Hi, my name is Bradley and I am a junior nursing student at the University 
of North Dakota. While looking through the archives I came across Barriers of 
Breastfeeding which caught my attention. We are all well aware of the vast 
array of benefits of breastfeeding for both moms and babies and the 
importance of getting off to a strong start. So I decided to take a look at 
some of the research out there to help identify some more barriers that 
through screening could hopefully help moms get off to a strong start. 
     According to an article by Callen and Pinelli (2005), preterm infants 
continue to have a decreased incidence and duration of breastfeeding 
compared to term infants. Some of the particular barriers they discovered 
leading to this decreased incidence of breastfeeding in preterm infants were; 
high levels of noise and stress, and complications of the fragile infant as well 
as exhaustion of the mother. 
     In an article by Heinig, et al. (2006), they have also discovered what 
appears to be a risk factor or barrier to breastfeeding. In a study done by 
Women, Infants, and Children (WIC), they discovered several key challenges 
to continuation of breastfeeding. In this low-income population formula 
feeding, starting solids early, and juices and sugary drinks were all common. 
     Raju (2006) has also identified some specific barriers to returning to work. 
Other employees perceptions about the process, thoughts of impeding the 
work of others, not a well defined area for privacy, and an inability to find 
good day care at an affordable rate close to work seemed to be distinguishing 
characteristics. 
     By screening for these barriers and trying to decrease some of the 
characteristics there would be potential to help moms overcome them and get 
started on a good breastfeeding program. I hope this helps, Brad

                                       References

Callen, J., & Pinelli, J. (2005). A review of the literature examining the benefits 
and challenges, incidence and duration, and barriers to breastfeeding in 
preterm infants. Advances in Neonatal care, 5(2), 72-88.
Heinig, J.M., Follett, J.R., Ishii, K.D., Kavanagh-Prochaska, K., Cohen, R., & 
Panchula, J. (2006). Barriers to compliance with infant-feeding 
recommendations among low-income women. Journal of Human Lactation, 22
(27), 27-38.
Raju, T. (2006). Continued barriers for breast-feeding in public and the work 
place. Journal of Pediatrics, 148(5):677-679.

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