Hospital practices and women's likelihood of fulfilling their intention to exclusively breastfeed.

Abstract:

OBJECTIVES:We sought to assess whether breastfeeding-related hospital practices reported by mothers were associated with achievement of their intentions to exclusively breastfeed. METHODS:We used data from Listening to Mothers II, a nationally representative survey of 1573 mothers who had given birth in a hospital to a singleton in 2005. Mothers were asked retrospectively about their breastfeeding intention, infant feeding at 1 week, and 7 hospital practices. RESULTS:Primiparas reported a substantial difference between their intention to exclusively breastfeed (70%) and this practice at 1 week (50%). They also reported hospital practices that conflicted with the Baby-Friendly Ten Steps, including supplementation (49%) and pacifier use (45%). Primiparas who delivered in hospitals that practiced 6 or 7 of the steps were 6 times more likely to achieve their intention to exclusively breastfeed than were those in hospitals that practiced none or 1 of the steps. Mothers who reported supplemental feedings to their infant were less likely to achieve their intention to exclusively breastfeed: primiparas (adjusted odds ratio [AOR] = 4.4; 95% confidence interval [CI] = 2.1, 9.3); multiparas (AOR = 8.8; 95% CI = 4.4, 17.6). CONCLUSIONS:Hospitals should implement policies that support breastfeeding with particular attention to eliminating supplementation of healthy newborns.

journal_name

Am J Public Health

authors

Declercq E,Labbok MH,Sakala C,O'Hara M

doi

10.2105/AJPH.2008.135236

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

929-35

issue

5

eissn

0090-0036

issn

1541-0048

pii

AJPH.2008.135236

journal_volume

99

pub_type

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