<P> There are also racial disparities in access to maternity care practices that support breastfeeding . In the US, primarily African - American neighborhoods are more likely to have facilities (such as hospitals and female healthcare clinics) that do not support breastfeeding, contributing to the low rate of breastfeeding in the African - American community . Comparing facilities in primarily African American neighborhoods to ones in primarily White neighborhoods, the rates of practices that support or discourage breastfeeding were: limited use of supplements (13.1% compared with 25.8%) and rooming - in (27.7--39.4%) </P> <P> Low - income mothers are more likely to have unintended pregnancies . Mothers whose pregnancies are unintended are less likely to breastfeed . </P> <P> Some women feel discomfort when breastfeeding in public . Public breastfeeding may be forbidden in some places, not addressed by law in others, and a legal right in others . Even given a legal right, some mothers are reluctant to breastfeed, while others may object to the practice . </P> <P> The use of infant formula was thought to be a way for western culture to adapt to negative perceptions of breastfeeding . The breast pump offered a way for mothers to supply breast milk with most of formula feeding's convenience and without enduring possible disapproval of nursing . Some may object to breastfeeding because of the implicit association between infant feeding and sex . These negative cultural connotations may reduce breastfeeding duration . Maternal guilt and shame is often affected by how a mother feeds her infant . These emotions occur in both bottle - and breast - feeding mothers, although for different reasons . Bottle feeding mothers may feel that they should be breastfeeding . Conversely, breastfeeding mothers may feel forced to feed in uncomfortable circumstances . Some may see breastfeeding as, "indecent, disgusting, animalistic, sexual, and even possibly a perverse act ." Advocates (known by the neologism "lactivists") use "nurse - ins" to show support for breastfeeding in public . Some advocates emphasize providing women with education on breastfeeding's benefits as well as problem - solving skills . </P>

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