Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum

Song, Heqing; Zhang, Yu; Li, Hang; Li, Mu; Jiang, Hong; Yang, Yizhao; Wu, Ying; Gu, Chunyi; Yu, Yulian; Qian, Xu

doi:10.3390/ijerph182111430

Cited by 11 publications

(9 citation statements)

References 27 publications

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“…Any time the baby is taken away from home, he may cry out of hunger. Similar to previous study [32,33], we found breastfeeding facilities in public are still inadequate and cannot provide mothers with enough security and convenience, despite China having already issued national guidelines for it in 2016 [34]. Some participants in this study were worried that they had to use the restroom or changing room to express breast milk with no available refrigerators for storing it after returning to work.…”

Section: Discussionsupporting

confidence: 67%

Breastfeeding demand of mothers of preterm infants in China: a qualitative study informed by the Behaviour Change Wheel

Liu

Xiong

et al. 2023

Preprint

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Background Breastfeeding has been recognized as the golden standard, but the breastfeeding rates of preterm infants remain low globally. Due to the lack of sound theoretical framework and the attention to maternal needs in breastfeeding, the overall evidence and effectiveness of intervention is limited. This study aimed to explore Chinese preterm mothers’ demands on breastfeeding using the Behaviour Change Wheel to provide insight into the future design of breastfeeding behavior-enhancing intervention. Method A qualitative descriptive design was conducted in Wuhan in 2022. Based on purposeful sampling, 14 preterm mothers were recruited from a NICU in a Grade Ⅲ Class A hospital in Wuhan, China. Face-to-face semi-structured interviews were conducted to collect data using the interview guide developed by the Theoretical Domains Framework. Theoretical Thematic Analysis was used to review the data in 6 steps to identify themes. Results Five major themes emerged: (1) capability: infants’ cues reading and abnormalities identification, coping knowledge accumulation, and skills training; (2) physical opportunity: cleanliness and peace in the home, privacy and breastfeeding aids in public places; (3) social opportunity: family co-parenting, peer support, authoritative advocacy; (4) reflective motivation: health outcome information; (5) automatic motivation: maternal-infant bonding, free of aversive stimulus. Conclusion Preterm mothers’ demands for breastfeeding were diverse including capability improvement, physical and social opportunities acquirement, as well as increase in reflective and automatic motivation. People, resources and environments associated with the demands should be engaged to enhance capability, create opportunities, and promote motivation. Future studies are needed to design effective interventions according to mothers’ specific demands.

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Section: Discussionsupporting

confidence: 67%

Breastfeeding demand of mothers of preterm infants in China: a qualitative study informed by the Behaviour Change Wheel

Liu

Xiong

et al. 2023

Preprint

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“…Being at postpartum care centers is a critical time for mothers to establish exclusive breastfeeding practices. Mothers’ experiences during this time affect whether they continue to engage in exclusive breastfeeding (for a duration of their choosing) after discharge [ 41 , 42 ]. Around the world, there is a gap between mothers’ feeding experiences and the application of rooming-in policies [ 11 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Rooming-In and Breastfeeding Duration in First-Time Mothers in a Modern Postpartum Care Center

Tsay

2022

IJERPH

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Uncertainty concerning the associations between rooming-in and breastfeeding duration remains at postpartum care centers. This cross-sectional study investigated the associations between the rooming-in policy and continual exclusive breastfeeding among first-time mothers at a postpartum center. Of the 160 participants, only 12.5% (n = 20) implemented full rooming-in. At 3-month follow-up, 85% (n = 17) of those individuals were exclusively breastfeeding. At the same time point, no participant practicing partial rooming-in (n = 140) was exclusively breastfeeding. The generalized estimating equation analysis indicated that full (24 h) rooming-in was statistically associated with continual exclusive breastfeeding 1 month postpartum (odds ratio (OR) = 0.90, p < 0.001) and 3 months postpartum (OR = 0.73, p < 0.001). Significant factors associated with a first-time mother’s willingness to practice full rooming-in included vaginal delivery, a prenatal decision to practice breastfeeding, and undergoing prenatal classes on both rooming-in and breastfeeding. Success with continual exclusive breastfeeding in the postpartum period is dependent on full rooming-in. The findings serve as a reference for promoting exclusive breastfeeding for the first 6 months, as recommended by the World Health Organization.

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“…The prevalence of EIBF was 60.3% in our study, which is similar to the rate recently reported by Huang et al (67.7%) for one district hospital in Shanghai, which could be attributed to the routine practice of putting babies to their mothers’ breasts at baby-friendly hospitals [ 22 ]. A study conducted at eight baby-friendly hospitals with a total of 707 pregnant women in Shanghai found that better BF supportive services during hospitalization for childbirth were significantly associated with a higher rate of EBF at discharge and six months postpartum [ 23 ]. In our study, we also found that women who were more satisfied with the support offered by medical staff after delivery were more positive about exclusive breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study

Hao

Wang

et al. 2022

Nutrients

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The status of breastfeeding practices remains unsatisfactory across China, but regional differences persist. However, disaggregated data for specific provinces are limited. This representative survey determined the status of breastfeeding and factors associated with breastfeeding practices in Shanghai. The questionnaire was designed in compliance with indicators for assessing infant and young child-feeding practices defined by the World Health Organization and the United Nations Children’s Fund (UNICEF). A total of 2665 children aged two years and younger (0–730 days) were investigated, among whom 1677 were aged under six months. The early initiation of breastfeeding (EIBF) rate was 60.3%. Among children aged under six months, 43.4% were exclusively breastfed (EBF). The univariate regression analysis showed that the EBF rate was influenced by multiple factors, including individual, socioeconomic, workplace and employment, and health system. The subsequent multivariate analysis suggested that mothers with a higher rate of EBF shared the following characteristics: intention to breastfeed during pregnancy, breastfeeding knowledge, and higher satisfaction with support through the healthcare system after delivery. The rate of EBF in Shanghai is over 40%, and supporting breastfeeding requires measures at multiple levels, including individual attributes, women’s work and employment conditions, breastfeeding knowledge, and health services.

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Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum

Cited by 11 publications

References 27 publications

Breastfeeding demand of mothers of preterm infants in China: a qualitative study informed by the Behaviour Change Wheel

Breastfeeding demand of mothers of preterm infants in China: a qualitative study informed by the Behaviour Change Wheel

Rooming-In and Breastfeeding Duration in First-Time Mothers in a Modern Postpartum Care Center

Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study

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