scholarly journals Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

2020 ◽  
Author(s):  
Kris Y.W. Lok ◽  
Charlotte L.Y. Chow ◽  
Heidi S.L. Fan ◽  
Vincci H.S. Chan ◽  
Marie Tarrant
Keyword(s):  
Hong Kong ◽  
Hospital Discharge ◽  
Public Hospitals ◽  
Self Report ◽  
Breastfeeding Duration ◽  
Breastfeeding Support ◽  
Breastfeeding Intention ◽  
Hospital Practices ◽  
Duration Of Breastfeeding ◽  
Study Participants

Abstract Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices have been associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers’ achievement of their planned duration of breastfeeding. Methods: A total of 1011 mother-newborn pairs from the postnatal units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postnatal, or until participants were no longer breastfeeding. Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding. Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants’ achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced one baby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 – 23.6). Conclusions : Nearly half of participants did not achieve their planned breastfeeding duration. Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals.

scholarly journals Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

2020 ◽  
Author(s):  
Kris Y.W. Lok ◽  
Charlotte L.Y. Chow ◽  
Heidi S.L. Fan ◽  
Vincci H.S. Chan ◽  
Marie Tarrant
Keyword(s):  
Hong Kong ◽  
Hospital Discharge ◽  
Public Hospitals ◽  
Self Report ◽  
Breastfeeding Duration ◽  
Breastfeeding Support ◽  
Breastfeeding Intention ◽  
Hospital Practices ◽  
Duration Of Breastfeeding ◽  
Study Participants

Abstract Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices were found to be associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers’ achievement of their planned duration of breastfeeding. Methods: A total of 1011 mother-newborn pairs from the postnatal units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postnatal, or until participants were no longer breastfeeding. Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding. Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants’ achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced onebaby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 – 23.6). Conclusions: Nearly half of participants did not achieve their planned breastfeeding duration. Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals.

scholarly journals Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

2020 ◽  
Author(s):  
Kris Y.W. Lok ◽  
Charlotte L.Y. Chow ◽  
Heidi S.L. Fan ◽  
Vincci H.S. Chan ◽  
Marie Tarrant
Keyword(s):  
Hong Kong ◽  
Hospital Discharge ◽  
Public Hospitals ◽  
Self Report ◽  
Breastfeeding Duration ◽  
Breastfeeding Support ◽  
Breastfeeding Intention ◽  
Hospital Practices ◽  
Duration Of Breastfeeding ◽  
Study Participants

Abstract Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices were found to be associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers’ achievement of their planned duration of breastfeeding. Methods: A total of 1011 mother-newborn pairs from the postnatal units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postnatal, or until participants were no longer breastfeeding. Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding. Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants’ achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced onebaby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 – 23.6). Conclusions: Nearly half of participants did not achieve their planned breastfeeding duration. Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals.

scholarly journals Exposure to Baby-Friendly Hospital Practices and Mothers’ Achievement of their Planned Duration of Breastfeeding.

2019 ◽  
Author(s):  
Kris Y.W. Lok ◽  
Charlotte L.Y. Chow ◽  
Heidi S.L. Fan ◽  
Vincci H.S. Chan ◽  
Marie Tarrant
Keyword(s):  
Hong Kong ◽  
Hospital Discharge ◽  
Public Hospitals ◽  
Self Report ◽  
Breastfeeding Duration ◽  
Breastfeeding Support ◽  
Breastfeeding Intention ◽  
Hospital Practices ◽  
Duration Of Breastfeeding ◽  
Study Participants

