Quality improvement report: Effect on rates of breast feeding of training for the Baby Friendly Hospital Initiative

Cattaneo, Adriano; Buzzetti, Roberto

doi:10.1136/bmj.323.7325.1358

Cited by 184 publications

(221 citation statements)

References 21 publications

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“…This is in line with several previous studies (26,28,46) . CS has also been associated with delayed initiation of breast-feeding and late onset of lactation (47)(48)(49) .…”

Section: Discussionsupporting

confidence: 94%

“…Few studies have reported associations between the duration of exclusive or full breast-feeding and breastfeeding problems, transfer to a neonatal intensive care unit (NICU) or the size of the birth institution (24)(25)(26)(27) . In addition, studies investigating the association between delivery by Caesarean section (CS) and cessation of exclusive or full breast-feeding have also been inconclusive (23,24,28) .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of breast-feeding in the Norwegian Mother and Child Cohort Study and health service-related correlates of cessation of full breast-feeding

Häggkvist

Brantsæter

Grjibovski

et al. 2010

Public Health Nutr.

105

102

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Objective: First, to describe the prevalence of both full and partial breast-feeding during the first 6 months; second, to study the associations between selected health service-related factors and cessation of full breast-feeding at three time intervals. Design: Retrospective questionnaires, 6 months after birth. Setting: The Norwegian Mother and Child Cohort Study (MoBa). Subjects: In total, 29 621 women. Results: While 96?6 %, 94?0 %, 90?8 %, 86?9 %, 83?8 % and 80?0 % of the infants were breast-fed at 1, 2, 3, 4, 5 and 6 months, respectively, the corresponding proportions for full breast-feeding were 84?6 %, 79?1 %, 70?9 %, 44?0 %, 16?7 % and 2?1 %. An increased risk of cessation of full breast-feeding during the first month was associated with supplementation during the first week of life with water (relative risk (RR) 1?77; 95 % CI 1?52, 2?06), sugar water (RR 1?73; 95 % CI 1?49, 2?00) or formula (RR 5?99; 95 % CI 5?58, 6?42). An increased risk was also associated with Caesarean delivery (RR 1?08; 95 % CI 1?00, 1?16) and breast-feeding problems (RR 1?56; 95 % CI 1?45, 1?67). Between months 1 and 3, the risk of cessation of full breast-feeding remained elevated in the case of supplementation during the first week of life with water (RR 1?29; 95 % CI 1?14, 1?45), sugar water (RR 1?48; 95 % CI 1?34, 1?64) or formula (RR 1?18; 95 % CI 1?07, 1?29). The same applied to Caesarean delivery (RR 1?15; 95 % CI 1?06, 1?25). Conclusions: Supplementation during the first week, breast-feeding problems and Caesarean delivery are associated with early cessation of full breast-feeding. The results support a cautious approach to supplementation during the first week of life.

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“…This is in line with several previous studies (26,28,46) . CS has also been associated with delayed initiation of breast-feeding and late onset of lactation (47)(48)(49) .…”

Section: Discussionsupporting

confidence: 94%

mentioning

confidence: 99%

Prevalence of breast-feeding in the Norwegian Mother and Child Cohort Study and health service-related correlates of cessation of full breast-feeding

Häggkvist

Brantsæter

Grjibovski

et al. 2010

Public Health Nutr.

105

102

View full text Add to dashboard Cite

show abstract

“…There is enough evidence to show that lack of information for mothers; poor knowledge amongst health workers; underqualified health workers providing advice and the use of didactic lectures adversely affects breastfeeding [1,4,5]. Increasing knowledge and counseling skills of health workers and providing additional written instructions to mothers have been shown to improve breastfeeding rates [3,12,13]. This study did not focus on these issuses.…”

Section: Discussionmentioning

confidence: 99%

“…Deficits in the knowledge of health workers can be bridged by training, which should result in increased breastfeeding rates [12][13][14]. To translate training into increased breastfeeding rates in a culturally and ethnically diverse population like the Armed Forces, factors adversely affecting breastfeeding have to be identified.…”

Section: Introductionmentioning

confidence: 99%

Maternal and Neonatal Factors Adversely Affecting Breastfeeding in the Perinatal Period

