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Comprehensive Hands-on Breastfeeding Education for Maternity Nurses Provided by Hospitals Is Associated With Higher
Purpose:
The purpose of this study was to examine the association of maternity nurse education provided by the hospital with exclusive breastmilk feeding (EBF) and, secondarily, to evaluate the mediating role of in-hospital breastfeeding education for mothers on this relationship.
Study Design Methods:
We used a cross-sectional analysis of the 2022 Maternity Practices in Infant Nutrition and Care (mPINC) survey, which included hospital-level practices related to breastfeeding support, nurse education by the hospital about breastfeeding, and patient education in U.S. hospitals and territories. Data from 1,994 of the 2,779 eligible U.S. hospitals (72% response rate) that participated in the mPINC survey were analyzed.
Results:
Hospitals without all required hands-on breastfeeding skills reported significantly lower EBF rates (β = -3.995, 95% CI [-6.37, -1.62]). A lack of all hands-on breastfeeding skills was associated with lower maternal breastfeeding education (β = -0.266, 95% CI [-0.32, -0.22]), and higher maternal breastfeeding education was associated with higher EBF scores (β = 3.244, 95% CI [1.16, 5.33]).
Clinical Implications:
Hospitals should prioritize hands-on breastfeeding skills for nurses and breastfeeding education for mothers to increase EBF rates.
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