Abstract Background: Both breastfeeding intentions and exposure to baby-friendly hospital practices have been associated with a longer duration of breastfeeding. This study aims to examine the effect of exposure to baby-friendly hospital practices on mothers’ achievement of their planned duration of breastfeeding. Methods: A total of 1011 mother-newborn pairs from the postpartum units of four public hospitals in Hong Kong were recruited. Sociodemographic data and breastfeeding intention data were collected via self-report questionnaires during the postnatal hospitalization and exposure to Baby-Friendly hospital practices were assessed through hospital records and maternal self-report. Breastfeeding status after hospital discharge was assessed through telephone follow-up for up to 12 months postpartum, or until participants were no longer breastfeeding. Results: Only 55% (n=552) of study participants achieved their intended duration of breastfeeding. Participants with higher socioeconomic status, previous breastfeeding experience, and those who had lived in Hong Kong for less than 5 years, were more likely to achieve their planned duration of breastfeeding. Among baby-friendly hospital practices, feeding only breast milk during the hospitalization and providing information about breastfeeding support on discharge were associated with participants’ achieving their individual breastfeeding intentions. After adjustment, when compared with women who experienced 0 - 1 baby-friendly practice, participants who experienced six baby-friendly hospital practices were significantly more likely to achieve their planned duration of breastfeeding (adjusted odds ratio=8.45, 95% confidence interval 3.03 – 23.6). Conclusions: Nearly half of participants did not achieve their planned breastfeeding duration. Exposure to baby-friendly hospital practices, especially in-hospital exclusive breastfeeding and providing breastfeeding support information upon hospital discharge may help more mothers to achieve their individual breastfeeding goals.

scholarly journals The impact of psychosocial factors on breastfeeding duration in the BaBi cohort study, Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Grosser ◽  
I-M Doyle ◽  
A Löffler ◽  
J Breckenkamp ◽  
J Spallek ◽  
...  
Keyword(s):  
Psychosocial Factors ◽  
Migration Background ◽  
Breastfeeding Duration ◽  
Breastfeeding Intention ◽  
Modifiable Factors ◽  
Study Results ◽  
And Migration ◽  
Duration Of Breastfeeding ◽  
The Impact ◽  
Antenatal Classes

Abstract Background Breastfeeding is considered beneficial for both mother and child. In Germany, national guidelines recommend fully breastfeeding for at least 4 months, a goal reached by only 34% of mothers in 2012. The WHO’s recommendation of exclusively breastfeeding for six months was met by 19% only. Hardly modifiable factors such as socio-economic status and migration background have been associated with duration of breastfeeding but little is known about the impact of psychosocial factors such as personality traits and social support. We hypothesise that there are differences in the psychosocial profiles of mothers regarding the duration of breastfeeding. Methods We analyse baseline and follow-up data of the Bielefeld BaBi birth cohort (2013-16). They include detailed migration and socio-economic backgrounds, as well as three measures of psychological characteristics: the optimism scale, the Big Five inventory and the locus of control scales. We perform bivariate and multivariate analyses in order to identify psychosocial determinants of fully breastfeeding for four and six months. Results Out of 780 BaBi study participants, 548 fully breastfed for four months (70.3%), of which 279 continued until at least six months (35.8%). Logistic regression analyses show that fully breastfeeding for at least four or six months is independently associated with the intention to breastfeed and the attendance of antenatal class during this or previous pregnancies. Personality characteristics, social status and migration background show however no significant association with breastfeeding duration. Conclusions Our study results support the promotion of individuals’ breastfeeding intention and attendance to antenatal classes to increase breastfeeding duration. Since differences in breastfeeding practices have the potential to create inequalities in maternal and child health, more efforts are needed to intensify research on modifiable factors influencing breastfeeding duration. Key messages Neither psychosocial factors nor socioeconomic status were associated with breastfeeding duration. Two modifiable factors, breastfeeding intention and attending antenatal classes, were the main predictors of breastfeeding duration.

Exploring outcomes of public health nurse-facilitated breastfeeding support groups

2020 ◽  
Vol 8 (2) ◽  
pp. 74-82
Author(s):  
Sinead Hanafin
Keyword(s):  
Public Health ◽  
Support Groups ◽  
Public Health Nurse ◽  
Breastfeeding Duration ◽  
Breastfeeding Support ◽  
Support Mechanism ◽  
Individual Interviews ◽  
Positive Attitudes ◽  
Health Nurse ◽  
Duration Of Breastfeeding

