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Journal of Human Lactation
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Calls to an Inner-City Hospital Breastfeeding Telephone Support Line

Laura Beth Chamberlain, BA, IBCLC

The Breastfeeding Center, Boston Medical Center, 850 Harrison Avenue, YACC-5, Boston, MA 02118.

Anne Merewood, MA, IBCLC

Boston University School of Medicine, The Breastfeeding Center, Boston Medical Center

Kirsten L. Malone, BA, IBCLC

The Breastfeeding Center, Boston Medical Center

Sabrina Cimo, MPH

Department of Pediatrics, Division of Neonatology, Boston Medical Center

Barbara L. Philipp, MD, FAAP, FABM, IBCLC

Boston University School of Medicine, The Breastfeeding Center, Boston Medical Center

Support for breastfeeding mothers after they leave the hospital is often inadequate in lowincome, inner-city areas where few resources are available. In becoming a Baby-Friendly Hospital, inner-city Boston Medical Center established a breastfeeding telephone support line to overcome this discrepancy. Records of support line calls for the first 5 years of operation were reviewed to record the level of need and determine reasons for use. A total of 1959 calls for 2482 reasons were received between January 1999 and December 2003. The most common reason for calling was "need help obtaining a breast pump" or "need information about breast pumps" (44%; 1096/2482), followed by "breast issue" (7%; 181/2482) and "milk supply question" (7%; 167/2482). The results indicate that inner-citywomen seek breastfeeding support and demonstrate a substantial need for breast pumps. These findings suggest that the lack of breast pumps may be a barrier to continued breastfeeding for inner-city breastfeeding women.

Key Words: breastfeeding • telephone support line • breast pump • inner city

Journal of Human Lactation, Vol. 21, No. 1, 53-58 (2005)
DOI: 10.1177/0890334404272512
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L. B. Chamberlain, M. McMahon, B. L. Philipp, and A. Merewood
Breast Pump Access in the Inner City: A Hospital-Based Initiative to Provide Breast Pumps for Low-income Women
J Hum Lact, February 1, 2006; 22(1): 94 - 98.
[Abstract] [PDF]