Associations of Hospital Staff Training and Policies with Early Breastfeeding Practices

被引:23
作者
Li, Chuan-Ming [1 ]
Li, Ruowei [2 ]
Ashley, Cindy G. [1 ]
Smiley, Janice M. [1 ]
Cohen, Jennifer H. [3 ]
Dee, Deborah L. [4 ]
机构
[1] Alabama Dept Publ Hlth, Bur Family Hlth Serv, Montgomery, AL 36102 USA
[2] Ctr Dis Control & Prevent, Div Nutr Phys Act & Obes, Atlanta, GA USA
[3] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA
[4] Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA USA
关键词
hospitals; policy; Alabama; Maternity Practices in Infant Nutrition and Care; maternity care; breastfeeding; Baby-Friendly Hospital Initiative; RISK; ATTITUDES; IMPACT; PROMOTION; INCREASE; INFANCY; RATES; DEATH;
D O I
10.1177/0890334413484551
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: In 2009, the Centers for Disease Control and Prevention implemented the Maternity Practices in Infant Nutrition and Care (mPINC) survey in all US birth facilities to assess breastfeeding-related maternity practices. Maternity practices and hospital policies are known to influence breastfeeding, and Alabama breastfeeding rates are very low. Objective: Our objective was to assess whether staff training and structural-organizational aspects of care, such as policies, were associated with infants' breastfeeding behaviors 24 to 48 hours postpartum. Methods: We linked 2009 mPINC data from 48 Alabama hospitals with birth certificate and newborn screening databases. We used data collected 24 to 48 hours postpartum to classify 41 536 healthy, term, singleton infants as breastfed (any breast milk) or completely formula fed and examined associations with hospitals' mPINC scores in comparison with the state mean. We conducted multilevel analyses to assess infants' likelihood of being breastfed if their birth hospital scores were lower versus at least equal to the Alabama mean, accounting for hospital clustering, demographics, payment method, and prenatal care. Results: The odds of breastfeeding were greater in hospitals with a higher-than-state-mean score on the following: new employees' breastfeeding education, nurses' receipt of breastfeeding education in the past year, prenatal breastfeeding classes offered, having a lactation coordinator, and having a written breastfeeding policy. The number of recommended elements included in hospitals' written breastfeeding policies was positively associated with newborn breastfeeding rates. Conclusion: Educating hospital staff to improve breastfeeding-related knowledge, attitudes, and skills; implementing a written hospital breastfeeding policy; and ensuring continuity of prenatal and postnatal breastfeeding education and support may improve newborn breastfeeding rates.
引用
收藏
页码:88 / 96
页数:9
相关论文
共 39 条
[1]  
[Anonymous], 2011, SURG GEN CALL ACTION
[2]  
[Anonymous], 2007, BREASTFEEDING MATERN
[3]  
[Anonymous], 2007, MMWR Morbity and Mortality Weekly Report, V57, P621
[4]  
[Anonymous], 2009, Baby-Friendly Hospital Initiative: Revised, updated and expanded for integrated care
[5]   Breast-feeding and childhood obesity -: a systematic review [J].
Arenz, S ;
Rückerl, R ;
Koletzko, B ;
von Kries, R .
INTERNATIONAL JOURNAL OF OBESITY, 2004, 28 (10) :1247-1256
[6]  
Axelrod Wendy., 2019, 10 STEPS SUCCESSFUL
[7]   Breastfeeding and the risk of hospitalization for respiratory disease in infancy - A meta-analysis [J].
Bachrach, VRG ;
Schwarz, E ;
Bachrach, LR .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2003, 157 (03) :237-243
[8]   Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50 302 women with breast cancer and 96 973 women without the disease [J].
Beral, V ;
Bull, D ;
Doll, R ;
Peto, R ;
Reeves, G ;
La Vecchia, C ;
Magnusson, C ;
Miller, T ;
Peterson, B ;
Pike, M ;
Thomas, D ;
van Leeuwen, F .
LANCET, 2002, 360 (9328) :187-195
[9]   Evaluation of the impact of the Baby-Friendly Hospital Initiative on rates of breastfeeding [J].
Braun, MLG ;
Giugliani, ERJ ;
Soares, MEM ;
Giugliani, C ;
de Oliveira, AP ;
Danelon, CMM .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (08) :1277-1279
[10]   Quality improvement report - Effect on rates of breast feeding of training for the Baby Friendly Hospital Initiative [J].
Cattaneo, A ;
Buzzetti, R .
BMJ-BRITISH MEDICAL JOURNAL, 2001, 323 (7325) :1358-1362