Barriers and Facilitators to Exclusive Breastfeeding in Cincinnati Latina Women.

Introduction: The objective of this study was to explore reasons for formula supplementation and nonexclusive breastfeeding in our local Latinx population. Methods: We recruited self-identified Latinx women ≥18 years through community partners to complete a quantitative survey and qualitative interview exploring breastfeeding knowledge, infant feeding practices, attitudes about formula, and demographic data. Results: There were 76 completed surveys and 11 interviews. Most had breastfed (95%), but 86% had supplemented with formula, with 49% giving formula during the birth hospitalization. Ninety-three percent agreed that breast milk is the healthiest choice for babies, and themes in the interviews supported this facilitator. Satiety and low milk supply were common reasons for supplementation (47%) and breastfeeding discontinuation (33%). "Stigma" and "lack of cultural norm" were barriers identified in the interviews but not conveyed in the survey results. Conclusion: Though breastfeeding was common and well accepted, we identified barriers to exclusive breastfeeding that might account for the paradox of frequent formula supplementation reported.