Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum

Background: Studies have shown that implementing the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative can protect, promote, and support breastfeeding. However, few studies have valuated the quality of breastfeeding supportive services provided by Baby-Friendly Hospitals...

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Autores principales:	Lingling Li, Heqing Song, Yu Zhang, Hang Li, Mu Li, Hong Jiang, Yajuan Yang, Ying Wu, Chunyi Gu, Yulian Yu, Xu Qian
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	Baby-Friendly Hospital exclusive breastfeeding lactation hospital practice Ten Steps to Successful Breastfeeding Medicine R
Acceso en línea:	https://doaj.org/article/3674d3c098374fa092b26c3289de9f92
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spelling	oai:doaj.org-article:3674d3c098374fa092b26c3289de9f922021-11-11T16:32:40ZBreastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum10.3390/ijerph1821114301660-46011661-7827https://doaj.org/article/3674d3c098374fa092b26c3289de9f922021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11430https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Studies have shown that implementing the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative can protect, promote, and support breastfeeding. However, few studies have valuated the quality of breastfeeding supportive services provided by Baby-Friendly Hospitals from the perspective of service users. Methods: This was a hospital-based prospective study, conducted at eight Baby-Friendly Hospitals with a total of 707 pregnant women in Shanghai, China between October 2016 and September 2021. Breastfeeding supportive services during hospitalization were assessed at childbirth discharge using a 12-question questionnaire based on the Chinese “Baby-Friendly Hospital Evaluation Standards”. Women were followed up on six months postpartum. The impact of breastfeeding supportive services during hospitalization on the exclusive breastfeeding at discharge and six months postpartum were assessed. Results: Of the 707 mothers who completed the survey at discharge, 526 were followed up on six months after delivery. The overall exclusive breastfeeding rate among participants was 34.4% at discharge and 52.1% at six months postpartum. Mothers who received better breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at hospitalization discharge compared with mothers who received poorer services (aOR: 3.00; 95% CI: 2.08, 4.35; <i>p</i> < 0.001). Furthermore, they were also more likely to exclusively breastfeed at six months postpartum (aOR: 1.50; 95% CI: 1.03, 2.22; <i>p</i> = 0.033). Conclusion: Better breastfeeding supportive services during hospitalization were significantly associated with higher rate of exclusive breastfeeding at discharge and six months postpartum. More effective measures should be adopted to improve the implementation of the breastfeeding supportive services in Baby-Friendly Hospitals to promote exclusive breastfeeding and better maternal and child health.Lingling LiHeqing SongYu ZhangHang LiMu LiHong JiangYajuan YangYing WuChunyi GuYulian YuXu QianMDPI AGarticleBaby-Friendly Hospitalexclusive breastfeedinglactationhospital practiceTen Steps to Successful BreastfeedingMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11430, p 11430 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Baby-Friendly Hospital exclusive breastfeeding lactation hospital practice Ten Steps to Successful Breastfeeding Medicine R
spellingShingle	Baby-Friendly Hospital exclusive breastfeeding lactation hospital practice Ten Steps to Successful Breastfeeding Medicine R Lingling Li Heqing Song Yu Zhang Hang Li Mu Li Hong Jiang Yajuan Yang Ying Wu Chunyi Gu Yulian Yu Xu Qian Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum
description	Background: Studies have shown that implementing the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative can protect, promote, and support breastfeeding. However, few studies have valuated the quality of breastfeeding supportive services provided by Baby-Friendly Hospitals from the perspective of service users. Methods: This was a hospital-based prospective study, conducted at eight Baby-Friendly Hospitals with a total of 707 pregnant women in Shanghai, China between October 2016 and September 2021. Breastfeeding supportive services during hospitalization were assessed at childbirth discharge using a 12-question questionnaire based on the Chinese “Baby-Friendly Hospital Evaluation Standards”. Women were followed up on six months postpartum. The impact of breastfeeding supportive services during hospitalization on the exclusive breastfeeding at discharge and six months postpartum were assessed. Results: Of the 707 mothers who completed the survey at discharge, 526 were followed up on six months after delivery. The overall exclusive breastfeeding rate among participants was 34.4% at discharge and 52.1% at six months postpartum. Mothers who received better breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at hospitalization discharge compared with mothers who received poorer services (aOR: 3.00; 95% CI: 2.08, 4.35; <i>p</i> < 0.001). Furthermore, they were also more likely to exclusively breastfeed at six months postpartum (aOR: 1.50; 95% CI: 1.03, 2.22; <i>p</i> = 0.033). Conclusion: Better breastfeeding supportive services during hospitalization were significantly associated with higher rate of exclusive breastfeeding at discharge and six months postpartum. More effective measures should be adopted to improve the implementation of the breastfeeding supportive services in Baby-Friendly Hospitals to promote exclusive breastfeeding and better maternal and child health.
format	article
author	Lingling Li Heqing Song Yu Zhang Hang Li Mu Li Hong Jiang Yajuan Yang Ying Wu Chunyi Gu Yulian Yu Xu Qian
author_facet	Lingling Li Heqing Song Yu Zhang Hang Li Mu Li Hong Jiang Yajuan Yang Ying Wu Chunyi Gu Yulian Yu Xu Qian
author_sort	Lingling Li
title	Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum
title_short	Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum
title_full	Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum
title_fullStr	Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum
title_full_unstemmed	Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum
title_sort	breastfeeding supportive services in baby-friendly hospitals positively influenced exclusive breastfeeding practice at hospitalization discharge and six months postpartum
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3674d3c098374fa092b26c3289de9f92
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Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum

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