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Improved breastfeeding duration with Baby Friendly Hospital Initiative implementation in a diverse and underserved population.
- Source :
-
Birth: Issues in Perinatal Care . Mar2020, Vol. 47 Issue 1, p135-143. 9p. 5 Charts. - Publication Year :
- 2020
-
Abstract
- Background: Few studies have evaluated the impact of Baby Friendly Hospital Initiative (BFHI) implementation on underserved populations in the United States. We undertook this study in New Mexico, a large southwestern state with a diverse population and limited health care access. Methods: A quasi‐experimental, retrospective cohort design was used to compare short‐term breastfeeding duration between a pre‐BFHI and a post‐BFHI cohort. Among the post‐BFHI cohort, logistic regression models were fitted to predict short‐term breastfeeding duration from both individual and cumulative exposure to inpatient maternity care practices (Steps 4 to 9). Results: Implementation of the BFHI and cumulative exposure to the Ten Steps increased short‐term duration of any breastfeeding and exclusive breastfeeding at 2‐6 weeks postpartum. Exposure to all six of the inpatient Ten Steps increased the odds of any breastfeeding by 34 times and exclusive breastfeeding by 24 times. Exposure to Step 9 ("Give no pacifiers or artificial nipples") uniquely increased the likelihood of any breastfeeding at 2‐6 weeks postpartum by 5.7 times, whereas Step 6 ("Give infants no food or drink other than breastmilk") increased the rate of exclusive breastfeeding by 4.4 times at 2‐6 weeks postpartum. Conclusion: These findings demonstrate that the Baby Friendly Hospital Initiative can have a positive impact on breastfeeding among underserved populations. [ABSTRACT FROM AUTHOR]
- Subjects :
- *BREASTFEEDING & psychology
*BREASTFEEDING
*BREASTFEEDING promotion
*COMPARATIVE studies
*CONFIDENCE intervals
*ETHNIC groups
*HEALTH services accessibility
*HOSPITAL health promotion programs
*INFANT formulas
*HEALTH insurance
*LONGITUDINAL method
*MATERNAL age
*MATERNAL health services
*RESEARCH methodology
*MEDICAL records
*MIDWIVES
*CULTURAL pluralism
*PREGNANT women
*PUERPERIUM
*RESEARCH funding
*T-test (Statistics)
*TIME
*LOGISTIC regression analysis
*TEACHING methods
*PRE-tests & post-tests
*EDUCATIONAL outcomes
*ATTITUDES of mothers
*RETROSPECTIVE studies
*PARITY (Obstetrics)
*PATIENT readmissions
*EVALUATION of human services programs
*DATA analysis software
*ATTITUDES of medical personnel
*DESCRIPTIVE statistics
*ACQUISITION of data methodology
*ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 07307659
- Volume :
- 47
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Birth: Issues in Perinatal Care
- Publication Type :
- Academic Journal
- Accession number :
- 141934683
- Full Text :
- https://doi.org/10.1111/birt.12468