Impact of Baby-Friendly Hospital Practices on Breastfeeding in Hong Kong
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| Titel: | Impact of Baby-Friendly Hospital Practices on Breastfeeding in Hong Kong |
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| Autoren: | Lam, C, Sham, A, Wu, KM, Lee, ILY, Fong, DYT, Tarrant, M, Wong, EMY, Dodgson, JE |
| Quelle: | Birth. 38:238-245 |
| Verlagsinformationen: | Wiley, 2011. |
| Publikationsjahr: | 2011 |
| Schlagwörter: | Adult, Adolescent, Breastfeeding, Maternal Health Services - standards, Health Promotion, World Health Organization, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, Humans, Maternal Health Services, Prospective Studies, Guideline Adherence - statistics and numerical data, Hospitals, Public, Infant, Newborn, Infant, Exclusive breastfeeding, Baby-Friendly Hospital Initiative, Breast Feeding - statistics and numerical data, Hospitals, Public - standards, Organizational Policy, 3. Good health, Breast Feeding, Practice Guidelines as Topic, Hong Kong, Female, Guideline Adherence, Hospitals, Public - standards, Follow-Up Studies |
| Beschreibung: | The World Health Organization (WHO) developed the Baby-Friendly Hospital Initiative to improve hospital maternity care practices that support breastfeeding. In Hong Kong, although no hospitals have yet received the Baby-Friendly status, efforts have been made to improve breastfeeding support. The aim of this study was to examine the impact of Baby-Friendly hospital practices on breastfeeding duration.A sample of 1,242 breastfeeding mother-infant pairs was recruited from four public hospitals in Hong Kong and followed up prospectively for up to 12 months. The primary outcome variable was defined as breastfeeding for 8 weeks or less. Predictor variables included six Baby-Friendly practices: breastfeeding initiation within 1 hour of birth, exclusive breastfeeding while in hospital, rooming-in, breastfeeding on demand, no pacifiers or artificial nipples, and information on breastfeeding support groups provided on discharge.Only 46.6 percent of women breastfed for more than 8 weeks, and only 4.8 percent of mothers experienced all six Baby-Friendly practices. After controlling for all other Baby-Friendly practices and possible confounding variables, exclusive breastfeeding while in hospital was protective against early breastfeeding cessation (OR: 0.61; 95% CI: 0.42-0.88). Compared with mothers who experienced all six Baby-Friendly practices, those who experienced one or fewer Baby-Friendly practices were almost three times more likely to discontinue breastfeeding (OR: 3.13; 95% CI: 1.41-6.95).Greater exposure to Baby-Friendly practices would substantially increase new mothers' chances of breastfeeding beyond 8 weeks postpartum. To further improve maternity care practices in hospitals, institutional and administrative support are required to ensure all mothers receive adequate breastfeeding support in accordance with WHO guidelines. |
| Publikationsart: | Article Conference object |
| Sprache: | English |
| ISSN: | 0730-7659 |
| DOI: | 10.1111/j.1523-536x.2011.00483.x |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/21884232 https://onlinelibrary.wiley.com/doi/10.1111/j.1523-536X.2011.00483.x https://asu.pure.elsevier.com/en/publications/impact-of-baby-friendly-hospital-practices-on-breastfeeding-in-ho https://europepmc.org/article/MED/21884232 https://hub.hku.hk/handle/10722/143847 https://repository.eduhk.hk/en/publications/impact-of-baby-friendly-hospital-practices-on-breastfeeding-in-ho-5 https://www.tropicalmedicine.ox.ac.uk/publications/1011638 http://hdl.handle.net/10722/140460 http://hdl.handle.net/10722/130329 |
| Rights: | Wiley TDM |
| Dokumentencode: | edsair.doi.dedup.....d9f42dbffecedc6f78b2b2860bef4a08 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | The World Health Organization (WHO) developed the Baby-Friendly Hospital Initiative to improve hospital maternity care practices that support breastfeeding. In Hong Kong, although no hospitals have yet received the Baby-Friendly status, efforts have been made to improve breastfeeding support. The aim of this study was to examine the impact of Baby-Friendly hospital practices on breastfeeding duration.A sample of 1,242 breastfeeding mother-infant pairs was recruited from four public hospitals in Hong Kong and followed up prospectively for up to 12 months. The primary outcome variable was defined as breastfeeding for 8 weeks or less. Predictor variables included six Baby-Friendly practices: breastfeeding initiation within 1 hour of birth, exclusive breastfeeding while in hospital, rooming-in, breastfeeding on demand, no pacifiers or artificial nipples, and information on breastfeeding support groups provided on discharge.Only 46.6 percent of women breastfed for more than 8 weeks, and only 4.8 percent of mothers experienced all six Baby-Friendly practices. After controlling for all other Baby-Friendly practices and possible confounding variables, exclusive breastfeeding while in hospital was protective against early breastfeeding cessation (OR: 0.61; 95% CI: 0.42-0.88). Compared with mothers who experienced all six Baby-Friendly practices, those who experienced one or fewer Baby-Friendly practices were almost three times more likely to discontinue breastfeeding (OR: 3.13; 95% CI: 1.41-6.95).Greater exposure to Baby-Friendly practices would substantially increase new mothers' chances of breastfeeding beyond 8 weeks postpartum. To further improve maternity care practices in hospitals, institutional and administrative support are required to ensure all mothers receive adequate breastfeeding support in accordance with WHO guidelines. |
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| ISSN: | 07307659 |
| DOI: | 10.1111/j.1523-536x.2011.00483.x |