Differences in Exclusive Breastfeeding Rates in US Hospitals According to Baby-Friendly Hospital Initiative Designation and Area Deprivation Index Category

2021 ◽  
Author(s):  
Julie A. Patterson ◽  
Nicholas S. Keuler ◽  
William R. Buckingham
Keyword(s):  
Exclusive Breastfeeding ◽  
Deprivation Index ◽  
Area Deprivation ◽  
Baby Friendly Hospital Initiative ◽  
Breastfeeding Rates

Baby-Friendly Hospital Initiative and Breastfeeding Among WIC-Participating Infants in Los Angeles County

2017 ◽  
Vol 33 (4) ◽  
pp. 677-683 ◽  
Author(s):  
Tabashir Z. Nobari ◽  
Lu Jiang ◽  
May C. Wang ◽  
Shannon E. Whaley
Keyword(s):  
Los Angeles ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Los Angeles County ◽  
Recent Effort ◽  
Baby Friendly Hospital Initiative ◽  
Breastfeeding Rates ◽  
Low Income Mothers ◽  
Birthing Hospitals ◽  
Hospital Practices

Background: Breastfeeding rates among low-income infants lag behind national rates. Policies such as the Baby-Friendly Hospital Initiative (BFHI) improve breastfeeding and may benefit low-income populations such as those who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). A recent effort exists to increase the number of Baby-Friendly designated hospitals in Los Angeles County (LAC). Research aim: This study aimed to determine whether the BFHI effort has had a beneficial effect on Baby-Friendly hospital practices in LAC hospitals and to determine if birthing hospitals’ Baby-Friendly designation status is associated with breastfeeding outcomes among WIC-participating children in LAC. Methods: Data came from the Los Angeles County WIC Survey (2008, 2011, 2014), which is conducted on a random sample of approximately 5,000 WIC families living in LAC. The prevalence of three Baby-Friendly hospital practices was examined between 2008 and 2014. Logistic regression was used to examine the association of birthing hospitals’ Baby-Friendly designation status with any breastfeeding and exclusive breastfeeding at 1, 3, and 6 months. Results: The rates of Baby-Friendly hospital practices have improved since 2008. Although no association existed with rates of any breastfeeding, being born in a hospital designated Baby-Friendly or in the process of obtaining this designation was significantly associated with an increased odds of exclusive breastfeeding at 1 and 3 months. Conclusion: The BFHI may help achieve recommended exclusive breastfeeding rates, especially for low-income populations. Additional strategies are needed to support low-income mothers in LAC with all levels of breastfeeding.

Compliance With WHO/UNICEF BFHI Standards in Croatia After Implementation of the BFHI

2017 ◽  
Vol 34 (1) ◽  
pp. 106-115 ◽  
Author(s):  
Irena Zakarija-Grković ◽  
Marija Boban ◽  
Sunčana Janković ◽  
Anamarija Ćuže ◽  
Tea Burmaz
Keyword(s):  
Exclusive Breastfeeding ◽  
Repeated Measures ◽  
Community Support ◽  
University Hospital ◽  
World Health ◽  
Baby Friendly Hospital Initiative ◽  
Who Standards ◽  
Breastfeeding Rates ◽  
Hospital Practices ◽  
Prospective Longitudinal

Background: The primary goal of the Baby-Friendly Hospital Initiative (BFHI) is to create conditions in maternity facilities that enable women to initiate and sustain the practice of breastfeeding exclusively. Research aim: This study aimed to determine hospital practices and breastfeeding rates before and after BFHI implementation and assess compliance with UNICEF/World Health Organization (WHO) standards for seven of the BFHI’s Ten Steps to Successful Breastfeeding ( Ten Steps). Methods: Mothers of healthy, term infants ( N = 1,115) were recruited from the postnatal ward of the University Hospital of Split, Croatia, between February 2008 and July 2011 and followed for 12 months in a repeated-measures, prospective, longitudinal, three-group, nonequivalent, cohort study. Breastfeeding rates, hospital practices—including seven of the Ten Steps—and maternal sociodemographic data were collected. Results: Parts of all seven Ten Steps that were assessed improved significantly post-BFHI. Step 3 (“antenatal education”) showed the least improvement, whereas Step 7 (“rooming-in”; 2.6% pre-BFHI vs. 98.5% post-BFHI) and Step 9 (“no pacifiers/teats”; 21.8% pre-BFHI vs. 99.4% post-BFHI) showed the greatest improvement. Six months after Baby-Friendly designation, only Steps 7 and 9 were in full compliance with UNICEF/WHO standards. In-hospital, exclusive-breastfeeding rates rose markedly ( p < .001), but no change occurred in breastfeeding rates at 3, 6, or 12 months. Conclusion: Full implementation of the BFHI was associated with significant improvement in hospital practices and in-hospital, exclusive-breastfeeding rates, but it did not affect breastfeeding rates postdischarge, emphasizing the vital role of community support. Baby-Friendly Hospital Initiative standards declined rapidly post-hospital designation, indicating the need for regular monitoring and reassessment as well as ongoing, effective training for hospital staff.

