Matching Items (4)
155161-Thumbnail Image.png
Description
Exclusivity and duration of breastfeeding and the provision of human milk in the United States is suboptimal. In the absence of adequate banked donor human milk for distribution to all infants in need, many families choose to engage in the practice of Private Arrangement Milk Sharing (PAMS), partially facilitated through

Exclusivity and duration of breastfeeding and the provision of human milk in the United States is suboptimal. In the absence of adequate banked donor human milk for distribution to all infants in need, many families choose to engage in the practice of Private Arrangement Milk Sharing (PAMS), partially facilitated through social media, to procure human milk for their infants. Evidence regarding the participant and infant characteristics and risk abatement practices is incomplete. This dissertation describes and explores the characteristics of recipient participants and infants, family constellation, donor screening practices, and related risk abatement strategies. Data was collected via on-line survey as a sub-group of a larger data set including donor participants and international participants. Binary logistic regression modeling of factors that contribute to consistent screening and risk abatement practices and important antecedents to engaging in PAMS was conducted. Results are contextualized within a tailored socioecological framework of factors affecting infant feeding practices. Tailoring was accomplished via qualitative descriptive analysis of participant responses applied to an existing breastfeeding framework. Participants in this sample were predominantly white, married, with a mean age of 32.9 years, with at least some college education and above median income. Risk abatement and screening practices were influenced by support of a healthcare provider during decision-making, college education, infant age and health status, having lactation support, birth type and birth attendant, and the duration and sources sought for learning about milk sharing.
ContributorsBond, Angela Bowen (Author) / Reifsnider, Elizabeth G. (Thesis advisor) / Keller, Colleen (Committee member) / Todd, Michael (Committee member) / Arizona State University (Publisher)
Created2016
Description

The goal of this thesis was to better understand the lived experiences of an ethnically and linguistically diverse sample of mothers who gave birth during the COVID-19 pandemic. Pregnant women experience higher risk for severe COVID-19 outcomes compared to non-pregnant women. Yet the impact on women’s psychosocial wellbeing may be

The goal of this thesis was to better understand the lived experiences of an ethnically and linguistically diverse sample of mothers who gave birth during the COVID-19 pandemic. Pregnant women experience higher risk for severe COVID-19 outcomes compared to non-pregnant women. Yet the impact on women’s psychosocial wellbeing may be just as problematic, given new mothers’ increased risk for depression postpartum coupled with the loss of multiple forms of support so critical during the postpartum period and new stressors created by the pandemic. A universal testing strategy at a Labor & Delivery Unit at a hospital in the Southwestern U.S early in the pandemic identified that Communities of Color – particularly resettled refugee women - experienced COVID-19 infection at higher rates compared to White women. Therefore, this study investigates stressors and coping strategies specific to the pregnancy, birth, and postpartum periods in a linguistically diverse sample of 140 women (Swahili n=18 , Kinyarwanda n=18 , Burmese n=13, Arabic=11, Spanish n=35, English n=45) who gave birth between May and December 2020. Across groups, the most severe health stressor was fear of self or infant contracting COVID-19, leading to strict adherence to prevention measures among women, and feelings of social isolation. This was followed by anxiety for lack of social support at birth, and, in some women, management of other health concerns related to increased risk for adverse pregnancy or severe COVID-19 outcomes. Coping strategies included looking to religion or spirituality for comfort, as well as spending more time with family. This analysis of how the pandemic affected women’s psychosocial wellbeing from pregnancy to postpartum informs adaptation of care for linguistically and ethnically minoritized groups and their infants.

ContributorsAttasseril, Hannah (Author) / Adkins, Caroline (Co-author) / Schuster, Roseanne (Thesis director) / Wachter, Karin (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2023-05
ContributorsAttasseril, Hannah (Author) / Adkins, Caroline (Co-author) / Schuster, Roseanne (Thesis director) / Wachter, Karin (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2023-05
ContributorsAttasseril, Hannah (Author) / Adkins, Caroline (Co-author) / Schuster, Roseanne (Thesis director) / Wachter, Karin (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2023-05