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For: Milinco M, Cattaneo A, Macaluso A, Materassi P, Di Toro N, Ronfani L. Prevalence of breastfeeding in a baby-friendly pediatric practice: an experience in Trieste, Italy. Int Breastfeed J 2019;14:44. [PMID: 31673275 PMCID: PMC6815012 DOI: 10.1186/s13006-019-0239-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 09/30/2019] [Indexed: 11/10/2022] Open

For:	Milinco M, Cattaneo A, Macaluso A, Materassi P, Di Toro N, Ronfani L. Prevalence of breastfeeding in a baby-friendly pediatric practice: an experience in Trieste, Italy. Int Breastfeed J 2019;14:44. [PMID: 31673275 PMCID: PMC6815012 DOI: 10.1186/s13006-019-0239-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 09/30/2019] [Indexed: 11/10/2022] Open

Number

Cited by Other Article(s)

Zabotti B, Buchini S, Milinco M, Cattaneo A, Pani P, Ronfani L. The economic value of human milk from three cohort studies in Friuli Venezia Giulia, Italy. Int Breastfeed J 2024;19:11. [PMID: 38331882 PMCID: PMC10851479 DOI: 10.1186/s13006-024-00618-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 01/28/2024] [Indexed: 02/10/2024] Open

Abstract

BACKGROUND

The Mothers' Milk Tool, developed and launched by the Australian National University and Alive & Thrive in 2022, allows to estimate the volume and value of breastmilk using prevalence rates of breastfeeding by month of age from birth to 36 months. The objective of this study was to obtain these estimates for three cohort studies conducted in a region of Italy.

METHODS

Breastfeeding data from three cohort studies carried out in 1999, 2007 and 2016, with follow-up to 12, 24 and 36 months of 842, 400 and 265 children, respectively, were entered into the downloadable version of the tool. Breastfeeding rates charts and tables with estimates of breastmilk production and value for breastfeeding of children aged 0-36 months were produced.

RESULTS

The rates of initiation of breastfeeding were similar in the three cohorts, while the rates of any breastfeeding at subsequent ages increased over the years. The volumes and values of breastmilk per child increased accordingly, from around 130 L (13,000 USD) in 1999, to 200 L (20,000 USD) in 2007, to 226 L (22,600 USD) in 2016. The percentage of lost breastmilk decreased from 67.7% to 55.4% to 43.7%, respectively. Overall, the 1507 mothers of the three cohorts produced an estimated 250,000 L of breastmilk for their children aged 0-36 months. At 100 USD per litre, this would add up to around 25 million USD.

CONCLUSIONS

Our study shows that the Mothers' Milk Tool can be used to estimate per child volumes and values of breastmilk produced and lost at local levels, and to provide simple indicators of the effects of breastfeeding interventions using the percentage of lost breastmilk, where datasets on rates of breastfeeding by month of age are available. The results of such studies can be used to advocate for better and adequately funded programmes for the protection, promotion and support of breastfeeding.

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Milinco M, Cattaneo A, Macaluso A, Materassi P, Di Toro N, Ronfani L. Prevalence of breastfeeding in a baby-friendly pediatric practice in Trieste, Italy: follow up to 36 months of age. Int Breastfeed J 2021;16:93. [PMID: 34906182 PMCID: PMC8672544 DOI: 10.1186/s13006-021-00441-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 11/25/2021] [Indexed: 12/19/2022] Open

Li L, Song H, Zhang Y, Li H, Li M, Jiang H, Yang Y, Wu Y, Gu C, Yu Y, Qian X. Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021;18:11430. [PMID: 34769946 PMCID: PMC8582788 DOI: 10.3390/ijerph182111430] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 10/23/2021] [Accepted: 10/28/2021] [Indexed: 11/24/2022]

Abstract

BACKGROUND

Studies have shown that implementing the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative can protect, promote, and support breastfeeding. However, few studies have valuated the quality of breastfeeding supportive services provided by Baby-Friendly Hospitals from the perspective of service users.

METHODS

This was a hospital-based prospective study, conducted at eight Baby-Friendly Hospitals with a total of 707 pregnant women in Shanghai, China between October 2016 and September 2021. Breastfeeding supportive services during hospitalization were assessed at childbirth discharge using a 12-question questionnaire based on the Chinese "Baby-Friendly Hospital Evaluation Standards". Women were followed up on six months postpartum. The impact of breastfeeding supportive services during hospitalization on the exclusive breastfeeding at discharge and six months postpartum were assessed.

RESULTS

Of the 707 mothers who completed the survey at discharge, 526 were followed up on six months after delivery. The overall exclusive breastfeeding rate among participants was 34.4% at discharge and 52.1% at six months postpartum. Mothers who received better breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at hospitalization discharge compared with mothers who received poorer services (aOR: 3.00; 95% CI: 2.08, 4.35; p < 0.001). Furthermore, they were also more likely to exclusively breastfeed at six months postpartum (aOR: 1.50; 95% CI: 1.03, 2.22; p = 0.033).

CONCLUSION

Better breastfeeding supportive services during hospitalization were significantly associated with higher rate of exclusive breastfeeding at discharge and six months postpartum. More effective measures should be adopted to improve the implementation of the breastfeeding supportive services in Baby-Friendly Hospitals to promote exclusive breastfeeding and better maternal and child health.

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Affiliation(s)

Lingling Li Department of Obstetrics and Gynecology, Shanghai Changzheng Hospital, Shanghai 200003, China; (L.L.); (Y.W.) School of Public Health, Fudan University, Shanghai 200032, China; (H.S.); (Y.Z.); (H.L.); (C.G.); (X.Q.)
Heqing Song School of Public Health, Fudan University, Shanghai 200032, China; (H.S.); (Y.Z.); (H.L.); (C.G.); (X.Q.)
Yu Zhang School of Public Health, Fudan University, Shanghai 200032, China; (H.S.); (Y.Z.); (H.L.); (C.G.); (X.Q.) Vital Statistics Department, Songjiang District Center for Disease Control and Prevention, Shanghai 201600, China
Hang Li School of Public Health, Fudan University, Shanghai 200032, China; (H.S.); (Y.Z.); (H.L.); (C.G.); (X.Q.)
Mu Li School of Public Health, University of Sydney, Sydney 2006, Australia; China Studies Centre, University of Sydney, Sydney 2006, Australia
Hong Jiang School of Public Health, Fudan University, Shanghai 200032, China; (H.S.); (Y.Z.); (H.L.); (C.G.); (X.Q.) Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China
Yajuan Yang Department of Obstetrics and Gynecology, Shanghai Changzheng Hospital, Shanghai 200003, China; (L.L.); (Y.W.)
Ying Wu Department of Obstetrics and Gynecology, Shanghai Changzheng Hospital, Shanghai 200003, China; (L.L.); (Y.W.)
Chunyi Gu School of Public Health, Fudan University, Shanghai 200032, China; (H.S.); (Y.Z.); (H.L.); (C.G.); (X.Q.) Nursing Department, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China
Yulian Yu Nursing Department, Shanghai Pudong New District People’s Hospital, Shanghai 200032, China;
Xu Qian School of Public Health, Fudan University, Shanghai 200032, China; (H.S.); (Y.Z.); (H.L.); (C.G.); (X.Q.) Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China

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Vanguri S, Rogers-McQuade H, Sriraman NK. ABM Clinical Protocol #14: Breastfeeding-Friendly Physician's Office-Optimizing Care for Infants and Children. Breastfeed Med 2021;16:175-184. [PMID: 33599542 DOI: 10.1089/bfm.2021.29175.sjv] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]