Exposure to Baby-Friendly Hospital Practices and Breastfeeding Outcomes of WIC Participants in Maryland
| Autor: | Amy K. Resnik, Laura E. Caulfield, Susan M. Gross, Jo Anne Silbert-Flagg, Kirstie Ducharme-Smith, Chloe Dillaway, Dania Orta Aleman, Nadine Rosenblum, Marycatherine Augustyn |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Maryland business.industry Breastfeeding Infant Obstetrics and Gynecology Health Promotion Hospitals 03 medical and health sciences Breast Feeding Cross-Sectional Studies 0302 clinical medicine Pregnancy 030225 pediatrics Family medicine Intervention (counseling) medicine Humans Female Prospective Studies 030212 general & internal medicine Child business Retrospective Studies |
| Zdroj: | Journal of Human Lactation. 38:78-88 |
| ISSN: | 1552-5732 0890-3344 |
| Popis: | Background The Baby-Friendly Hospital Initiative is an effective intervention to support maternal practices around breastfeeding. However, adherence of hospitals to the Baby-Friendly 10 Steps, as determined from the perspective of women participating in the United States Special Supplemental Nutrition Program for Women, Infants, and Children, has not been assessed. Research Aims (1) To compare maternal perceptions about maternity practices in Baby-Friendly Hospitals and non-Baby-Friendly Hospitals; (2) to evaluate the associations between degree of exposure to the Baby-Friendly 10 Steps and breastfeeding practices through the first 6 months; and (3) to evaluate whether the receipt of specific Steps was associated with breastfeeding practices through 6 months. Methods This study was a cross-sectional 2 group comparison, using prospective data collected through a self-report telephone survey and retrospective data gathered from participants’ records. Women ( N = 182) participating in four Maryland Special Supplemental Nutrition Program for Women, Infants and Children agencies were recruited. One hundred and eight (59%) participants delivered at designated Baby-Friendly Hospitals; 74 (41%) delivered in non-Baby-Friendly designated hospitals. Logistic regression models were utilized to determine the influence of perceived Step adherence on exclusive breastfeeding. Results Reported adherence to 10-Steps policies ranged from 10%–85% (lowest for Step 9, highest for Step 10) and only Step 9 (give no pacifiers or artificial nipples to breastfeeding infants) differed according to Baby-Friendly Hospital status. Greater exposure to the 10 Steps was positively associated with exclusive breastfeeding during hospitalization. The lack of perceived adherence to Step 6 (no food or drink other than human milk), Step 9, and the International Code of Marketing of Breast-milk Substitutes (no formula, bottles, or artificial nipples) significantly decreased the likelihood of exclusive breastfeeding through 6 months. Conclusion Maternal perception of Baby-Friendly Step adherence was associated with exclusive breastfeeding. |
| Databáze: | OpenAIRE |
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