Document Detail


Hospital-wide breastfeeding rates vs. breastmilk provision for very-low-birth-weight infants.
MedLine Citation:
PMID:  23174012     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To investigate the relationship between breastmilk feeding in very-low-birth-weight infants in the neonatal intensive care unit and breastmilk feeding rates for all newborns by hospital.
METHODS: This was a cross-sectional study of 111 California hospitals in 2007 and 2008. Correlation coefficients were calculated between overall hospital breastfeeding rates and breastmilk feeding rates of very-low-birth-weight infants. Hospitals were categorized in quartiles by crude and adjusted very-low-birth-weight infant rates to compare rankings between measures.
RESULTS: Correlation between breastmilk feeding rates of very-low-birth-weight infants and overall breastfeeding rates varied by neonatal intensive care unit level of care from 0.13 for intermediate hospitals to 0.48 for regional hospitals. For hospitals categorized in the top quartile according to overall breastfeeding rate, only 46% were in the top quartile for both crude and adjusted very-low-birth-weight infant rates. On the other hand, when considering the lowest quartile for overall breastfeeding hospitals, three of 27 (11%) actually were performing in the top quartile of performance for very-low-birth-weight infant rates.
CONCLUSIONS: Reporting hospital overall breastfeeding rates and neonatal intensive care unit breastmilk provision rates separately may give an incomplete picture of quality of care.
Authors:
Henry C Lee; Priya Jegatheesan; Jeffrey B Gould; Raymond A Dudley
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-12-27
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  102     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-06     Completed Date:  2013-08-20     Revised Date:  2014-03-07    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  268-72     Citation Subset:  IM    
Copyright Information:
©2012 The Author(s)/Acta Paediatrica ©2012 Foundation Acta Paediatrica.
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MeSH Terms
Descriptor/Qualifier:
Bottle Feeding / statistics & numerical data*
Breast Feeding / statistics & numerical data*
California
Cross-Sectional Studies
Hospitalization / statistics & numerical data
Humans
Infant Nutrition Disorders / prevention & control*
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / prevention & control*
Infant, Very Low Birth Weight
Intensive Care, Neonatal*
Milk, Human
Grant Support
ID/Acronym/Agency:
K23 HD068400/HD/NICHD NIH HHS; K23HD068400/HD/NICHD NIH HHS
Comments/Corrections

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