Association of Maternity Care Practices and Policies with In-Hospital Exclusive Breastfeeding in the United States
| Autor: | Jennifer M. Nelson, Cria G. Perrine, Chloe M. Barrera, Jennifer L. Beauregard |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Breastfeeding Mothers Public Health and Policy Affect (psychology) Pediatrics 03 medical and health sciences Maternity care 0302 clinical medicine Pregnancy 030225 pediatrics Maternity and Midwifery medicine Humans Maternal Health Services Maternal Behavior Association (psychology) 030219 obstetrics & reproductive medicine business.industry Health Policy Infant Newborn Infant Obstetrics and Gynecology medicine.disease Infant newborn Hospitals Organizational Policy United States Breast Feeding Health Care Surveys Family medicine Linear Models Female business Breast feeding |
| Zdroj: | Breastfeed Med |
| ISSN: | 1556-8342 1556-8253 |
| DOI: | 10.1089/bfm.2018.0196 |
| Popis: | Background: Experiences during the birth hospitalization affect breastfeeding outcomes. In the United States, hospital policies and practices supportive of breastfeeding are routinely assessed through the Maternity Practices in Infant Nutrition and Care (mPINC) survey; however, mPINC does not capture data on breastfeeding outcomes. Materials and Methods: Data from the 2015 mPINC survey were linked to 2015 data from the Joint Commission (TJC), a major accreditor of health care systems in the United States (n = 1,305 hospitals). Each hospital participating in mPINC is given a total score, which is the average of seven subscores; all ranging from 0 to 100. TJC has hospital-specific data on the percentage of infants exclusively breastfeeding at hospital discharge. We used linear regression to estimate differences between quartiles of (1) total mPINC score and (2) each mPINC subscore with rates of exclusive breastfeeding at hospital discharge, adjusting for hospital type, teaching status, and number of annual births. We additionally used linear models to test for trend across quartiles of mPINC score. Results: The mean percentage of in-hospital exclusive breastfeeding increased from 39.0% for hospitals in the lowest mPINC total score quartile ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|