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Reported Adherence to the 10 Steps to Successful Breastfeeding is Higher Among Baby-Friendly Hospitals.
Journal of Nutrition Education and Behavior 2024 March 13
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.
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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