| Changing hospital practices to increase the duration of breastfeeding. | |
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MedLine Citation:
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PMID: 8628605 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A Wright; S Rice; S Wells |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatrics Volume: 97 ISSN: 0031-4005 ISO Abbreviation: Pediatrics Publication Date: 1996 May |
Date Detail:
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Created Date: 1996-06-24 Completed Date: 1996-06-24 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 669-75 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Steele Memorial Children's Research Center, University of Arizona, Tucson, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Breast Feeding* Confounding Factors (Epidemiology) Evaluation Studies as Topic Female Follow-Up Studies Hospital Units / organization & administration Hospital-Patient Relations Hospitals, Teaching* / organization & administration Humans 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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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