scholarly journals Impact of Baby-Friendly Hospital Initiative for Improving Exclusive Breastfeeding: A Systemic Review of Ten Steps to Successful Breastfeeding

2021 ◽  
pp. 881-896
Author(s):  
Nuraini Fauziah ◽  
Pandu Riono
Keyword(s):  
Systematic Review ◽  
Exclusive Breastfeeding ◽  
Protective Factor ◽  
Health Care Facilities ◽  
System Level ◽  
Systemic Review ◽  
Baby Friendly Hospital Initiative ◽  
Breastfeeding Rates ◽  
Initiative Program ◽  
The Impact

طThe Baby−Friendly Hospital Initiative (BFHI) launched by WHO / UNICEF has proven to be a powerful tool for raising breastfeeding rates. Breastfeeding is a protective factor for health, and breastfeeding promotion continues to be an important measure to improve child and maternal health in both developed and developing countries. A systematic review of the effect of BFHI worldwide found that the BFHI was the most effective intervention for improving breastfeeding rates at health system level and adherence to the Ten Steps positively affected short-, medium-, and long-term breastfeeding outcomes. This study therefore examines the impact of baby-friendly hospital initiatives for improving exclusive breastfeeding. This study used systematic review which performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The published literature was identified using relevant keywords. The initial screening was conducted by year of publication (8 years) and free full text, then reading the titles and abstracts. Nine articles were included in this review. The studies showed there were positive impacts in enhancement of exclusive breastfeeding after applied baby-friendly hospital initiative program. Rates of exclusive breastfeeding were demonstrably improved by applying BFHI with Ten Steps to Successful Breastfeeding at health care facilities to all mothers from pregnancy until postpartum.   Keywords: Baby-Friendly Hospital Initiative, breastfeeding, exclusive breastfeeding, Ten Steps, Ten Steps to Successful Breastfeeding

scholarly journals Baby Friendly Hospital Initiative Breastfeeding Outcomes in Mothers with COVID-19 Infection During the First Weeks of the Pandemic in Spain

2021 ◽  
pp. 089033442110391
Author(s):  
◽  
Miguel A Marín Gabriel ◽  
Laura Domingo Goneche ◽  
Irene Cuadrado Pérez ◽  
Mar Reyne Vergeli ◽  
...  
Keyword(s):  
Observational Study ◽  
Exclusive Breastfeeding ◽  
Protective Role ◽  
Baby Friendly Hospital Initiative ◽  
Skin Contact ◽  
Longitudinal Observational Study ◽  
Breastfeeding Rate ◽  
Breastfeeding Rates ◽  
Skin To Skin

Background: Adherence to the Ten Steps of the Baby-Friendly Hospital Initiative has been shown to have a protective role for the initiation and maintenance of breastfeeding. Research Aims: (1) To determine the breastfeeding rate during the first 6 months of life in children of mothers diagnosed with COVID-19 infection at the time of birth; and (2) to assess the possible influence of being born in a center with Baby-Friendly Hospital Initiative accreditation. Methods: This was a two-group comparative longitudinal observational study of infants born to mothers with COVID-19 at the time of birth, between March 13–May 31, 2020 (the first wave of the pandemic) in Spain. Fourteen Spanish hospitals participated, five (35.7%) were Baby-Friendly Hospital Initiative accredited. Type of feeding was assessed prospectively at discharge, 1, 3, and 6 months of age. A total of 248 newborns were included in the study. Results: A total of 117 (47.3%) newborns were born in Baby-Friendly Hospital Initiative (BFHI) accredited centers. These centers applied skin-to-skin contact with greater probability ( OR = 1.9; 95% CI [1.18, 3.29]) and separated the newborns from their mothers less frequently ( OR = 0.46; 95% CI [0.26, 0.81]) than non-accredited centers. No differences were observed in relation to the presence of a companion at the time of birth. At discharge, 49.1% ( n = 57) of newborns born in BFHI-accredited centers received exclusive breastfeeding versus 35.3% ( n = 46) in non-accredited centers ( p = .03). No differences were observed in breastfeeding rates throughout follow-up. Conclusions: The exclusive breastfeeding rate at discharge in children of mothers with COVID-19 infection at birth was higher in Baby-Friendly Hospital Initiative accredited centers, which most frequently applied skin-to-skin contact at birth as well as rooming-in.

