Protocol Abstract of Mama Sana: Optimizing Health Outcomes for Spanish-speaking Mothers and Their Babies at Brigham and Women's Hospital. (14th June 2022)

• Record Type: Journal Article
• Authors: Garza, Elena Padilla; Andrews, Chloe; Olson, Ingrid; Schantz-Dunn, Julianna; Bryant, Susan; Riley, Jennifer; Podovei, Mihaela; Lee, Anne; Sen, Sarbattama
• Is Part Of: Current developments in nutrition. Volume 6(2022)Supplement 1
• Page Start: 1154
• Page End: 1154
• Publication Date: 2022-06-14
• Subjects: Nutrition -- Periodicals; Nutritional Physiological Phenomena; Nutrition; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 612.3
• DOI: 10.1093/cdn/nzac072.026
• Languages: English
• ISSNs: 2475-2991

Abstract

Abstract: Objectives: Mama Sana is a quality improvement program that will provide perinatal nutrition and breastfeeding (BF) counseling in a culturally and language-specific manner to Spanish-speaking patients at Brigham and Women's Hospital (BWH) (Boston, MA). Our goal is to increase rates of exclusive BF at discharge and 6-weeks postpartum (PP), decrease PP weight retention, and improve diet quality for all patients enrolled. Methods: Spanish-speaking patients screened and identified at a prenatal visit will be able to attend group virtual classes conducted in Spanish on BF, nutrition, and nutrition for gestational diabetes conducted by a bilingual registered dietitian and certified lactation counselor. Data on infant feeding intentions, diet quality, and perceived module effectiveness will be gathered using REDCap questionnaires. All Spanish-speaking patients who deliver at BWH will receive bedside lactation counseling, as well as follow-up counseling at 7–14 days, 3, and 6 months after delivery. We will collect information on BF status and lifestyle habits using standardized questionnaires during each call. Patients will have access to a Spanish BF "warmline" until 1 year PP. Information on maternal and infant health, delivery data, and comorbidities will be gathered from the electronic medical records of participants. Baseline data will be collected from Spanish-speaking patients who delivered at BWH and were discharged prior to program implementation. Results: We aim to perform 100 retrospective chart reviews and enroll 100 birthing parents prospectively to reach a total of 200 participants over 12 months. We will examine demographics and compare characteristics between the pre-and post-Mama Sana epochs using the Student's T-test or chi-squared test for continuous and categorical data, respectively. We will compare process measures, outcomes, and balancing measures by epoch using run charts and will examine changes over time. Conclusions: Mama Sana combines language and culturally concordant BF and nutrition counseling to target health issues affecting Spanish-speaking mother-infant dyads. We anticipate this wrap-around model will decrease disparities in health care delivery and improve BF initiation and duration rates, as well as diet quality and weight retention in enrolled mothers. Funding Sources: BWH Department of Pediatric of Newborn Medicine.