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Effect of maternity-care practices on breastfeeding.
Pediatrics 2008; 122 Suppl 2:S43-9Ped

Abstract

OBJECTIVE

Our goal was to assess the impact of "Baby-Friendly" hospital practices and other maternity-care practices experienced by mothers on breastfeeding duration.

METHODS

This analysis of the Infant Feeding Practices Study II focused on mothers who initiated breastfeeding and intended prenatally to breastfeed for >2 months, with complete data on all variables (n = 1907). Predictor variables included indicators of 6 "Baby-Friendly" practices (breastfeeding initiation within 1 hour of birth, giving only breast milk, rooming in, breastfeeding on demand, no pacifiers, fostering breastfeeding support groups) along with several other maternity-care practices. The main outcome measure was breastfeeding termination before 6 weeks.

RESULTS

Only 8.1% of the mothers experienced all 6 "Baby-Friendly" practices. The practices most consistently associated with breastfeeding beyond 6 weeks were initiation within 1 hour of birth, giving only breast milk, and not using pacifiers. Bringing the infant to the room for feeding at night if not rooming in and not giving pain medications to the mother during delivery were also protective against early breastfeeding termination. Compared with the mothers who experienced all 6 "Baby-Friendly" practices, mothers who experienced none were approximately 13 times more likely to stop breastfeeding early. Additional practices decreased the risk for early termination.

CONCLUSIONS

Increased "Baby-Friendly" hospital practices, along with several other maternity-care practices, improve the chances of breastfeeding beyond 6 weeks. The need to work with hospitals to implement these practices continues to exist, as illustrated by the small proportion of mothers who reported experiencing all 6 of the "Baby-Friendly" hospital practices measured in this study.

Authors+Show Affiliations

Emory University, Hubert Department of Global Health, 1518 Clifton Rd, NE, Atlanta, GA 30307, USA. adigiro@sph.emory.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18829830

Citation

DiGirolamo, Ann M., et al. "Effect of Maternity-care Practices On Breastfeeding." Pediatrics, vol. 122 Suppl 2, 2008, pp. S43-9.
DiGirolamo AM, Grummer-Strawn LM, Fein SB. Effect of maternity-care practices on breastfeeding. Pediatrics. 2008;122 Suppl 2:S43-9.
DiGirolamo, A. M., Grummer-Strawn, L. M., & Fein, S. B. (2008). Effect of maternity-care practices on breastfeeding. Pediatrics, 122 Suppl 2, pp. S43-9. doi:10.1542/peds.2008-1315e.
DiGirolamo AM, Grummer-Strawn LM, Fein SB. Effect of Maternity-care Practices On Breastfeeding. Pediatrics. 2008;122 Suppl 2:S43-9. PubMed PMID: 18829830.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of maternity-care practices on breastfeeding. AU - DiGirolamo,Ann M, AU - Grummer-Strawn,Laurence M, AU - Fein,Sara B, PY - 2008/10/10/pubmed PY - 2008/11/13/medline PY - 2008/10/10/entrez SP - S43 EP - 9 JF - Pediatrics JO - Pediatrics VL - 122 Suppl 2 N2 - OBJECTIVE: Our goal was to assess the impact of "Baby-Friendly" hospital practices and other maternity-care practices experienced by mothers on breastfeeding duration. METHODS: This analysis of the Infant Feeding Practices Study II focused on mothers who initiated breastfeeding and intended prenatally to breastfeed for >2 months, with complete data on all variables (n = 1907). Predictor variables included indicators of 6 "Baby-Friendly" practices (breastfeeding initiation within 1 hour of birth, giving only breast milk, rooming in, breastfeeding on demand, no pacifiers, fostering breastfeeding support groups) along with several other maternity-care practices. The main outcome measure was breastfeeding termination before 6 weeks. RESULTS: Only 8.1% of the mothers experienced all 6 "Baby-Friendly" practices. The practices most consistently associated with breastfeeding beyond 6 weeks were initiation within 1 hour of birth, giving only breast milk, and not using pacifiers. Bringing the infant to the room for feeding at night if not rooming in and not giving pain medications to the mother during delivery were also protective against early breastfeeding termination. Compared with the mothers who experienced all 6 "Baby-Friendly" practices, mothers who experienced none were approximately 13 times more likely to stop breastfeeding early. Additional practices decreased the risk for early termination. CONCLUSIONS: Increased "Baby-Friendly" hospital practices, along with several other maternity-care practices, improve the chances of breastfeeding beyond 6 weeks. The need to work with hospitals to implement these practices continues to exist, as illustrated by the small proportion of mothers who reported experiencing all 6 of the "Baby-Friendly" hospital practices measured in this study. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/18829830/Effect_of_maternity_care_practices_on_breastfeeding_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=18829830 DB - PRIME DP - Unbound Medicine ER -