Are breastfeeding rates higher among mothers delivering in Baby Friendly accredited maternity units in the UK?
نویسندگان
چکیده
BACKGROUND The promotion and support of breastfeeding is a global priority with benefits for maternal and infant health, particularly in low-income and middle-income countries where its relevance for child survival is undisputed. However, breastfeeding rates are strikingly low in some higher-income countries, including the UK. Evidence to support the effectiveness of public health interventions to increase rates of breastfeeding initiation and duration in this setting is limited. We examined whether mothers were more likely to start and continue to breastfeed if they delivered in a UNICEF UK Baby Friendly accredited maternity unit, in a cohort with a high representation of disadvantaged and lower socioeconomic groups with traditionally low rates of breastfeeding. METHODS We analysed maternally reported breastfeeding initiation and prevalence of any breastfeeding at 1 month for 17 359 singleton infants according to maternity unit Baby Friendly Initiative participation status at birth (accredited, certificated, or neither award). RESULTS Mothers delivering in accredited maternity units were more likely to start breastfeeding than those delivering in units with neither award [adjusted rate ratio: 1.10, 95% confidence interval (CI) 1.05-1.15], but were not more likely to breastfeed at 1 month (0.96, 95% CI 0.84-1.09), after adjustment for social, demographic, and obstetric factors. Antenatal class attendance (1.14, 95% CI 1.11-1.17), vaginal delivery (1.05, 1.03-1.08), a companion at delivery (1.09, 1.04-1.16), and maternal post-partum hospital stay >24 h (1.06, 1.04-1.09) were also independently associated with breastfeeding initiation. CONCLUSIONS Policies to increase the proportion of maternity units participating in the UNICEF UK Baby Friendly Initiative are likely to increase breastfeeding initiation but not duration. Other strategies are required in order to support UK mothers to breastfeed for the recommended duration.
منابع مشابه
The breastfeeding support and promotion in Baby-Friendly Maternity Hospitals and Not-as-Yet Baby-Friendly Hospitals in Russia.
OBJECTIVE The objective was to evaluate implementation of the WHO/UNICEF "Ten Steps to Successful Breastfeeding" as defined by the Baby-Friendly Hospital Initiative in eight maternity hospitals in the Moscow region. Four maternity hospitals had been certified Baby- Friendly Hospitals (BFHs), the experimental group; and four maternity hospitals Not-as-Yet Baby Friendly, the control group (NBFHs)...
متن کاملAssessment of the impact of implementing the Baby-Friendly Hospital Initiative.
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متن کاملEffect of maternity-care practices on breastfeeding.
OBJECTIVE Our goal was to assess the impact of "Baby-Friendly" hospital practices and other maternity-care practices experienced by mothers on breastfeeding duration. METHODS This analysis of the Infant Feeding Practices Study II focused on mothers who initiated breastfeeding and intended prenatally to breastfeed for >2 months, with complete data on all variables (n = 1907). Predictor variabl...
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Background: The Baby-Friendly Hospital Initiative was launched in 1989 by World Health Organization and the United Nations Children's Fund for the promotion of breastfeeding. This program was implemented in many departments of gynecology and obstetrics and resulted in reduced malnutrition, infection, morbidity and mortality in children. This program has introduced 10 specific steps to support s...
متن کاملBaby-Friendly: snappy slogan or standard of care?
Breastfeeding offers significant protection against illness for the infant and numerous health benefits for the mother, including a decreased risk of breast cancer. In 1991, UNICEF and WHO launched the Baby-Friendly Hospital Initiative with the aim of increasing rates of breastfeeding. "Baby-Friendly" is a designation a maternity site can receive by demonstrating to external assessors complianc...
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ورودعنوان ژورنال:
- International journal of epidemiology
دوره 35 5 شماره
صفحات -
تاریخ انتشار 2006