Thomsen K, Gonzalez-Nahm S, Benjamin-Neelon SE. Reported Adherence to the 10 Steps to Successful Breastfeeding Is Higher Among Baby-Friendly Hospitals.
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2024;
56:392-398. [PMID:
38483429 DOI:
10.1016/j.jneb.2024.02.005]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Academic Contribution Register] [Received: 03/29/2023] [Revised: 02/17/2024] [Accepted: 02/21/2024] [Indexed: 06/09/2024]
Abstract
OBJECTIVE
Quantify and compare reported breastfeeding support practices in the Baby-Friendly Hospital Initiative (BFHI) and non-BFHI facilities.
DESIGN
Cross-sectional survey.
SETTING
Regions across the US.
PARTICIPANTS
Two hundred and eighty-six facilities (110 BFHI and 176 non-BFHI) selected by a stratified (by hospital size) random sample of 50% BFHI and 50% non-BFHI facilities.
INTERVENTION
Emailed survey Fall 2019 through Spring 2020.
MAIN OUTCOME MEASURE
Reported adherence to the 10 Steps to Successful Breastfeeding.
ANALYSIS
Wilcoxon rank sum test with continuity correction, Pearson chi-square test of independence, and Fisher's exact test.
RESULTS
Baby-Friendly Hospital Initiative facilities were more likely to report adherence to the 10 Steps to Successful Breastfeeding. Only 2 of the reported steps were not significantly different: immediate postnatal care and responsive feeding.
CONCLUSIONS AND IMPLICATIONS
This research supports breastfeeding support interventions within hospitals as both BFHI and non-BFHI facilities have room for improvement. Interventions targeting non-BFHI facilities are an opportunity to close the disparity in breastfeeding care.
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