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 Initial difficulties with breastfeeding technique and the impact on duration of exclusive breastfeeding

2018 ◽  
Vol 18 (3) ◽  
pp. 517-526
Author(s):  
Gessandro Elpídio Fernandes Barbosa ◽  
Janeide M. Pereira ◽  
Marianne S. Soares ◽  
Luciana Barbosa Pereira ◽  
Lucinéia Pinho ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Protective Factor ◽  
Family Income ◽  
Multiple Regression Model ◽  
Discharge Data ◽  
Maternal Schooling ◽  
Nursing Mothers ◽  
Observation Protocol ◽  
A Prospective Study ◽  
The Impact

Abstract Objectives: the present study aimed to evaluate the influence of initial difficulties in breastfeeding on duration of exclusive breastfeeding. Methods: a prospective study with follow up of nursing mothers and their babies in the first six months of age. The studied population was randomly selected among the Brazilian public health system (SUS, Portuguese acronym) users in three hospitals. The breastfeeding observation protocol was used to collect initial data, which also included socio-demographic, prenatal assistance, delivery care, the postpartum period and the newborn variables. After hospital discharge, data were collected by phone. The multiple regression model was used for statistical analysis. Results: 175 mother-baby binomials were followed. Problems with breasts during the postpartum hospital stay (p= 0.030; OR=2.38; CI95%=1.02-5.48), maternal work outside home (p=0.027; OR=2.12; CI95%=1.03-4.31) and low maternal schooling level (p=0.017; OR=2.13; CI95%=1.10-4.06) were shown to be associated with the early interruption of exclusive breastfeeding before the child has completed 6 months of age. A family income lower than one minimum wage was a protective factor (p=0.048; OR=0.42; CI95%=0.17-0.97). Conclusions: socioeconomic aspects and difficulties in breastfeeding associated with problems with the puerperal breasts stood out as factors which restrict the duration of exclusive breastfeeding.

scholarly journals Evaluation of the impact of breastfeeding support groups in primary health centres in Andalusia, Spain: a study protocol for a cluster randomized controlled trial (GALMA project)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Isabel Rodríguez-Gallego ◽  
Fatima Leon-Larios ◽  
Cecilia Ruiz-Ferrón ◽  
Maria-de-las-Mercedes Lomas-Campos
Keyword(s):  
Support Groups ◽  
Exclusive Breastfeeding ◽  
Intervention Group ◽  
World Health ◽  
Control Group ◽  
Breastfeeding Initiation ◽  
Primary Health ◽  
Breastfeeding Rate ◽  
Breastfeeding Rates ◽  
The Impact

Abstract Background In 2003, the World Health Organization recommended exclusive breastfeeding (EB) during the newborn’s first 6 months of life and, if possible, during the first 2 years. However, EB rates resist these recommendations. In developed countries, only 1 out of 3 babies is breastfed during its first 6 months of life, and great differences between areas and countries can be observed. Only 35% of the newborns receive breastfeeding at 3–4 months of age. There are diverse strategies described in the literature that have proven their efficiency in improving breastfeeding rates. It has also been proven that professional support is an effective tool to extend any kind of breastfeeding; besides, it has been observed that mother-to-mother support also increases breastfeeding initiation, sustainment, and exclusive duration. The overall aim of the study is to assess the impact of the support groups on the sustainment of exclusive breastfeeding until 6 months after birth. Methods/design This study is a cluster-random multicentric clinical trial with a control group and an intervention group, without blinding because it is impossible to mask the intervention. A randomization by centres of primary health (clusters) will be carried out. The women allocated to the intervention or control group will be randomized with a simple randomization sampling. The participants’ breastfeeding rate will be followed up at the first 10 days, and at 2, 4, and 6 months of their newborn’s life. Discussion There is a need to assess the impact of mother support groups on exclusive breastfeeding. This study aims to analyse the outcomes related to the support received and to identify what should the structure of these groups be; in other words, to describe factors related to a better breastfeeding experience in order to help women increase breastfeeding rates. Trial registration The trial is prospectively recorded at the ISRCTN registry (Trial ID: ISRCTN17263529). Date recorded: 17/06/2020.

scholarly journals Factors influencing general practitioners decisions to refer Paediatric patients to the emergency department: a systematic review and narrative synthesis

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Ciara Conlon ◽  
Emma Nicholson ◽  
Beatriz Rodríguez-Martin ◽  
Roisin O’Donovan ◽  
Aoife De Brún ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Emergency Department ◽  
Paediatric Patient ◽  
General Practitioners ◽  
Clinical Decision Making ◽  
System Level ◽  
Clinical Factors ◽  
Paediatric Patients ◽  
The Impact

Abstract Background Clinical guidelines are integral to a general practitioner’s decision to refer a paediatric patient to emergency care. The influence of non-clinical factors must also be considered. This review explores the non-clinical factors that may influence general practitioners (GPs) when deciding whether or not to refer a paediatric patient to the Emergency Department (ED). Methods A systematic review of peer-reviewed literature published from August 1980 to July 2019 was conducted to explore the non-clinical factors that influence GPs’ decision-making in referring paediatric patients to the emergency department. The results were synthesised using a narrative approach. Results Seven studies met the inclusion criteria. Non-clinical factors relating to patients, GPs and health systems influence GPs decision to refer children to the ED. GPs reported parents/ caregivers influence, including their perception of severity of child’s illness, parent’s request for onward referral and GPs’ appraisal of parents’ ability to cope. Socio-economic status, GPs’ aversion to risk and system level factors such as access to diagnostics and specialist services also influenced referral decisions. Conclusions A myriad of non-clinical factors influence GP referrals of children to the ED. Further research on the impact of non-clinical factors on clinical decision-making can help to elucidate patterns and trends of paediatric healthcare and identify areas for intervention to utilise resources efficiently and improve healthcare delivery.