Breastfeeding groups have been identified in national and international policy as an important support mechanism for increasing breastfeeding duration. The aim of this study was to estimate the value of public health nurse- (PHN) facilitated breastfeeding group support. The study was informed by methodology used to calculate a social return on investment (SROI). Data were collected from primary and secondary stakeholders using focus group, joint and individual interviews. Mothers reported improved mental health and increased duration of breastfeeding, and PHNs reported being more knowledgeable about breastfeeding, being able to offer a better service and experiencing higher job satisfaction. PHNs who did not facilitate groups but whose clients attended reported reduced workload and improvements in access to information. Family and friends reported more positive attitudes to breastfeeding. PHN-facilitated breastfeeding groups have benefits for mothers, PHNs and for society; therefore, a more systematised and geographically equitable approach to their implementation in Ireland should be promoted.

scholarly journals Breastfeeding: Biological and Social Variables in Different Modes of Conception

Life ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 110
Author(s):  
Paola Pileri ◽  
Ilenia di Bartolo ◽  
Martina Ilaria Mazzocco ◽  
Giovanni Casazza ◽  
Sofia Giani ◽  
...  
Keyword(s):  
World Health ◽  
Breastfeeding Duration ◽  
Breastfeeding Support ◽  
Ovum Donation ◽  
Vitro Fertilization ◽  
Maternal Characteristics ◽  
Breastfeeding Intention ◽  
Biological Variables ◽  
Skin Contact

Background: Breastfeeding has effects on health throughout the lives of mothers and babies. In 2014 in Italy, 10,976 babies were born through ART (assisted reproductive technology), accounting for 2.2% of annual births. The study aims to assess how both social and biological variables and the mode of conception influence breastfeeding. Methods: This observational study involves 161 pregnancies from three different modes of conception: homologous in vitro fertilization, ovum donation, and spontaneous pregnancies. Neonatal and maternal characteristics were collected from the hospital database, while breastfeeding outcomes were obtained through telephone interviews. Results: The mode of conception did not influence any of the breastfeeding outcomes. Breastfeeding duration was negatively affected by smoking. Vaginal delivery, birth weight > 2500 g, delivery > 37 gestational weeks, breastfeeding intention, and rooming-in are positively associated with the initiation of breastfeeding, while skin-to-skin contact and receiving information concerning breastfeeding are the most significant variables associated with its exclusivity and duration. Conclusions: The duration and exclusivity of breastfeeding are mainly related with information thereon, promotion, and breastfeeding support, but not with the mode of conception. It is essential to adequately support women from the outset in breastfeeding, as recommended by the World Health Organization (WHO) guidelines.

scholarly journals Does the Degree of Acculturation Influence Breastfeeding Intention and Start or the Frequency of Early Weaning? Results of a Prospective Observational Study

2018 ◽  
Vol 78 (06) ◽  
pp. 596-604
Author(s):  
Silke Brenne ◽  
Jürgen Breckenkamp ◽  
Theda Borde ◽  
Matthias David ◽  
Oliver Razum
Keyword(s):  
Post Partum ◽  
Systematic Investigation ◽  
Migration Background ◽  
Breastfeeding Duration ◽  
Start Time ◽  
Breastfeeding Intention ◽  
One Year ◽  
The One ◽  
Duration Of Breastfeeding ◽  
Adjusted Model

Abstract Objectives Recent breastfeeding studies from immigration countries have found that acculturation factors influence breastfeeding behaviour in women with a migration background. To date, there has been no systematic investigation for Germany. Therefore, we study whether and how the degree of acculturation within a population of migrant women influences the start, time and duration of breastfeeding. Patient Population and Methodology Pregnant women who were admitted to one of the three participating maternity clinics in Berlin for the birth of their child in the one-year study period were surveyed (including sociodemographic details, data on migration/acculturation). These women were interviewed again two or three days post partum (including start of breastfeeding, planned breastfeeding duration, reasons for not breastfeeding). In a subgroup, a telephone interview took place 6 months post partum about the actual breastfeeding duration, contraceptive behaviour post partum and availing of midwife services following delivery. Breastfeeding behaviour was analysed using multivariate regression models, among other things. Results The prepartum survey included 7100 women, 6884 women were contacted in the postnatal wards, and the subgroup six months after delivery comprised 605 women. No acculturation-related differences were found in the start of breastfeeding. In the adjusted model, a medium and higher degree of acculturation diminished the chance of planning a long breastfeeding period. More acculturated women show a greater risk of weaning within the first six months than less acculturated women. Conclusion The degree of acculturation has relevant significance for some aspects of breastfeeding behaviour in women with a migration background. This should be considered both in breastfeeding promotion programmes and in further national breastfeeding studies.