Lactation Consultation by an International Board Certified Lactation Consultant Improves Breastfeeding Rates for Mothers With Gestational Diabetes Mellitus

2021 ◽  
pp. 089033442110186
Author(s):  
Laurie Beth Griffin ◽  
Jia Jennifer Ding ◽  
Phinnara Has ◽  
Nina Ayala ◽  
Martha B. Kole-White
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Gestational Diabetes ◽  
Hospital Discharge ◽  
Exclusive Breastfeeding ◽  
Secondary Analysis ◽  
Feeding Preference ◽  
Lactation Consultant ◽  
Breastfeeding Rates

Background In patients with gestational diabetes, breastfeeding decreases the lifetime risk of Type 2 diabetes by half. Lactation consultation has been shown to increase breastfeeding rates in the general population but has not been assessed in a gestational diabetes population. Research Aims To determine if (1) a postpartum International Board Certified Lactation Consultant (IBCLC) consultation during delivery hospitalization improved inclusive (any) or exclusive breastfeeding rates at hospital discharge and 3 months postpartum in participants with GDM; and if (2) obstetrical providers’ acknowledgement of maternal feeding preference affected the rates of IBCLC consultation for patients. Methods This was a retrospective, comparative, secondary analysis of a prospective cohort ( N = 517) study of women gestational diabetes. Participants who received a IBCLC consultation ( n = 386; 74.5%) were compared to those who did not ( n = 131; 25.5%). Baseline demographics, antepartum characteristics, neonatal information, mode of infant feeding at hospital discharge and 3 months postpartum, and IBCLC consultation during postpartum hospitalization were measured. Results After adjusting for baseline differences, participants who received an IBCLC consultation were more likely to report any breastfeeding at postpartum discharge (aOR 4.87; 95% CI [2.67, 8.86]) and at 3 months postpartum (aOR 5.39; 95% CI [2.61, 11.16]) compared to participants who did not. However, there was no difference in exclusive breastfeeding rates between those who did and did not receive IBCLC consultation. Conclusion Inpatient IBCLC consultation during the immediate postpartum period was associated with improved rates of any breastfeeding in participants with GDM.

Breastfeeding

2018 ◽  
Author(s):  
Marcie Richardson
Keyword(s):  
Infant Nutrition ◽  
Milk Composition ◽  
World Health ◽  
Medical Community ◽  
Baby Friendly Hospital Initiative ◽  
Skin Contact ◽  
The Us ◽  
The World ◽  
Breastfeeding Rates ◽  
Skin To Skin

Breastfeeding is endorsed by the medical community as the optimal nutrition for infants during the first 6-12 months of life.1,2,3  Breastfeeding rates in the US and worldwide have varied over time and still vary geographically.4 There is robust literature addressing the physiology of lactation, composition of breast milk, and health advantages of breastfeeding for both the mother and infant as well as strategies for clinicians to promote and support breastfeeding. This chapter reviews breastfeeding history, how milk is made, why breastfeeding matters, and the somewhat controversial the World Health Organization’s Baby Friendly Hospital Initiative (BFHI)5 for successful initiation of lactation as well as some special situations.    Key words:  breastfeeding, infant nutrition, human milk composition, breastfeeding advantages, lactation, lactation support, Baby Friendly Hospital Initiative, skin to skin contact

scholarly journals Area Deprivation Index Contributes to the Association of Race with Severe Maternal Morbidity

2022 ◽  
Vol 226 (1) ◽  
pp. S38-S39
Author(s):  
Francis M. Hacker ◽  
Jaclyn M. Phillips ◽  
Lara S. Lemon ◽  
Aislin DeFilippo ◽  
Hyagriv Simhan
Keyword(s):  
Maternal Morbidity ◽  
Deprivation Index ◽  
Severe Maternal Morbidity ◽  
Area Deprivation
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