The number of Baby Friendly hospital practices experienced by mothers is positively associated with breastfeeding: A questionnaire survey

Chien, Li Yin; Tai, Chen Jei; Chu, Kuei Hui; Ko, Yousang; Chiu, Yueh Chi

doi:10.1016/j.ijnurstu.2006.05.015

Cited by 40 publications

(66 citation statements)

References 12 publications

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“…9,[26][27][28] The present study confirms and extends previous study results that determinants of breastfeeding were multifaceted. 8,9,27,29 Consistent with previous research, 10,12,14 we found that two BFHI practices (i.e., initiation of breastfeeding within 1 hour and rooming-in practice) contributed to enhancing successful breastfeeding. However, a small proportion of women in this study was compliant with these two BFHI recommendations.…”

Section: Discussionsupporting

confidence: 88%

“…For example, the Baby-Friendly Hospital Initiative (BFHI) proposed by the United Nations Children's Fund (UNICEF) and WHO has been shown to effectively increase the rates of breastfeeding initiation and exclusivity, as well as the duration of breastfeeding. [10][11][12] The BFHI recommends a 10-Step Program for successful breastfeeding. Of the 10 Steps, early initiation of breastfeeding, full roomingin, breastfeeding on demand, and exclusive breastfeeding during the hospital stay appear to have a particularly strong and positive influence on breastfeeding duration.…”

Section: Introductionmentioning

confidence: 99%

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Maternal and Hospital Factors Associated with First-Time Mothers' Breastfeeding Practice: A Prospective Study

Tsai¹,

Huang²,

Lee

2015

Breastfeeding Medicine

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Continuity of breastfeeding is infrequent and indeterminate. Evidence is lacking regarding factors associated with breastfeeding at different postpartum time points. This prospective study investigated the change in, and correlates of, breastfeeding practices after delivery at a hospital and at 1, 3, and 6 months postpartum among first-time mothers. We followed a cohort of 300 primiparous mothers of Taiwan who gave birth at two hospitals during 2010-2011. Logistic and Cox regression analyses were performed to determine factors that were correlated with breastfeeding practices. In the study sample, the rate of exclusive breastfeeding during the hospital stay was 66%; it declined to 37.5% at 1 month and 30.2% at 3 months postpartum. Only 17.1% of women reported continuing breastfeeding at 6 months. Early initiation of breastfeeding, rooming-in practice, and self-efficacy were significantly related to exclusive breastfeeding during the hospital stay. After discharge, health literacy, knowledge, intention, and self-efficacy were positively and significantly associated with breastfeeding exclusivity. Later initiation (hazard ratio=1.53; 95% confidence interval, 1.05, 1.97), shorter intention (hazard ratio=1.42; 95% confidence interval, 1.13, 1.68), and self-efficacy (hazard ratio=0.98; 95% confidence interval, 0.96, 0.99) were important predictors of breastfeeding cessation within 6 months of delivery. Continuous breastfeeding practice for 6 months is challenging and difficult for new mothers. Results showed that factors related to breastfeeding varied over time after delivery. Interventions seeking to sustain breastfeeding should consider new mothers' needs and barriers at different times.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Maternal and Hospital Factors Associated with First-Time Mothers' Breastfeeding Practice: A Prospective Study

Tsai¹,

Huang²,

Lee

2015

Breastfeeding Medicine

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“…19,21,22 The literature suggested importance ranking and dose-response information for the change concepts. 4,5,23 All potential strategies to implement the change concepts were reviewed for pertinence, achievability, and redundancy and were codified in the Change Package by Department staff, breastfeeding experts, and NICHQ. Developing the Change Package was an iterative process over 3-4 months, with a final review conducted by the NY Breastfeeding Partnership Team.…”

Section: Model For Improvementmentioning

confidence: 99%

Development of the Breastfeeding Quality Improvement in Hospitals Learning Collaborative in New York State

Fitzpatrick

Dennison²,

Welge³

et al. 2013

Breastfeeding Medicine

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Exclusive breastfeeding is a public health priority. A strong body of evidence links maternity care practices, based on the Ten Steps to Successful Breastfeeding, to increased breastfeeding initiation, duration and exclusivity. Despite having written breastfeeding policies, New York (NY) hospitals vary widely in reported maternity care practices and in prevalence rates of breastfeeding, especially exclusive breastfeeding, during the birth hospitalization. To improve hospital maternity care practices, breastfeeding support, and the percentage of infants exclusively breastfeeding, the NY State Department of Health developed the Breastfeeding Quality Improvement in Hospitals (BQIH) Learning Collaborative. The BQIH Learning Collaborative was the first to use the Institute for Health Care Improvement's Breakthrough Series methodology to specifically focus on increasing hospital breastfeeding support. The evidence-based maternity care practices from the Ten Steps to Successful Breastfeeding provided the basis for the Change Package and Data Measurement Plan. The present article describes the development of the BQIH Learning Collaborative. The engagement of breastfeeding experts, partners, and stakeholders in refining the Learning Collaborative design and content, in defining the strategies and interventions (Change Package) that drive hospital systems change, and in developing the Data Measurement Plan to assess progress in meeting the Learning Collaborative goals and hospital aims is illustrated. The BQIH Learning Collaborative is a model program that was implemented in a group of NY hospitals with plans to spread to additional hospitals in NY and across the country.

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“…[10][11][12] Additionally, the concerted efforts of a strong breastfeeding advocacy and support network in metropolitan Philadelphia, committed to the BFHI, extends breastfeeding support beyond the hospital to a broader healthcare support network, including community organizations, primary care professionals, and hospitals. The challenge lies in determining how the needs of the motherinfant dyad can be served best by each member of this network to promote and support breastfeeding.…”

Section: Limitations and Significancementioning

confidence: 99%

“…9 Researchers also found a positive dose-response relationship between the number of Steps implemented within the hospital and overall breastfeeding duration. [10][11][12] Lactation difficulties during the hospital stay and within the first week following hospital discharge are associated with greater risk of early breastfeeding cessation and less success with breastfeeding future children. 13 Breastfeeding outcomes are affected by inconsistencies seen in healthcare staff training, 14 inadequate demonstration of proper breastfeeding techniques, 15 prolonged separation of the mother-infant dyad and delayed breastfeeding initiation, 16 and providing formula in the hospital discharge gift bags.…”

Section: Introductionmentioning

confidence: 99%

An Evaluation of Hospital Breastfeeding Policies in the Philadelphia Metropolitan Area 1994–2009: A Comparison with the Baby-Friendly Hospital Initiative Ten Steps

Crivelli-Kovach

Chung

2011

Breastfeeding Medicine

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The number of Baby Friendly hospital practices experienced by mothers is positively associated with breastfeeding: A questionnaire survey

Cited by 40 publications

References 12 publications

Maternal and Hospital Factors Associated with First-Time Mothers' Breastfeeding Practice: A Prospective Study

Maternal and Hospital Factors Associated with First-Time Mothers' Breastfeeding Practice: A Prospective Study

Development of the Breastfeeding Quality Improvement in Hospitals Learning Collaborative in New York State

An Evaluation of Hospital Breastfeeding Policies in the Philadelphia Metropolitan Area 1994–2009: A Comparison with the Baby-Friendly Hospital Initiative Ten Steps

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