Document Detail


Effect of maternity-care practices on breastfeeding.
MedLine Citation:
PMID:  18829830     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our goal was to assess the impact of "Baby-Friendly" hospital practices and other maternity-care practices experienced by mothers on breastfeeding duration. METHODS: This analysis of the Infant Feeding Practices Study II focused on mothers who initiated breastfeeding and intended prenatally to breastfeed for >2 months, with complete data on all variables (n = 1907). Predictor variables included indicators of 6 "Baby-Friendly" practices (breastfeeding initiation within 1 hour of birth, giving only breast milk, rooming in, breastfeeding on demand, no pacifiers, fostering breastfeeding support groups) along with several other maternity-care practices. The main outcome measure was breastfeeding termination before 6 weeks. RESULTS: Only 8.1% of the mothers experienced all 6 "Baby-Friendly" practices. The practices most consistently associated with breastfeeding beyond 6 weeks were initiation within 1 hour of birth, giving only breast milk, and not using pacifiers. Bringing the infant to the room for feeding at night if not rooming in and not giving pain medications to the mother during delivery were also protective against early breastfeeding termination. Compared with the mothers who experienced all 6 "Baby-Friendly" practices, mothers who experienced none were approximately 13 times more likely to stop breastfeeding early. Additional practices decreased the risk for early termination. CONCLUSIONS: Increased "Baby-Friendly" hospital practices, along with several other maternity-care practices, improve the chances of breastfeeding beyond 6 weeks. The need to work with hospitals to implement these practices continues to exist, as illustrated by the small proportion of mothers who reported experiencing all 6 of the "Baby-Friendly" hospital practices measured in this study.
Authors:
Ann M DiGirolamo; Laurence M Grummer-Strawn; Sara B Fein
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatrics     Volume:  122 Suppl 2     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-02     Completed Date:  2008-11-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S43-9     Citation Subset:  AIM; IM    
Affiliation:
Emory University, Hubert Department of Global Health, 1518 Clifton Rd, NE, Atlanta, GA 30307, USA. adigiro@sph.emory.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Breast Feeding / statistics & numerical data*
Female
Hospital-Patient Relations
Hospitals
Humans
Infant
Infant Care / methods*
Infant, Newborn
Maternal Behavior
Mother-Child Relations
Patient Education as Topic*
Postnatal Care / methods*
Pregnancy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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