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Related Experiment Videos

Maternity care practices: implications for breastfeeding.

A M DiGirolamo1, L M Grummer-Strawn, S Fein

  • 1National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway N.E., Atlanta, GA 30341-3717, USA.

Birth (Berkeley, Calif.)
|June 14, 2001
PubMed
Summary
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Adhering to more Baby-Friendly Hospital Initiative practices significantly increases breastfeeding duration. Mothers experiencing all five practices were less likely to terminate breastfeeding early, highlighting the importance of widespread adoption.

Area of Science:

  • Public Health
  • Maternal and Child Health
  • Lactation Research

Background:

  • Low rates of breastfeeding initiation and short durations are prevalent among US mothers.
  • The Baby-Friendly Hospital Initiative (BFHI) promotes evidence-based maternity care practices to normalize breastfeeding.
  • This study investigates the relationship between BFHI practices and breastfeeding outcomes.

Purpose of the Study:

  • To evaluate how the type and number of BFHI practices influence breastfeeding duration.
  • To identify specific BFHI practices that impact early breastfeeding cessation.

Main Methods:

  • A longitudinal mail survey (1993-1994) tracked 1085 mothers with intentions to breastfeed for over 2 months.
  • Data collected prenatally and postnatally assessed exposure to five key BFHI practices.

Related Experiment Videos

  • Breastfeeding termination before 6 weeks was the primary outcome measure.

    • Main Results:

    • Only 7% of mothers experienced all five measured BFHI practices.
    • Late breastfeeding initiation and infant supplementation were significant risk factors for early breastfeeding termination.
    • Mothers experiencing no BFHI practices were eight times more likely to stop breastfeeding early compared to those experiencing all five.

    Conclusions:

    • Implementing more BFHI practices is associated with improved chances of breastfeeding beyond six weeks.
    • The low adoption rate of all five BFHI practices underscores the need for increased hospital implementation.
    • Wider adoption of BFHI guidelines can support longer breastfeeding durations.