Narayan

Natarajan

Bawa

2005

Medical Journal Armed Forces India

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Background: Despite its known advantages, breastfeeding rates are low world over. Large number of factors affect breastfeeding. This study was designed to detect maternal and neonatal factors that adversely affect breastfeeding in the perinatal period. Methods: A prospective, single-blinded study was conducted on randomly chosen mother-infant pairs in the maternity ward of a tertiary care service hospital. Only full term singletons born by normal vaginal delivery were studied. The B.R.E.A.S.T observation score and time spent by the infant at the mother's breast were primary outcome variables. Maternal age, gravida, para status and education level were recorded. Birth weight, sex, gestation age of the infant and time interval from birth to observation were also recorded. Initial univariate analysis followed by multivariate analysis was performed using SPSS ver 7.5 software. Results: A total of 54 mother-infant pairs formed the study group; 19(35.2%) were primigravidas. Primigravidas status of the mother led to significantly lower scores (p<0.04; 95% CI 0.10 to 3.62) as did maternal age < 26 years (p<0.04; 95% CI 0.2. to 3.46) on univariate analysis. Low birth weight (<2500 g) was the only neonatal factor that significantly lowered breastfeeding scores (p<0.02;95%Cl 0.56 to 6.31). On multivariate analysis only primigravida status was significantly associated with lower scores (p<0.02). The alpha value of the study was 5% and the power was 74%. Time spent by infant on breast was not significantly different between primigravida and non-primigravida mothers. Conclusion: Primigravida status adversely affects breastfeeding scores; therefore counseling and support should be focused on this group. Extra care should also be taken to ensure adequate breastfeeding by younger mothers and in those with low birth weight infants. Larger studies with long-term follow up will be able to identify other factors and dertermine the effects of focused counseling and support in the perinatal period upon long-term breastfeeding rates. MJAFI 2005; 61 : 216-219

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“…Other studies report that type of birth may be associated (33)(34)(35) , may not be associated (6,7,23) or may be weakly associated (36) with breast-feeding duration.…”

Section: Duration Of Breast-feedingmentioning

confidence: 99%

How to achieve long-term breast-feeding: factors associated with early discontinuation

Çamurdan

İlhan

Beyazova

et al. 2008

Public Health Nutr.

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Objectives: To evaluate the factors associated with discontinuation of breastfeeding before 12 months in order to make suggestions for achieving long-term breast-feeding. Design: A descriptive cross-sectional study. Setting: Gazi University Medical School, Ankara, Turkey. Subjects: Mothers of 1230 children who discontinued breast-feeding at least 15 d before the last visit were asked to fill out a questionnaire about the discontinuation process. Logistic regression analysis was performed to assess the independent effects of factors that might influence breast-feeding discontinuation. Results: Mean breast-feeding duration of the study group was 11?04 (SD 7?45) months. Introduction of bottle-feeding correlated with discontinuation of breast-feeding (r 5 0?507, P 5 0?001). Important risk factors for discontinuation of breast-feeding before the first 12 months were not exclusively breast-feeding at 3 and 6 months, prematurity, not having a plan about breast-feeding duration and maternity leave duration of #91 d for working mothers. The common reasons for abandoning breastfeeding in the first and second 6 months were similar, namely the mother's concerns about the sufficiency of breast milk. After 12 months and 18 months the reasons for discontinuation were the baby's unwillingness to eat solid foods while breast-feeding and the mother's perception that 'the baby is old enough', respectively. Conclusion: The factors that improve long-term breast-feeding are successful exclusive breast-feeding in the first few months, intention of the mother to breastfeed and sufficient duration of maternity leave. This study emphasizes the importance of successful breast-feeding counselling during the first few months to achieve the desired long-term breast-feeding.

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Quality improvement report: Effect on rates of breast feeding of training for the Baby Friendly Hospital Initiative

Abstract: Training for at least three days with a course including practical sessions and counselling skills is effective in changing hospital practices, knowledge of health workers, and breastfeeding rates.

Cited by 184 publications

References 21 publications

Prevalence of breast-feeding in the Norwegian Mother and Child Cohort Study and health service-related correlates of cessation of full breast-feeding

Prevalence of breast-feeding in the Norwegian Mother and Child Cohort Study and health service-related correlates of cessation of full breast-feeding

Maternal and Neonatal Factors Adversely Affecting Breastfeeding in the Perinatal Period

How to achieve long-term breast-feeding: factors associated with early discontinuation

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