":"Women\u2019s satisfaction with childbirth in a public hospital in Brazil","volume":"48","author":"Lopes","year":"2021","journal-title":"Birth"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.tics.2022.12.002","article-title":"Matrescence: Lifetime impact of motherhood on Cognition and the brain","volume":"27","author":"Orchard","year":"2023","journal-title":"Trends Cogn. Sci."},{"key":"ref_26","first-page":"312","article-title":"The positive psychological impact of rich childbirth experiences on child-rearing","volume":"56","author":"Takehara","year":"2009","journal-title":"Jpn. J. Public Health."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/01.NMC.0000343867.95108.b3","article-title":"Women\u2019s lived experience of their unexpected birthing process","volume":"34","author":"Goldbort","year":"2009","journal-title":"J. Matern. Child Nurs."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1007\/s00737-017-0729-6","article-title":"Preventing traumatic childbirth experiences: 2192 women\u2019s perceptions and views","volume":"20","author":"Hollander","year":"2017","journal-title":"Arch. Women\u2019s Ment. Health"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.midw.2016.04.014","article-title":"The birth experience and women\u2019s postnatal depression: A systematic review","volume":"39","author":"Bell","year":"2016","journal-title":"Midwifery"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.yhbeh.2015.08.008","article-title":"Postpartum depression: Etiology, treatment and consequences for maternal care","volume":"77","author":"Brummelte","year":"2016","journal-title":"Horm. Behav."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1007\/s11920-017-0857-8","article-title":"Impact of postpartum mental illness upon infant development","volume":"19","author":"Hoffman","year":"2017","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/j.jogn.2016.04.010","article-title":"Predictors of breastfeeding confidence in the early postpartum period","volume":"45","author":"Hinic","year":"2016","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_33","first-page":"161","article-title":"Breastfeeding promotion and support: A quality improvement study","volume":"57","author":"Menichini","year":"2021","journal-title":"Ann. Dell\u2019istituto Super. Di Sanit\u00e0"},{"key":"ref_34","unstructured":"World Health Organization & United Nations Children\u2019s Fund (WHO\/UNICEF) (2025, July 29). Protecting, Promoting and Supporting Breast-feeding: The Special Role of Maternity Services\/a Joint WHO\/UNICEF Statement. Available online: https:\/\/apps.who.int\/iris\/handle\/10665\/39679."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1089\/bfm.2017.29038.ajk","article-title":"Academy of Breastfeeding Medicine ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017","volume":"12","author":"Kellams","year":"2017","journal-title":"Breastfeed. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1891\/1058-1243.24.2.102","article-title":"Health professionals\u2019 attitudes and beliefs about breastfeeding","volume":"24","author":"Radzyminski","year":"2015","journal-title":"J. Perinat. Educ."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"McLellan, J., and Laidlaw, A. (2013). Perceptions of postnatal care: Factors associated with primiparous mother\u2019s perceptions of postnatal communication and care. BMC Pregnancy Childbirth, 13.","DOI":"10.1186\/1471-2393-13-227"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1002\/nop2.257","article-title":"Predictors of breastfeeding self-efficacy among women attending an urban postnatal clinic, Uganda","volume":"6","author":"Nankumbi","year":"2019","journal-title":"Nurs. Open"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/S1701-2163(16)32757-8","article-title":"The Canadian maternity experiences survey: Design and methods","volume":"30","author":"Dzakpasu","year":"2008","journal-title":"J. Obstet.Gynaecol. Can."},{"key":"ref_40","unstructured":"Public Health Agency of Canada (2025, July 29). The Canadian Maternity Experiences Survey, Available online: https:\/\/www.canada.ca\/en\/public-health\/services\/injury-prevention\/health-surveillance-epidemiology-division\/maternal-infant-health\/canadian-maternity-experiences-survey.html."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Agampodi, S.B., Fernando, S., Dharmaratne, S.D., and Agampodi, T.C. (2011). Duration of exclusive breastfeeding: Validity of retrospective assessment at nine months of age. BMC Pediatr., 11.","DOI":"10.1186\/1471-2431-11-80"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"723","DOI":"10.15585\/mmwr.mm6627a3","article-title":"Racial and geographic differences in breastfeeding\u2014United States, 2011\u20132015","volume":"66","author":"Anstey","year":"2017","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.midw.2018.01.003","article-title":"Women\u2019s satisfaction with care at the birthplace in Austria: Evaluation of the Babies Born Better survey national dataset","volume":"59","author":"Luegmair","year":"2018","journal-title":"Midwifery"},{"key":"ref_44","unstructured":"(2023, June 07). Baby-Friendly USA. Available online: https:\/\/www.babyfriendlyusa.org\/."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"103350","DOI":"10.1016\/j.midw.2022.103350","article-title":"Maternal perceptions of breastfeeding support in a birth hospital before and after designation to the Baby-Friendly Hospital Initiative: A quasi-experimental study","volume":"110","author":"Lojander","year":"2022","journal-title":"Midwifery"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/8\/1246\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:27:02Z","timestamp":1760034422000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/8\/1246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,9]]},"references-count":45,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,8]]}},"alternative-id":["ijerph22081246"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22081246","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,9]]}}}