Hospital Practices and Breastfeeding Rates before and after the UNICEF/WHO 20-Hour Course for Maternity Staff

Zakarija‐Grković, Irena; Šegvić, Olga; Božinović, Toni; Ćuže, Anamarija; Lozančić, Toni; Vuckovic, A.; Burmaz, Tea

doi:10.1177/0890334412447079

Cited by 30 publications

(71 citation statements)

References 11 publications

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“…A national study conducted in Croatia found that ABF rates improved from pre to post BFHI implementation, and ABF rates increased even further after community‐based support groups were introduced as part of the national breastfeeding programme strategy (Bosnjak et al, ). A more recent study conducted in a maternity ward in Croatia that assessed BFHI steps 4 to 9 found that exposing maternity staff to the 20‐h UNICEF/WHO BFHI training led to greater adherence to some steps 4 (early contact), 7 (rooming‐in) and 8 (BF on demand) (Zakarija‐Grkovic et al, ). The intervention increased EBF during the first 48 h after birth but was not associated with longer‐term benefits in breastfeeding outcomes.…”

Section: Resultsmentioning

confidence: 99%

Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Pérez‐Escamilla

Martinez

Segura‐Pérez

2016

Maternal & Child Nutrition

415

386

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The Baby-friendly Hospital Initiative (BFHI) is a key component of the World Health Organization/United Nations Children's Fund Global Strategy for Infant and Young Child Feeding. The primary aim of this narrative systematic review was to examine the impact of BFHI implementation on breastfeeding and child health outcomes worldwide and in the United States. Experimental, quasi-experimental and observational studies were considered eligible for this review if they assessed breastfeeding outcomes and/or infant health outcomes for healthy, term infants born in a hospital or birthing center with full or partial implementation of BFHI steps. Of the 58 reports included in the systematic review, nine of them were published based on three randomized controlled trials, 19 followed quasiexperimental designs, 11 were prospective and 19 were cross-sectional or retrospective. Studies were conducted in 19 different countries located in South America, North America, Western Europe, Eastern Europe, South Asia, Eurasia and Sub-Saharan Africa. Adherence to the BFHI Ten Steps has a positive impact on short-term, mediumterm and long-term breastfeeding (BF) outcomes. There is a dose-response relationship between the number of BFHI steps women are exposed to and the likelihood of improved BF outcomes (early BF initiation, exclusive breastfeeding (EBF) at hospital discharge, any BF and EBF duration). Community support (step 10) appears to be essential for sustaining breastfeeding impacts of BFHI in the longer term.

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Section: Resultsmentioning

confidence: 99%

Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Pérez‐Escamilla

Martinez

Segura‐Pérez

2016

Maternal & Child Nutrition

415

386

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“…Whilst all groups would benefit from an increase in positive attitude towards breastfeeding, bottle-feeding intenders and those with no clear intention might benefit from more intensive attempts to build self-efficacy in relation to breastfeeding (see [49,50]). In line with clinician expectations, we did find a small group of mothers with mixed-feeding intentions (10%), who were more likely to be of Pakistani origin.…”

Section: Discussionmentioning

confidence: 99%

What factors explain pregnant women’s feeding intentions in Bradford, England: A multi-methods, multi-ethnic study

Cabieses

Waiblinger

Santorelli

et al. 2014

BMC Pregnancy Childbirth

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BackgroundUsing a multi-methods approach we aimed to explore the relative prediction of demographic, socioeconomic and modifiable predictors from the Theory of Planned behaviour (TPB) in explaining feeding intentions amongst a multi-ethnic sample.Methods476 women completed a questionnaire at 28 weeks gestation. They were grouped into breastfeeding (N = 258), mixed-feeding (N = 50), bottle-feeding (N = 88) intenders, or a no clear intention (N = 88). Multinomial adjusted regressions explored the influence of modifiable TPB factors, along with ethnicity and socioeconomic status in predicting group membership. Free-text responses allowed women to elaborate on reasons behind their intention.ResultsTPB factors were significant predictors of feeding intention. Women with high intention to breastfeed were less likely to report high attitudes in any other feeding alternative. Bottle-feeding intenders reported poorer self-efficacy regarding breastfeeding compared to breastfeeding intenders (prevalence rate ratio, PRR = 0.10). Mixed and bottle-feeding intenders reported greater self-efficacy for mixed-feeding (PRR = 1.80, 5.50 respectively). Descriptive norms for mixed (PRR = 13.77) and bottle-feeding (PRR = 10.68) were predictive of mixed-feeding intention. Reasons for breastfeeding intentions related to health considerations, whilst bottle-feeding reasons related to convenience. Mixed-feeding intenders reported both breast and bottle-related factors.ConclusionsUnderstanding modifiable predictors related to feeding intentions like TPB factors can help professionals target appropriate interventions to encourage breastfeeding.

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“…Nurses can play a major role in preventing in-hospital supplementation that can impede the lactation process, associated with interruption of breastfeeding [14, 49]. The other significant barrier refers to the unfavorable remarks from the mother's support system with respect to nursing practices based on the BFHI.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses could benefit from the WHO/UNICEF 20-hour training, which seems to increase their self-efficacy in supporting mothers with breastfeeding [50]. This training is also known to foster a better compliance with the BFHI among nurses [1, 14, 17, 19, 50, 53], among organizations [19] and partners involved in the provision of care in the antenatal period [1]. Nonetheless, not all nurses adopt the BFHI, even with this training [20, 57].…”

Section: Discussionmentioning

confidence: 99%

“…Implementation of the baby-friendly initiative in the hospital and in the community is also associated with improvements in health professionals' skills, knowledge, and attitude towards the conditions to successful breastfeeding [13]. The BFHI is the most widely promoted initiative for increasing breastfeeding rates [14]. Currently, there are approximately 22,000 baby-friendly hospitals in 157 countries [1].…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing the Intention of Perinatal Nurses to Adopt the Baby-Friendly Hospital Initiative in Southeastern Quebec, Canada: Implications for Practice

Chabot¹,

Lacombe

2014

Nursing Research and Practice

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Nurses play a major role in promoting the baby-friendly hospital initiative (BFHI), yet the adoption of this initiative by nurses remains a challenge in many countries, despite evidences of its positive impacts on breastfeeding outcomes. The aim of this study was to identify the factors influencing perinatal nurses to adopt the BFHI in their practice. Methods. A sample of 159 perinatal nurses from six hospital-based maternity centers completed a survey based on the theory of planned behavior. Hierarchical multiple linear regression analyses were performed to assess the relationship between key independent variables and nurses' intention to adopt the BFHI in their practice. A discriminant analysis of nurses' beliefs helped identify the targets of actions to foster the adoption the BFHI among nurses. Results. The participants are mainly influenced by factors pertaining to their perceived capacity to overcome the strict criteria of the BFHI, the mothers' approval of a nursing practice based on the BFHI, and the antenatal preparation of the mothers. Conclusions. This study provides theory-based evidence for the development of effective interventions aimed at promoting the adoption of the BFHI in nurses' practice.

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Hospital Practices and Breastfeeding Rates before and after the UNICEF/WHO 20-Hour Course for Maternity Staff

Cited by 30 publications

References 11 publications

Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

What factors explain pregnant women’s feeding intentions in Bradford, England: A multi-methods, multi-ethnic study

Factors Influencing the Intention of Perinatal Nurses to Adopt the Baby-Friendly Hospital Initiative in Southeastern Quebec, Canada: Implications for Practice

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