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Assessing the Implementation of the Baby-Friendly Hospital Initiative in Hungary: A Cross-Sectional Study
Anita Hulman1, Katalin Varga2, Tímea Csákvári3
1Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 4 Vörösmarty Str., H-7621 Pécs, Hungary.
Children (Basel, Switzerland)
|April 27, 2024
Summary
The Baby-Friendly Hospital Initiative
Area of Science:
- Public Health
- Maternal and Child Health
- Nutrition
Background:
- The Baby-Friendly Hospital Initiative (BFHI) promotes evidence-based practices for successful breastfeeding.
- Assessing the implementation and impact of BFHI
- Ten Steps to Successful Breastfeeding
- is crucial for maternal and child health outcomes.
Purpose of the Study:
- To evaluate the prevalence of the
- Ten Steps to Successful Breastfeeding
- in Hungary.
- To identify associations between the implementation of these steps and breastfeeding duration and exclusivity.
Main Methods:
- A quantitative, cross-sectional online survey was conducted in Hungary in 2021.
- Inclusion criteria: biological motherhood and at least one child under 60 months (n=2008).
- Data analyzed using descriptive statistics, chi-squared, and t-tests.
Main Results:
- Breastfeeding mothers reported higher implementation of most BFHI steps compared to non-breastfeeding mothers.
- Significant differences observed in staff recommendations, skin-to-skin contact, rooming-in, responsive feeding, and pacifier/bottle use.
- No significant differences found in the duration of exclusive or partial breastfeeding.
Conclusions:
- Exposure to BFHI practices is associated with a higher prevalence of breastfeeding at six months.
- BFHI implementation may not significantly influence longer durations of exclusive or partial breastfeeding.
- Further research is needed to understand factors influencing sustained breastfeeding.
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