scholarly journals The Baby Friendly Hospital Initiative and breast feeding rates in Scotland

2005 ◽  
Vol 90 (2) ◽  
pp. F114-F116 ◽  
Author(s):  
M Broadfoot
2014 ◽  
Vol 18 (2) ◽  
pp. 189-197 ◽  
Author(s):  
Summer Sherburne Hawkins ◽  
Ariel Dora Stern ◽  
Christopher F Baum ◽  
Matthew W Gillman

AbstractObjectiveTo evaluate the impact of the Baby-Friendly Hospital Initiative (BFHI) on breast-feeding initiation and duration overall and according to maternal education.DesignQuasi-experimental study using data from five states (Alaska, Maine, Nebraska, Ohio, Washington) that participated in the Pregnancy Risk Assessment Monitoring System from 1999 to 2009. Using differences-in-differences models that included year and hospital fixed effects, we compared rates of breast-feeding initiation and duration (any and exclusive breast-feeding for ≥4 weeks) before and after BFHI accreditation between mothers who gave birth in hospitals that were accredited or became accredited and mothers from matched non-BFHI facilities. We stratified analyses into lower and higher education groups.SettingThirteen BFHI hospitals and nineteen matched non-BFHI facilities across five states in the USA.SubjectsMothers (n 11 723) who gave birth in BFHI hospitals and mothers (n 13 604) from nineteen matched non-BFHI facilities.ResultsAlthough we did not find overall differences in breast-feeding initiation between birth facilities that received BFHI accreditation compared with non-Baby-Friendly facilities (adjusted coefficient = 0·024; 95 % CI −0·00, 0·51), breast-feeding initiation increased by 3·8 percentage points among mothers with lower education who delivered in Baby-Friendly facilities (P = 0·05), but not among mothers with higher education (adjusted coefficient = 0·002; 95 % CI −0·04, 0·05). BFHI accreditation also increased exclusive breast-feeding for ≥4 weeks by 4·5 percentage points (P = 0·02) among mothers with lower education who delivered in BFHI facilities.ConclusionsBy increasing breast-feeding initiation and duration among mothers with lower education, the BFHI may reduce socio-economic disparities in breast-feeding.


2004 ◽  
Vol 190 (2) ◽  
pp. 413-421 ◽  
Author(s):  
Jane E Sisk ◽  
Ann Lennarson Greer ◽  
Martha Wojtowycz ◽  
Lani B Pincus ◽  
Richard H Aubry

2021 ◽  
pp. 1-13
Author(s):  
Nele Hockamp ◽  
Constanze Burak ◽  
Erika Sievers ◽  
Silvia Rudloff ◽  
Anja Burmann ◽  
...  

Abstract Objectives: The present study aimed to assess the current state of breast-feeding promotion in hospitals and the prevalence of breast-feeding during the first year of life in Germany and to compare the results with a study 20 years earlier. Design: In the studies on ‘breast-feeding and infant nutrition in Germany’ named ‘SuSe’, a cross-sectional survey in hospitals was combined with a subsequent prospective survey of breast-feeding and infant nutrition during the first year of life (0·5, 2, 4, 6 and 12 months after birth) in mother–infant pairs who were recruited in the hospitals. Written questionnaires and phone calls were used in SuSe I and web-based questionnaires in SuSe II. Breast-feeding promotion and prevalence were evaluated using recommendations from the WHO and the UNICEF. Setting: Two nationwide surveys SuSe I (1997–1998) and SuSe II (2017–2019). Participants: In SuSe I, 177 hospitals and 1717 mother–infant pairs and in SuSe II 109 hospitals and 962 mother–infant pairs were included. Results: In SuSe II, hospitals implemented seven of the WHO ‘Ten Steps to Successful Breastfeeding’ to a greater extent than the hospitals in SuSe I. More mothers exclusively breastfed for 4 months (57 % v. 33 %) and continued breast-feeding until 6 (78 % v. 48 %) and 12 months (41 % v. 13 %). In both studies, exclusive breast-feeding decreased between 4 and 6 months of age due to the introduction of complementary feeding. Conclusions: In Germany, breast-feeding habits have come closer to the recommendations over the last 20 years.


2018 ◽  
Vol 22 (5) ◽  
pp. 848-861 ◽  
Author(s):  
Mahesh Sarki ◽  
Alexandr Parlesak ◽  
Aileen Robertson

AbstractObjectiveBreast-feeding is an important determinant of health of mothers and their offspring. The present study aimed to compare breast-feeding rates across Europe disaggregated by maternal education and establish what proportion achieves at least 50 % exclusive breast-feeding (EBF) at 6 months.Design/SettingSecondary analysis of national or sub-national studies’ breast-feeding data for EU Member States plus Norway and Iceland, published in 2006–2016. Nineteen EU Member States plus Norway reported rates of EBF and any breast-feeding disaggregated by maternal education, of which only thirteen could be matched to the International Standard Classification of Education.ParticipantsMothers and their infants aged 0–12 months.ResultsData on EBF rates at 6 and 4 months were found in only four and six countries, respectively. At 6 months, EBF rates of 49 % in Slovakia and 44 % in Hungary were closest to WHO’s target of at least 50 % EBF. At 4 months, mothers with high education level in Denmark, the Netherlands and Germany had the highest EBF rates (71, 52 and 50 %, respectively). Mothers with low education level were less likely to initiate breast-feeding and cessation occurred early. The inequality gap ranged from 63 % in Irish mothers to no gap or very low levels of inequality in Poland, Sweden and Norway.ConclusionsMore mothers with high, compared with low, education initiate breast-feeding and practise EBF for longer. More European policies should be targeted to protect, support and promote breast-feeding, especially among mothers with only mandatory education.


