Statewide Breastfeeding Hotline Use Among Tennessee WIC Participants.

OBJECTIVE: To examine the use of the Tennessee Breastfeeding Hotline (TBH), a 24 h/d, 7-d/wk telephonic lactation support program, based on Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participation.

METHODS: Self-reported quantitative data were collected during the initial call. Data collected included caller type, maternal and infant characteristics, breastfeeding (BF) status, and primary reason for contacting the TBH.

RESULTS: A total of 366 participants in WIC and 1,354 participants not enrolled in WIC received services through the TBH. Significant differences existed for maternal age, race, ethnicity, infant age, preterm delivery, caller type, and exclusive BF (P < .05). Among participants in WIC, lactation professionals primarily addressed concerns related to lactation and milk expression.

CONCLUSIONS AND IMPLICATIONS: The TBH is a resource to address BF concerns, particularly among women who may face barriers to seeking professional lactation advice. Special Supplemental Nutrition Program for Women, Infants, and Children agencies might consider implementing initiatives outside their standard scope of clinic practice to address participants' needs for BF support.