Reported Adherence to the 10 Steps to Successful Breastfeeding Is Higher Among Baby-Friendly Hospitals
Katherine Thomsen1, Sarah Gonzalez-Nahm2, Sara E Benjamin-Neelon3
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Objective:
Quantify and compare reported breastfeeding support practices in the Baby-Friendly Hospital Initiative (BFHI) and non-BFHI facilities.
Design:
Cross-sectional survey.
Setting:
Regions across the US.
Participants:
Two hundred and eighty-six facilities (110 BFHI and 176 non-BFHI) selected by a stratified (by hospital size) random sample of 50% BFHI and 50% non-BFHI facilities.
Intervention:
Emailed survey Fall 2019 through Spring 2020.
Main Outcome Measure:
Reported adherence to the 10 Steps to Successful Breastfeeding.
Analysis:
Wilcoxon rank sum test with continuity correction, Pearson chi-square test of independence, and Fisher's exact test.
Results:
Baby-Friendly Hospital Initiative facilities were more likely to report adherence to the 10 Steps to Successful Breastfeeding. Only 2 of the reported steps were not significantly different: immediate postnatal care and responsive feeding.
Conclusions And Implications:
This research supports breastfeeding support interventions within hospitals as both BFHI and non-BFHI facilities have room for improvement. Interventions targeting non-BFHI facilities are an opportunity to close the disparity in breastfeeding care.
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