Does Breastfeeding Education Affect Nursing Staff Beliefs, Exclusive Breastfeeding Rates, and Baby-Friendly Hospital Initiative Compliance? The Experience of a Small, Rural Canadian Hospital

2000 ◽  
Vol 16 (4) ◽  
pp. 309-318 ◽  
Author(s):  
Patricia Joan Martens
Keyword(s):  
Nursing Staff ◽  
Exclusive Breastfeeding ◽  
Baby Friendly Hospital Initiative ◽  
Canadian Hospital ◽  
Breastfeeding Education ◽  
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.

scholarly journals Promotion of Exclusive Breastfeeding in a Clinic Setting Did Not Increase Its Rates

2015 ◽  
Vol 6 (1) ◽  
pp. 40-44
Author(s):  
Allison L. Scott ◽  
Marie-Rachelle Narcisse ◽  
Lyla Lindholm
Keyword(s):  
Quality Improvement ◽  
Exclusive Breastfeeding ◽  
Infant Health ◽  
Quality Improvement Intervention ◽  
Education Intervention ◽  
Protective Effects ◽  
Care Clinic ◽  
Beneficial Effects ◽  
Breastfeeding Education ◽  
Breastfeeding Rates

Breastfeeding is known to have many protective effects on childhood health. Breastfeeding without supplementation or complementary foods until 6 months of age is inversely related to several health problems, including childhood obesity. Because of the known beneficial effects on infant health of breastfeeding, education on breastfeeding may impact exclusive breastfeeding rates, resulting in improved infant health status. This retrospective study, using Pender’s health promotion model and the theory of planned behavior (Pender, Murdaugh, & Parsons, 2011), explored the effect of a breastfeeding education intervention for quality improvement in an ambulatory care clinic on the rate of exclusive breastfeeding during the first 4 months of infancy, or short-term exclusive breastfeeding. Exclusive breastfeeding rates were measured after the 4-month well exam, which represents the time of the existence of the quality improvement intervention for 4–5 months. The expected outcome was a minimum 15% increase in exclusive breastfeeding rates in the participants who received the educational program as compared to the individuals who did not receive the breastfeeding education intervention. Contrary to expectations, the group receiving standard care had significantly higher rates of exclusive breastfeeding than those receiving the intervention.

Increasing the exclusive breastfeeding rate in a private hospital in UAE through quality improvement initiatives

2021 ◽  
pp. 1-7
Author(s):  
M. Kaushal ◽  
K. Sasidharan ◽  
A. Kaushal ◽  
P. Augustine ◽  
M. Alex
Keyword(s):  
Exclusive Breastfeeding ◽  
Care Staff ◽  
Direct Observations ◽  
Skin Contact ◽  
Breastfeeding Education ◽  
Breastfeeding Rate ◽  
Postnatal Mothers ◽  
Breastfeeding Rates ◽  
Skin To Skin ◽  
Antenatal Classes

BACKGROUND: Mother’s milk is the best, and ideal method for infant feeding. We found that this practice was not being followed in our hospital. A survey was conducted in the unit with regards to breastfeeding practices which revealed that most babies who were discharged from our nursery were on formula supplements. Our goal was to improve established breastfeeding rates in the unit by increasing the number of full-term healthy babies who were discharged on exclusive Breastfeeding. METHOD: A project team was formed, and data were collected through direct observations and direct interviews with postnatal mothers. Exclusive Breastfeeding at discharge was defined as a baby being fully on breastfeed with no additional formula supplements for at least 12 hours prior to discharge. The primary outcome was to increase the percentage of babies being discharged on exclusive Breastfeeding. We used the FOCUS PDCA model to measure improvements and 8 PDCA cycles of 4 weeks duration were implemented to test the changes. RESULTS: The interventions we put in place led to a considerable nine times overall improvement in the established breastfeeding rates. Among all the interventions, the most promising results were observed during the PDCA cycles involving staff education, the introduction of antenatal classes for mothers, skin to skin contact and rooming in. CONCLUSION: Breastfeeding rates in the private sector with nursery services can be improved by reinforcing breastfeeding education for mothers in addition to training the maternal care staff, empowering them to promote and assist in 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.

The Influence of Breastfeeding Educational Interventions on Breast Engorgement and Exclusive Breastfeeding: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 089033442110292
Author(s):  
Mega Hasanul Huda ◽  
Roselyn Chipojola ◽  
Yen Miao Lin ◽  
Gabrielle T. Lee ◽  
Meei-Ling Shyu ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Meta Analysis ◽  
Educational Interventions ◽  
Random Effects Model ◽  
Breast Pain ◽  
Randomized Controlled ◽  
Effective Components ◽  
Breastfeeding Education ◽  
Meta Regression ◽  
Meta Regression Analysis

Background Breast engorgement and breast pain are the most common reasons for the early cessation of exclusive breastfeeding by mothers. Research Aims (1) To examine the influence of breastfeeding educational interventions on breast engorgement, breast pain, and exclusive breastfeeding; and (2) to identify effective components for implementing breastfeeding programs. Methods Randomized controlled trials of breastfeeding educational interventions were searched using five English and five Chinese databases. Eligible studies were independently evaluated for methodological quality, and data were extracted by two investigators. In total, 22 trials were identified, and 3,681 participants were included. A random-effects model was used to pool the results, and a subgroup analysis and meta-regression analysis were conducted. Results Breastfeeding education had a significant influence on reducing breast engorgement at postpartum 3 days (odds ratio [OR]: 0.27, 95% CI [0.15, 0.48] p < .001), 4 days (OR: 0.16, 95% CI [0.11, 0.22], p < .001), and 5–7 days (OR: 0.24, 95% CI [0.08, 0.74], p = .013) and breast pain (standardized mean difference: −1.33, 95% CI [−2.26, −0.40]) at postpartum 4–14 days. Participants who received interventions had higher odds of exclusive breastfeeding. Breastfeeding educational interventions provided through lecture combined with skills practical effectively reduced breast engorgement (OR: 0.21; 95% CI [0.15, 0.28]; p = .001) and improved exclusive breastfeeding at postpartum 1–6 weeks (OR: 2.16; 95% CI [1.65, 2.83]; p = .001). Conclusions Breastfeeding educational interventions have been effective in reducing breast engorgement, breast pain, and improved exclusive breastfeeding. A combination of knowledge and skill-based education has been beneficial for sustaining exclusive breastfeeding by mothers.

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