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Baby Friendly Hospital Initiative practices and breast feeding duration in a cohort of first-time mothers in Adelaide, Australia.
Midwifery. 2008 Mar; 24(1):55-61.M

Abstract

OBJECTIVE

to investigate the relationship between adherence to six of the Baby Friendly Hospital Initiative (BFHI) Ten steps to successful breast feeding and the duration of breast feeding in first-time mothers.

DESIGN

a prospective study to assess the duration of breast feeding up to 6 months postpartum. Survival analysis techniques (Kaplan-Meier curves and Cox proportional hazard models) were used to interpret the data.

PARTICIPANTS

317 women who had given birth to their first baby (at term) in a large teaching maternity hospital in Adelaide, South Australia, during the period March to November 2003.

FINDINGS

ignoring all other factors, we found that women whose babies received a bottle feed, used a pacifier or dummy, or who used a nipple shield during their postnatal stay, were at significantly greater risk of weaning (p0.05). After adjusting for socio-demographic variables, self-efficacy, intended duration of breast feeding, and method of delivery, the results unexpectedly showed that the only significant predictor of early weaning was breast feeding on demand. However, a composite variable indicating use of one or more of nipple shields, a dummy or bottle feeds while in hospital resulted in a significantly greater risk of weaning (p=0.05).

IMPLICATIONS FOR PRACTICE

socio-demographic and cultural factors may be more important determinants of the duration of breast feeding than some of the very specific hospital practices targeted in the Ten steps to successful breast feeding. From a public health perspective, we may influence the duration of breast feeding through better post-discharge support services, or through interventions that improve attitudes to breast feeding in specific socio-cultural and economic groups.

Authors+Show Affiliations

School of Nursing and Midwifery, GPO Box 2471, Adelaide, University of South Australia Adelaide, South Australia 5001. Jan.Pincombe@unisa.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17197061

Citation

Pincombe, Jan, et al. "Baby Friendly Hospital Initiative Practices and Breast Feeding Duration in a Cohort of First-time Mothers in Adelaide, Australia." Midwifery, vol. 24, no. 1, 2008, pp. 55-61.
Pincombe J, Baghurst P, Antoniou G, et al. Baby Friendly Hospital Initiative practices and breast feeding duration in a cohort of first-time mothers in Adelaide, Australia. Midwifery. 2008;24(1):55-61.
Pincombe, J., Baghurst, P., Antoniou, G., Peat, B., Henderson, A., & Reddin, E. (2008). Baby Friendly Hospital Initiative practices and breast feeding duration in a cohort of first-time mothers in Adelaide, Australia. Midwifery, 24(1), 55-61.
Pincombe J, et al. Baby Friendly Hospital Initiative Practices and Breast Feeding Duration in a Cohort of First-time Mothers in Adelaide, Australia. Midwifery. 2008;24(1):55-61. PubMed PMID: 17197061.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Baby Friendly Hospital Initiative practices and breast feeding duration in a cohort of first-time mothers in Adelaide, Australia. AU - Pincombe,Jan, AU - Baghurst,Peter, AU - Antoniou,Georgia, AU - Peat,Brian, AU - Henderson,Ann, AU - Reddin,Edith, Y1 - 2007/01/02/ PY - 2006/02/06/received PY - 2006/05/04/revised PY - 2006/06/07/accepted PY - 2007/1/2/pubmed PY - 2008/6/25/medline PY - 2007/1/2/entrez SP - 55 EP - 61 JF - Midwifery JO - Midwifery VL - 24 IS - 1 N2 - OBJECTIVE: to investigate the relationship between adherence to six of the Baby Friendly Hospital Initiative (BFHI) Ten steps to successful breast feeding and the duration of breast feeding in first-time mothers. DESIGN: a prospective study to assess the duration of breast feeding up to 6 months postpartum. Survival analysis techniques (Kaplan-Meier curves and Cox proportional hazard models) were used to interpret the data. PARTICIPANTS: 317 women who had given birth to their first baby (at term) in a large teaching maternity hospital in Adelaide, South Australia, during the period March to November 2003. FINDINGS: ignoring all other factors, we found that women whose babies received a bottle feed, used a pacifier or dummy, or who used a nipple shield during their postnatal stay, were at significantly greater risk of weaning (p0.05). After adjusting for socio-demographic variables, self-efficacy, intended duration of breast feeding, and method of delivery, the results unexpectedly showed that the only significant predictor of early weaning was breast feeding on demand. However, a composite variable indicating use of one or more of nipple shields, a dummy or bottle feeds while in hospital resulted in a significantly greater risk of weaning (p=0.05). IMPLICATIONS FOR PRACTICE: socio-demographic and cultural factors may be more important determinants of the duration of breast feeding than some of the very specific hospital practices targeted in the Ten steps to successful breast feeding. From a public health perspective, we may influence the duration of breast feeding through better post-discharge support services, or through interventions that improve attitudes to breast feeding in specific socio-cultural and economic groups. SN - 0266-6138 UR - https://www.unboundmedicine.com/medline/citation/17197061/Baby_Friendly_Hospital_Initiative_practices_and_breast_feeding_duration_in_a_cohort_of_first_time_mothers_in_Adelaide_Australia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-6138(06)00096-9 DB - PRIME DP - Unbound Medicine ER -