The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

Munn, Allison C.; Newman, Susan D.; Mueller, Martina; Phillips, Shannon; Taylor, Sarah N.

doi:10.1089/bfm.2015.0135

Cited by 145 publications

(123 citation statements)

References 38 publications

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“…Breastfeeding obstacles after cesarean section include maternal mobility limitations, positioning difficulties, and frustration at the need for assistance. 43 In addition to Baby-Friendly accreditation 44 and tailored breastfeeding support for the population of dyads who experience operative childbirth, improved maternal access to infants while rooming-in with bassinets that attach to the maternal bedframe has been identified as a way to potentially facilitate breastfeeding and maternal satisfaction after cesarean section. 45 …”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Infant Feeding Outcomes and Maternal Emotional Well-being Among Mothers of Late Preterm and Term Infants

Tully

Holditch‐Davis

Silva

et al. 2017

Advances in Neonatal Care

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Background Late preterm birth is associated with lower rates of breastfeeding and earlier breastfeeding cessation than term birth. Purpose The objectives of this secondary analysis were to compare the incidence of exclusive breastfeeding after late preterm and term childbirth and to examine the association between infant feeding outcomes and maternal emotional well-being. Methods Participants were 105 mother-infant dyads (54 late preterm and 51 term) at a southeastern U.S. medical center. Face-to-face data collection and telephone follow up occurred during 2009-2012. Results Late preterm mothers were less likely to exclusively provide their milk than were term mothers during hospitalization. Feeding at one month did not differ between late preterm and term infants. Among late preterm mothers, (1) formula supplementation during hospitalization was associated with greater severity of anxiety compared to those exclusively providing formula and (2) exclusive provision of human milk at one month was associated with less severe depressive symptoms relative to those supplementing or exclusively formula feeding. Among term mothers, feeding outcome was not related to emotional well-being measures at either time point. Implications for Practice Mothers of late preterm infants may particularly benefit from anticipatory guidance and early mental health screening, with integrated, multidisciplinary lactation teams to support these interrelated health care needs Implications for Research Prospective research is critical to document women’s intentions for infant feeding and how experiences with childbirth and the early postpartum period impact achievement of their breastfeeding plans.

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Section: Discussionmentioning

confidence: 99%

The Relationship Between Infant Feeding Outcomes and Maternal Emotional Well-being Among Mothers of Late Preterm and Term Infants

Tully

Holditch‐Davis

Silva

et al. 2017

Advances in Neonatal Care

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“…On this regard, some countries like the United Kingdom or France do not use the international 75% criterion for accreditation (Malik & Cutting, ) to avoid a self‐selection effect. Scepticism towards the methodologies used to assess the impact of BFHI policies have increased over the years (Atchan et al, ; Bartington, Griffiths, Tate,, & Dezateux, ; Howe‐Heyman & Lutenbacher, ; Merewood et al, ; Munn, Newman, Mueller, Phillips, & Taylor, ; Patnode, Henninger, Senger, Perdue, & Whitlock, ) and with that, the impact of BFHI has been increasingly questioned (Brodribb et al, ; Gomez‐Pomar & Blubaugh, ; Howe‐Heyman & Lutenbacher, ). Prospective studies are needed to examine causal factors associated with increased or decreased BF rates within baby‐friendly hospitals (Merewood et al, ; Munn et al, ).…”

Section: Discussionmentioning

confidence: 99%

A comparison of exclusive breastfeeding in Belgian maternity facilities with and without Baby‐friendly Hospital status

Robert

Michaud-Létourneau

Dramaix-Wilmet

et al. 2019

Maternal & Child Nutrition

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A retrospective cross‐sectional study was carried out in Wallonia (the southern region of Belgium) in which a 20‐question breastfeeding (BF) module was included in an immunization survey. The purpose of this paper is to compare exclusive breastfeeding (EBF) prevalences and BF practices for mothers giving birth in Baby‐friendly Hospital Initiative (BFHI) and non‐BFHI maternity facilities. A total of 557 mothers responded to BF questions when their child was 18–24 months old; 26.7% of them delivered in a BFHI maternity facility. At discharge, a larger proportion of children were exclusively breastfed if they were born in a BFHI maternity facility (76.5% vs. 65.8%, p = .02). The median duration of EBF (15.0 vs. 12.9 weeks, p = .3), and the proportion of children exclusively breastfed at 5 months (16.8% vs 15.8%, p = 1.0) were similar in both groups. Few mothers knew that EBF was recommended for the first 6 months of life (28.6% in BFHI vs 23.1% in non‐BFHI, p = .2). For most groups of the population examined, the rates of BF tended to be higher in BFHI facilities, but many differences were not significant. More specifically, BFHI seemed to boost BF practices among mothers more likely to breastfeed, but the Initiative did not seem to trigger enhanced BF practices in mothers traditionally less likely to breastfeed (except for indifferent/negative partner's attitude and mothers of Belgian origin). Influencing the BF practices of mothers less likely to breastfeed requires a special attention with complementary actions in maternity facilities as well as in community services.

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“…In this trial, mothers delivering in BFHI hospitals demonstrated higher rates of both any breastfeeding and exclusive breastfeeding at 3 and 6 months and of any breastfeeding at 12 months compared with those delivering in control hospitals. Although several of these benefits have been demonstrated in the United States, there have been unique challenges to widespread implementation given the fragmented nature of the United States health care system. Furthermore, the impact of the BFHI in rural and ethnically diverse areas of the United States is poorly understood …”

Section: Introductionmentioning

confidence: 99%

Improved breastfeeding duration with Baby Friendly Hospital Initiative implementation in a diverse and underserved population

Kivlighan

Murray‐Krezan

Schwartz

et al. 2019

Birth

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Background Few studies have evaluated the impact of Baby Friendly Hospital Initiative (BFHI) implementation on underserved populations in the United States. We undertook this study in New Mexico, a large southwestern state with a diverse population and limited health care access. Methods A quasi‐experimental, retrospective cohort design was used to compare short‐term breastfeeding duration between a pre‐BFHI and a post‐BFHI cohort. Among the post‐BFHI cohort, logistic regression models were fitted to predict short‐term breastfeeding duration from both individual and cumulative exposure to inpatient maternity care practices (Steps 4 to 9). Results Implementation of the BFHI and cumulative exposure to the Ten Steps increased short‐term duration of any breastfeeding and exclusive breastfeeding at 2‐6 weeks postpartum. Exposure to all six of the inpatient Ten Steps increased the odds of any breastfeeding by 34 times and exclusive breastfeeding by 24 times. Exposure to Step 9 (“Give no pacifiers or artificial nipples”) uniquely increased the likelihood of any breastfeeding at 2‐6 weeks postpartum by 5.7 times, whereas Step 6 (“Give infants no food or drink other than breastmilk”) increased the rate of exclusive breastfeeding by 4.4 times at 2‐6 weeks postpartum. Conclusion These findings demonstrate that the Baby Friendly Hospital Initiative can have a positive impact on breastfeeding among underserved populations.

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The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

Cited by 145 publications

References 38 publications

The Relationship Between Infant Feeding Outcomes and Maternal Emotional Well-being Among Mothers of Late Preterm and Term Infants

The Relationship Between Infant Feeding Outcomes and Maternal Emotional Well-being Among Mothers of Late Preterm and Term Infants

A comparison of exclusive breastfeeding in Belgian maternity facilities with and without Baby‐friendly Hospital status

Improved breastfeeding duration with Baby Friendly Hospital Initiative implementation in a diverse and underserved population

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