Breastfeeding Outcomes Among WIC-Participating Infants and Their Relationships to Baby-Friendly Hospital Practices

Jung, Shelley; Nobari, Tabashir Z.; Whaley, Shannon E.

doi:10.1089/bfm.2019.0004

Cited by 24 publications

(34 citation statements)

References 19 publications

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“…This is the first study to examine the impact of maternity care practices on meeting prenatal breastfeeding intentions among a sample of low-income US women enrolled in WIC. Despite prenatal intention being a known predictor of breastfeeding outcomes among WIC participants, 22,23 fewer than half (47%) of women who prenatally intended to breastfeed their infants without use of formula or other milk at 1 month achieved their goal. Women who experienced maternity care practices supportive of breastfeeding were more likely to meet their prenatal intention.…”

Section: Discussionmentioning

confidence: 99%

Maternity Care Practices and Breastfeeding Intentions at One Month Among Low-Income Women

Beauregard

Perrine

et al. 2022

Pediatrics

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BACKGROUND: Maternity care practices have been linked with higher chances of meeting breastfeeding intentions, but this relationship has not been examined using national data on US low-income women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS: Using data from the WIC Infant and Toddler Feeding Practices Study-2 on 1080 women who intended to breastfeed, we estimated risk ratios for associations between (1) each of 6 maternity care practices supportive of breastfeeding (breastfeeding within 1 hour of birth, showing mothers how to breastfeed, giving only breast milk, rooming-in, breastfeeding on demand, no pacifiers), (2) each practice adjusted for all other practices, and (3) total number of practices experienced with whether women met their intention to feed only breast milk at 1 month old. Models were adjusted for demographics. RESULTS: In adjusted models (1), breastfeeding within 1 hour of birth, giving only breast milk, and no pacifiers were associated with higher likelihood of meeting prenatal breastfeeding intentions. Adjusting for all other practices (2), initiating breastfeeding within 1 hour of birth (risk ratio: 1.3; 95% confidence interval: 1.0–1.6) and giving only breast milk (risk ratio: 4.4; 95% confidence interval: 3.4–5.7) remained associated with meeting breastfeeding intention. There was a dose-response relationship between number of steps experienced and higher likelihood of meeting prenatal breastfeeding intentions (3). CONCLUSIONS: Women who experienced maternity care practices supportive of breastfeeding were more likely to meet their prenatal breastfeeding intentions, underscoring the importance of breastfeeding support during the birth hospitalization in enabling mothers to achieve their breastfeeding goals.

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Section: Discussionmentioning

confidence: 99%

Maternity Care Practices and Breastfeeding Intentions at One Month Among Low-Income Women

Beauregard

Perrine

et al. 2022

Pediatrics

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“…Additional studies are needed to evaluate whether hyperbilirubinemia and phototherapy outcomes improve with greater participation in the BFHI Ten Steps, as previous studies indicate that breastfeeding outcomes improve in a dose-response manner as facilities implement additional Baby-Friendly practices. 26,40,41 This study also examined 30-day hospital readmissions for hyperbilirubinemia as an important balancing measure. By examining this outcome, we sought to determine whether Baby-Friendly practices might be protective against early hyperbilirubinemia but then lead to new problems after discharge, since bilirubin levels are known to increase during the first week after birth.…”

Section: Discussionmentioning

confidence: 99%

Baby-Friendly Hospital Initiative Is Associated with Lower Rates of Neonatal Hyperbilirubinemia

