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Infant feeding practices within a large electronic medical record database

Emily Bartsch1, Alison L Park2, Jacqueline Young2

  • 1University of Toronto, Toronto, Canada. emily.bartsch@mail.utoronto.ca.

BMC Pregnancy and Childbirth
|January 3, 2018
PubMed

Insights

Electronic Medical Records (EMRs) efficiently track infant feeding practices. Exclusive breastfeeding rates at 6 months were higher for older mothers, urban residents, and higher income groups.

Area of Science:

  • Child Health
  • Epidemiology
  • Public Health

Background:

  • Electronic Medical Records (EMRs) are increasingly adopted in primary care.
  • EMRs facilitate efficient examination of epidemiological trends in child health.
  • Infant feeding practices, including breastfeeding, are key areas of study.

Purpose of the Study:

  • To determine rates of exclusive breastfeeding in a large cohort of infants.
  • To identify sociodemographic factors associated with exclusive breastfeeding.
  • To assess the utility of EMR data for studying infant feeding.

Main Methods:

  • Population-based retrospective cohort study of 8815 singleton infants in Ontario, Canada (2002-2013).
  • Newborn records linked to the Electronic Medical Record Administrative data Linked Database (EMRALD™).
  • Exclusive breastfeeding patterns assessed via automated electronic search and manual EMR review.

Main Results:

  • 11.8% of infants lacked breastfeeding information in EMRs.
  • Exclusive breastfeeding rates were 39.5% at 2 months, 32.4% at 4 months, and 25.1% at 6 months.
  • Higher rates of exclusive breastfeeding at 6 months were associated with maternal age ≥40, urban residence, and higher income quintiles.

Conclusions:

  • EMR data can be efficiently used to determine rates and factors associated with exclusive breastfeeding.
  • Sociodemographic factors significantly influence exclusive breastfeeding practices.
  • This study highlights the potential of EMRs for child health research.
Abstract

Keywords:
BreastfeedingEMRElectronic medical recordFormula feedingInfant nutrition

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