Breastfeeding Intention Versus Outcomes at Two to Three Weeks Postpartum

2019 ◽  
Vol 10 (1) ◽  
pp. 17-21
Author(s):  
Miranda Rouse ◽  
Debi Page Ferrarello
Keyword(s):  
Infant Feeding ◽  
Breastfeeding Initiation ◽  
Breastfeeding Support ◽  
Convenience Sample ◽  
Breastfeeding Intention ◽  
Breastfeeding Education ◽  
National Public Health ◽  
Healthy People 2020 ◽  
Telephone Calls ◽  
Hospital Practices

Breastfeeding is the optimal nutrition for infants, offering protection from many illnesses for both infant and mother. While breastfeeding initiation rates approach or exceed Healthy People 2020 goals, increasing duration remains a national public health priority. Hospital practices play an important role. An urban, academic hospital in the northeast United States with Baby-Friendly designation initiated a quality improvement (QI) project to learn how infant feeding outcomes at 2–3 weeks postpartum compare to initial breastfeeding intention. A lactation student made telephone calls to a convenience sample of breastfeeding mothers, questioning them about their current infant feeding practices and the breastfeeding support they received. The women participating in this QI project were those deemed most likely to meet their infant feeding goals. All the women gave birth in a Baby-Friendly facility, thus all their nurses had at least 20 hours of breastfeeding education, all medical providers had had at least 3 hours of breastfeeding education, and IBCLCs were available to inpatients 7 days a week. All were encouraged to call the hospital's Breastfeeding Warmline and were provided with a list of outpatient resources. However, just2–3 weeks postpartum, one-third were not exclusively breastfeeding despite their initial intention.

Factors Affecting the Behavior and Duration of Breastfeeding Among Physician Mothers

2020 ◽  
Vol 36 (3) ◽  
pp. 471-477
Author(s):  
Gamze Ersen ◽  
Ismail Kasim ◽  
Ezgi Agadayi ◽  
Aybuke Demir Alsancak ◽  
Tijen Sengezer ◽  
...  
Keyword(s):  
Self Report ◽  
Breastfeeding Duration ◽  
Legal Rights ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Workplace Conditions ◽  
History Of ◽  
Duration Of Breastfeeding ◽  
Mean Time ◽  
Night Shifts

Background Increasing breastfeeding duration may help physician mothers better counsel their patients. To improve the breastfeeding duration of physician mothers, the factors that may influence their breastfeeding duration should be known. Research Aim To investigate the breastfeeding behavior and duration among physician mothers and to determine the factors that influence breastfeeding practices. Methods This was an online prospective cross-sectional self-report survey. A 26-item author-created data-collecting tool inquiring sociodemographic and work characteristics, medical history of delivery, and breastfeeding history was sent to female physicians who had infants between 12 and 60 months of age via an online social group, “Physician Mothers,” with 11,632 members. Participants ( N = 615) responded, and descriptive statistics were analyzed. Results Participants’ mean duration of exclusive breastfeeding was 4.8 months ( SD = 1.9). The total breastfeeding length was a mean 15.8 months ( SD = 7.6). The rate of breastfeeding duration for at least 24 months was 17.8% ( n = 75). The most common reason for weaning from breastfeeding was workplace-related conditions (23.6%, n = 145). Participants reported that the mean time of resuming night shifts after delivery was 8.6 months ( SD = 4.7). The rate of participants who were unable to use their breastfeeding leave rights partially or completely was 43.6% ( n = 268). Conclusion Although legislation is in place to allow working mothers to breastfeed their infants, these legal rights were not used properly. Physician mothers should be fully supported in using their breastfeeding leave rights, and workplace conditions should be improved to enable physician mothers to breastfeed their infants for extended periods.

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