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Evaluation of an office protocol to increase exclusivity of breastfeeding

Sharon K Corriveau1, Emily E Drake, Ann L Kellams

  • 1Loudoun Pediatric Associates, Leesburg, Virginia, USA. sharcorr@aol.com

Pediatrics
|April 3, 2013
PubMed

Insights

Implementing the Academy of Breastfeeding Medicine (ABM) protocol in pediatric primary care significantly increased exclusive breastfeeding rates. This public health initiative supports breastfeeding mothers and infants.

Area of Science:

  • Pediatric Primary Care
  • Public Health Initiatives
  • Infant Nutrition

Background:

  • Increasing breastfeeding rates is a key public health objective.
  • Pediatric primary care settings can play a role in supporting breastfeeding.
  • Evidence-based protocols can guide clinical practice.

Purpose of the Study:

  • To evaluate the impact of a clinical protocol on breastfeeding rates.
  • To determine if a breastfeeding-focused program improves outcomes in a pediatric clinic.
  • To assess the effectiveness of the ABM protocol in a primary care setting.

Main Methods:

  • Retrospective before-and-after study design.
  • Utilized the Academy of Breastfeeding Medicine (ABM) clinical protocol.
  • Included 757 mother-infant pairs with data collected at multiple time points.

Main Results:

  • Statistically significant increase in exclusive breastfeeding rates observed.
  • Positive outcomes for exclusive breastfeeding at all 5 data collection points.
  • Demonstrated effectiveness of the ABM protocol.

Conclusions:

  • Implementation of the ABM protocol led to increased breastfeeding initiation and exclusive rates.
  • Pediatric practices adopting the ABM protocol may see improved breastfeeding outcomes.
  • Diverse patient populations benefited from the protocol.
Abstract

Keywords:
baby-friendlybreastfeedingbreastfeeding educationbreastfeeding exclusiveevidence-based health careprimary health care

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