State-level and system-level opioid prescribing policies: The impact on provider practices and overdose deaths, a systematic review

2016 ◽  
Vol 12 (2) ◽  
pp. 109 ◽  
Author(s):  
Francesca L. Beaudoin, MD, MS ◽  
Geetanjoli N. Banerjee, MPH ◽  
Michael J. Mello, MD, MPH
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Meta Analysis ◽  
State Level ◽  
Opioid Analgesics ◽  
System Level ◽  
Prescribing Practices ◽  
Opioid Prescribing ◽  
Patient Level ◽  
The Impact

Objective: In response to persistent public health concerns regarding prescription opioids, many states and healthcare systems have implemented legislation and policies intended to regulate or guide opioid prescribing. The overall impact of these policies is still uncertain. The aim of this systematic review was to examine the existing evidence of provider-level and patient-level outcomes preimplementation and postimplementation of policies and legislation constructed to impact provider prescribing practices around opioid analgesics. Design: A systematic search of MEDLINE, EMBASE, the Web of Science, and the Cochrane Database of Systematic Reviews was conducted to identify studies evaluating the impact of opioid prescribing policies on provider-level and patient-level outcomes. The systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Results: Eleven studies were included in the review. A meta-analysis was not possible due to between-study heterogeneity. Six of the studies assessed state-level policies, and five were at the level of the healthcare system or hospital. Studies showed temporal associations between policy implementation and reductions in opioid prescribing, as well as opioid-related overdoses. Results were mixed regarding the impact of policies on misuse. The majority of the studies were judged to be of low quality based on the GRADE criteria.Conclusions: There is low to moderate quality evidence suggesting that the presence of opioid prescribing policy will reduce the amount and strength of opioid prescribed. The presence of these policies may impact the number of overdoses, but there is no clear evidence to suggest that it reduces opioid misuse.

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 A Systemic Review of the Impact of Wildfires on Sleep Disturbances

2021 ◽  
Vol 18 (19) ◽  
pp. 10152
Author(s):  
Fadia Isaac ◽  
Samia Toukhsati ◽  
Mirella Di Benedetto ◽  
Gerard Kennedy
Keyword(s):  
Systematic Review ◽  
Sleep Disturbances ◽  
Traumatic Event ◽  
Systemic Review ◽  
Cochrane Library ◽  
Economic Losses ◽  
Post Traumatic ◽  
The Impact ◽  
Traumatic Symptoms ◽  
General Community

Wildfires present a serious risk to humans as well as to the environment. Wildfires cause loss of lives, economic losses, expose people to personal as well as collective trauma, and compromise the mental health of survivors. Sleep disturbances are highly prevalent following a traumatic event; however, their prevalence is not well established amongst those confronted by natural disasters such as wildfires. The aim of this systematic review is to synthesise the empirical findings pertaining to wildfires and the prevalence of sleep disturbances in the general community affected by this natural disaster. We searched EBSCO, PsychINFO, Medline, SpringerLink, CINAHL Complete, EMBASE, PubMed, Scopus and Cochrane Library between January 2012 and March 2021. Five studies met the inclusion criteria. Findings from this systematic review suggest that sleep disturbances, assessed one to ten months following the fires, are highly prevalent in wildfire survivors, with insomnia (ranging between 63–72.5%) and nightmares (ranging between 33.3–46.5%), being the most prevalent sleep disturbances reported in this cohort. Results also highlight the significant associations between sleep disturbances and post-traumatic symptoms following the trauma of wildfires. There is a possible link between sleep disturbance prevalence, severity of, and proximity to fires.

scholarly journals Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum

2021 ◽  
Vol 18 (21) ◽  
pp. 11430
Author(s):  
Lingling Li ◽  
Heqing Song ◽  
Yu Zhang ◽  
Hang Li ◽  
Mu Li ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Baby Friendly Hospital Initiative ◽  
Supportive Services ◽  
Evaluation Standards ◽  
Breastfeeding Rate ◽  
Postpartum Mothers ◽  
The Impact ◽  
And Child Health ◽  
Breastfeeding Practice

Background: Studies have shown that implementing the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative can protect, promote, and support breastfeeding. However, few studies have valuated the quality of breastfeeding supportive services provided by Baby-Friendly Hospitals from the perspective of service users. Methods: This was a hospital-based prospective study, conducted at eight Baby-Friendly Hospitals with a total of 707 pregnant women in Shanghai, China between October 2016 and September 2021. Breastfeeding supportive services during hospitalization were assessed at childbirth discharge using a 12-question questionnaire based on the Chinese “Baby-Friendly Hospital Evaluation Standards”. Women were followed up on six months postpartum. The impact of breastfeeding supportive services during hospitalization on the exclusive breastfeeding at discharge and six months postpartum were assessed. Results: Of the 707 mothers who completed the survey at discharge, 526 were followed up on six months after delivery. The overall exclusive breastfeeding rate among participants was 34.4% at discharge and 52.1% at six months postpartum. Mothers who received better breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at hospitalization discharge compared with mothers who received poorer services (aOR: 3.00; 95% CI: 2.08, 4.35; p < 0.001). Furthermore, they were also more likely to exclusively breastfeed at six months postpartum (aOR: 1.50; 95% CI: 1.03, 2.22; p = 0.033). Conclusion: Better breastfeeding supportive services during hospitalization were significantly associated with higher rate of exclusive breastfeeding at discharge and six months postpartum. More effective measures should be adopted to improve the implementation of the breastfeeding supportive services in Baby-Friendly Hospitals to promote exclusive breastfeeding and better maternal and child health.

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