Document Detail

Changing hospital practices to increase the duration of breastfeeding.
MedLine Citation:
PMID:  8628605     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To change the breastfeeding policy in a university teaching hospital in accord with the Ten Steps to Successful Breastfeeding of the United Nations Children's Fund and World Health Organization and to assess the impact of hospital practices on the duration of breastfeeding. METHODS: One hundred ninety-two and 392 postpartum women in a maternity ward were interviewed in 1990 and 1993, respectively, regarding how they were feeding their infants and feeding practices in the hospital. Between these two periods, the hospital infant-feeding policy was reviewed and revised in accord with the Ten Steps. Two hundred seventy of the mothers interviewed in 1993 were interviewed again when their infants were 4 months old regarding the duration of full and partial breastfeeding. RESULTS: By 1993, more newborns were put to the breast in the first hour of life (63.2% vs 24.8%); fewer breastfed infants were fed foods other than breast milk (27.9% vs 46.7%); and more mothers received breastfeeding guidance from hospital staff (81.9% vs 61.3%). The duration of breastfeeding in 1993 was longer for women who did not receive formula in the hospital, who were not given discharge packs containing formula and/or coupons, and who roomed-in more than 60% of the time. These associations persisted after controlling for confounding. CONCLUSION: Infant-feeding policies and practices are amenable to change, and policies such as the Baby-Friendly Hospital Initiative may contribute to an increase in the duration of breastfeeding.
A Wright; S Rice; S Wells
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  97     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-06-24     Completed Date:  1996-06-24     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  669-75     Citation Subset:  AIM; IM    
Department of Pediatrics, Steele Memorial Children's Research Center, University of Arizona, Tucson, USA.
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MeSH Terms
Breast Feeding*
Confounding Factors (Epidemiology)
Evaluation Studies as Topic
Follow-Up Studies
Hospital Units / organization & administration
Hospital-Patient Relations
Hospitals, Teaching* / organization & administration
Infant Food
Infant, Newborn
Intervention Studies
Interviews as Topic
Multivariate Analysis
Organizational Policy*
Patient Discharge
Personnel, Hospital
Policy Making
Rooming-in Care
Time Factors
United Nations
World Health Organization

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