2019 ◽  
Vol 6 (3) ◽  
pp. 195-198
Author(s):  
Dwi Yulinda ◽  
Imroatul Azizah

Background: Breastfeeding is exceptionally superior, giving mother and infants distinct and subtastial physical, mental, and developmental health advantages. Palm fruit has content of phytonutrients with antioxidant properties and galactagogues to help increase their milk supply in the early postpatum days. The lowest exclusive brest feeding rates in DIY is in the city of Yogyakarta. Exclusive breast feeding improves infant immunity so as to minimize the occurrence of diarrhea, constipation, fever that is caused by some allergic reactions. Objectifive: :This study aimed to analyze the relationship between date palm fruits on postpartum to prolactin and volume of breast milk Method: Research was conducted on maternal postpartum which is divided into two groups. They are the control group; and the treatment group which was given dates palm fruit. Breast milk volume and prolactin was measured at 3 day after labor. The analytical method used is Student T-test. Results: Date Palm fruits increased prolactin and volume of breast milk which was significantly on firstweek breastfeeding increase in the treatment group compared to the control group at p <0.05. Conclusion: Date Palm fruits is one of the alternatives that can be done to improve the success of exclusive breast feeding on postpartum. Key Words: Date palm fruit, postpartum, prolactin and volume of breast milk


2014 ◽  
Vol 2014 ◽  
pp. 1-16 ◽  
Author(s):  
Rashmi Ranjan Das ◽  
M. Jeeva Sankar ◽  
Ramesh Agarwal ◽  
Vinod Kumar Paul

Background. There is conflicting evidence regarding the safety and efficacy of bed sharing during infancy—while it has been shown to facilitate breastfeeding and provide protection against hypothermia, it has been identified as a risk factor for SIDS.Methods. A systematic search of major databases was conducted. Eligible studies were observational studies that enrolled infants in the first 4 weeks of life and followed them up for a variable period of time thereafter.Results. A total of 21 studies were included. Though the quality of evidence was low, bed sharing was found to be associated with higher breastfeeding rates at 4 weeks of age (75.5% versus 50%, OR 3.09 (95% CI 2.67 to 3.58),P=0.043) and an increased risk of SIDS (23.3% versus 11.2%, OR 2.36 (95% CI 1.97 to 2.83),P=0.025). Majority of the studies were from developed countries, and the effect was almost consistent across the studies.Conclusion. There is low quality evidence that bed sharing is associated with higher breast feeding rates at 4 weeks of age and an increased risk of SIDS. We need more studies that look at bed sharing, breast feeding, and hazardous circumstance that put babies at risk.


2006 ◽  
Vol 9 (6) ◽  
pp. 692-699 ◽  
Author(s):  
Philip J Schluter ◽  
Sarnia Carter ◽  
Teuila Percival

AbstractObjectivesTo present current breast-feeding rates for Pacific infants resident in New Zealand. Reasons for the introduction of complementary liquid foods were also explored.DesignA longitudinal study using hospital discharge summary records and maternal home interviews undertaken at 6 weeks, 12 and 24 months postpartum. Turnbull's non-parametric survival analysis was used to model exclusive breast-feeding rates.SettingAuckland, New Zealand.ResultsThe cohort comprised 1376 infants at 6 weeks, 1223 infants at 12 months and 1142 infants at 24 months. Exclusive breast-feeding rates at hospital discharge, 6 weeks, 3 and 6 months postpartum were 84% (95% confidence interval (CI): 80–88%), 49% (95% CI: 43–55%), 37% (95% CI: 32–42%) and 9% (95% CI: 7–11%), respectively. Significant ethnic difference existed, with Samoan mothers having higher exclusive breast-feeding rates than Tongan mothers (P = 0.002). The percentage of infants receiving any breast milk at hospital discharge, 6 weeks, 12 and 24 months was 96% (95% CI: 94–97%), 95% (95% CI: 94–96%), 31% (95% CI: 28–34%) and 15% (95% CI: 13–17%), respectively. Again ethnic differences emerged. Common reasons cited for discontinuation of exclusive breast-feeding included uncertainty of breast milk supply (56%), problems with breasts (30%) and difficulties breast-feeding in work or educational environments (26%). However, 691 (50%) mothers sought no advice about their breast-feeding concerns within the first six weeks of life.ConclusionsExclusive breast-feeding rates for Pacific infants are ethnically heterogeneous, have declined since the 1990s and fall short of the World Health Organization recommendations. The principal reasons cited for exclusive breast-feeding discontinuation echo those reported over a decade ago.


PEDIATRICS ◽  
1991 ◽  
Vol 88 (5) ◽  
pp. 1080-1080
Author(s):  
J. F. JEKEL ◽  
D. H. RUBIN ◽  
J. M. LEVENTHAL ◽  
P. A. KRASILNIKOFF ◽  
B. WEILE

The issues raised by Hopkinson in her letter in this issue are important questions. Hopkinson doubted that our findings are applicable to the United States, because the overall rate of initiating breast-feeding is different from Denmark. We suggested that our findings could be applied to middle class populations in the US because breast-feeding rates in Denmark are similar for this group, but we stated ". . . nor can they be extrapolated to rural or poor urban populations in developed nations." By not making a distinction between different groups within the US or other industrialized nations, Hopkinson unnecessarily limits the potential implications of our study.


2016 ◽  
Vol 15 (3) ◽  
pp. 244-248
Author(s):  
Chika I. Ndiokwelu ◽  
Odinakachukwu I.C. Nwosu ◽  
Peace Nwanneka Ani ◽  
Annastecia Ogechi Chizike ◽  
Maduforo Aloysius Nwabugo

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