Hudson

Charron

Maple

et al. 2020

Breastfeeding Medicine

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Background: The Baby-Friendly Hospital Initiative (BFHI) advances practices that support exclusive breastfeeding. BFHI practices are associated with increased breastfeeding rates, however, other patient outcomes are not well described. This study examined the association of BFHI practices with hyperbilirubinemia and phototherapy between groups of newborns born before and after BFHI implementation at an urban, tertiary academic medical center in South Carolina. Materials and Methods: We conducted a retrospective study of healthy, term newborns born between July and September 2011 (n = 956), before BFHI implementation, and newborns born during the same period in 2013 (n = 1,131) after BFHI implementation. Primary outcomes were neonatal hyperbilirubinemia, phototherapy treatment, and hospital readmissions for hyperbilirubinemia within 30 days of discharge. We compared rates of outcomes between the study groups using unadjusted and adjusted odds ratios (OR). Results: Among newborns born before versus after BFHI implementation, 20.3% versus 6.98% were diagnosed with hyperbilirubinemia ( p < 0.001), 5.75% versus 1.95% received phototherapy ( p < 0.001), and 0.31% versus 0.35% were readmitted to the hospital for hyperbilirubinemia within 30 days ( p = 0.88). In adjusted analyses, newborns born after BFHI implementation were significantly less likely to develop neonatal hyperbilirubinemia (OR 0.28 [95% confidence intervals; CI 0.20-0.37]) and receive phototherapy treatment (OR 0.27 [95% CI 0.15-0.49]) than newborns born before BFHI implementation. Conclusions: Implementation of BFHI practices is associated with significant decreases in neonatal hyperbilirubinemia and phototherapy without affecting readmission rates. Exclusive breastfeeding has traditionally been considered a risk factor for the development of neonatal jaundice. This study demonstrates that BFHI practices may mitigate that risk.

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“…These skills were provided to the study group by following the tools developed by the researcher which includes steps of procedure for each skill station. And the training was provided in the institution laboratory by using the mannequins [12][13][14][15].…”

Section: Methodsmentioning

confidence: 99%

“…Health professionals must not use caesarean sections to meet a specific goal or rate, but rather as an alternative option for patients' needs based on the situation, as clearly stated by WHO [11][12][13][14][15]. In hospital institution setting where no adequate resource and manpower to conduct safe operations for Caesarean sections can be a reason of arising numerous complications, mortality and morbidity [16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Impact of Skill Training Programme (STP) Regarding Postnatal Care of Mothers Who Underwent Lower Segment Caesarean Section on Competencies among Students: A Quasi-Experimental Study

Sahoo

Devi

2021

JPRI

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Background: In the twenty-first century, Caesarean section is the most frequent operation in obstetrics. Throughout the twentieth century, Caesarean sections have proven to be one of the most efficient abdominal procedures. Over the last three decades, the number of caesarean sections has risen considerably. Around the world, the number of caesarean sections performed is on the rise. From 2003 to 2018, it is more than doubled, reaching a peak of 21% and is growing at a rate of 4% every year. Today’s student nurse will become future nurse, so it’s vital create them competent while providing care to the mothers after lower section caesarean section. Objective: To assess current competencies among students on postnatal care of mothers who underwent lower section caesarean section in study group , to assess the impact of the skill training programme on the competencies of students in focused group & to find out the association between post-test competencies with the demographic variables of students of study group. Methods and Materials: The quasi-experimental with non-equivalent pre-test post-test design study was conducted on 30 students in each of experimental and control group by convenient sampling technique in two nursing institutions at Gurugram, Haryana. Results: Experimental group subjects enhanced the level of knowledge from 11.6 to 17.8 and their skill from 11.7 to 35.5 after implementing the skilled training programme, while the control group showed no improvement. There is a statistically significant transformation between the pre-test and post-test scores. Paired sample ‘t’ test was used to observe differences between pre and post-test mean scores. Students with prior knowledge were more competent, which is statistically noteworthy with a P value of < 0.001. Age, sex, religion, parents' education, and home location are not significant demographic characteristics. The Pearson chi square test was used to determine statistical significance. Conclusion: Skill training not only enhance knowledge in a specific field, but then also clarifies students how to network, accomplish to timeline, and connect efficiently with people. A competent student nurse can become a competent staff nurse by developing skill through effecting skill training program during study period.

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Breastfeeding Outcomes Among WIC-Participating Infants and Their Relationships to Baby-Friendly Hospital Practices

Cited by 24 publications

References 19 publications

Maternity Care Practices and Breastfeeding Intentions at One Month Among Low-Income Women

Maternity Care Practices and Breastfeeding Intentions at One Month Among Low-Income Women

Baby-Friendly Hospital Initiative Is Associated with Lower Rates of Neonatal Hyperbilirubinemia

Impact of Skill Training Programme (STP) Regarding Postnatal Care of Mothers Who Underwent Lower Segment Caesarean Section on Competencies among Students: A Quasi-Experimental Study

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