Exposure to Baby-Friendly Hospital Practices and Breastfeeding Outcomes of WIC Participants in Maryland
Background The Baby-Friendly Hospital Initiative is an effective intervention to support maternal practices around breastfeeding. However, adherence of hospitals to the Baby-Friendly 10 Steps, as determined from the perspective of women participating in the United States Special Supplemental Nutriti...
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| Veröffentlicht in: | Journal of human lactation 2022-02, Vol.38 (1), p.78-88 |
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| container_title | Journal of human lactation |
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| creator | Ducharme-Smith, Kirstie Gross, Susan M. Resnik, Amy Rosenblum, Nadine Dillaway, Chloe Orta Aleman, Dania Augustyn, Marycatherine Silbert-Flagg, Joanne Caulfield, Laura E. |
| description | Background
The Baby-Friendly Hospital Initiative is an effective intervention to support maternal practices around breastfeeding. However, adherence of hospitals to the Baby-Friendly 10 Steps, as determined from the perspective of women participating in the United States Special Supplemental Nutrition Program for Women, Infants, and Children, has not been assessed.
Research Aims
(1) To compare maternal perceptions about maternity practices in Baby-Friendly Hospitals and non-Baby-Friendly Hospitals; (2) to evaluate the associations between degree of exposure to the Baby-Friendly 10 Steps and breastfeeding practices through the first 6 months; and (3) to evaluate whether the receipt of specific Steps was associated with breastfeeding practices through 6 months.
Methods
This study was a cross-sectional 2 group comparison, using prospective data collected through a self-report telephone survey and retrospective data gathered from participants’ records. Women (N = 182) participating in four Maryland Special Supplemental Nutrition Program for Women, Infants and Children agencies were recruited. One hundred and eight (59%) participants delivered at designated Baby-Friendly Hospitals; 74 (41%) delivered in non-Baby-Friendly designated hospitals. Logistic regression models were utilized to determine the influence of perceived Step adherence on exclusive breastfeeding.
Results
Reported adherence to 10-Steps policies ranged from 10%–85% (lowest for Step 9, highest for Step 10) and only Step 9 (give no pacifiers or artificial nipples to breastfeeding infants) differed according to Baby-Friendly Hospital status. Greater exposure to the 10 Steps was positively associated with exclusive breastfeeding during hospitalization. The lack of perceived adherence to Step 6 (no food or drink other than human milk), Step 9, and the International Code of Marketing of Breast-milk Substitutes (no formula, bottles, or artificial nipples) significantly decreased the likelihood of exclusive breastfeeding through 6 months.
Conclusion
Maternal perception of Baby-Friendly Step adherence was associated with exclusive breastfeeding. |
| doi_str_mv | 10.1177/0890334421993771 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2490604121</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0890334421993771</sage_id><sourcerecordid>2490604121</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-3c28743fec513b7f66cc82f5704f82e90b558be59719fad0ca03f6946afa1d8f3</originalsourceid><addsrcrecordid>eNp1kD1PwzAYhC0EoqWwMyGPLAF_xHE8QtXSSkXtAGKMHMeuXCVxsBOJ_ntctTAgMb3DPXe69wC4xegBY84fUS4QpWlKsBCUc3wGxpgxkjBOyTkYH-TkoI_AVQg7hLBAHF-CEaVM4JzRMdjOvjoXBq9h7-CzLPfJ3FvdVvUeLlzobC9ruPFS9VbpAGVbwWevZeiN1pVtt3A99Mo1UXIGfiyncCN9RG0n2z5A28JX6fd1tF2DCyProG9OdwLe57O36SJZrV-W06dVoijlfUIVyXlKjVYM05KbLFMqJ4ZxlJqcaIFKxvJSM8GxMLJCSiJqMpFm0khc5YZOwP0xt_Puc9ChLxoblK5jB-2GUJBUoAylmOCIoiOqvAvBa1N03jaxb4FRcZi3-DtvtNyd0oey0dWv4WfPCCRHIMitLnZu8G389v_Aby9Eglw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2490604121</pqid></control><display><type>article</type><title>Exposure to Baby-Friendly Hospital Practices and Breastfeeding Outcomes of WIC Participants in Maryland</title><source>Access via SAGE</source><source>MEDLINE</source><creator>Ducharme-Smith, Kirstie ; Gross, Susan M. ; Resnik, Amy ; Rosenblum, Nadine ; Dillaway, Chloe ; Orta Aleman, Dania ; Augustyn, Marycatherine ; Silbert-Flagg, Joanne ; Caulfield, Laura E.</creator><creatorcontrib>Ducharme-Smith, Kirstie ; Gross, Susan M. ; Resnik, Amy ; Rosenblum, Nadine ; Dillaway, Chloe ; Orta Aleman, Dania ; Augustyn, Marycatherine ; Silbert-Flagg, Joanne ; Caulfield, Laura E.</creatorcontrib><description>Background
The Baby-Friendly Hospital Initiative is an effective intervention to support maternal practices around breastfeeding. However, adherence of hospitals to the Baby-Friendly 10 Steps, as determined from the perspective of women participating in the United States Special Supplemental Nutrition Program for Women, Infants, and Children, has not been assessed.
Research Aims
(1) To compare maternal perceptions about maternity practices in Baby-Friendly Hospitals and non-Baby-Friendly Hospitals; (2) to evaluate the associations between degree of exposure to the Baby-Friendly 10 Steps and breastfeeding practices through the first 6 months; and (3) to evaluate whether the receipt of specific Steps was associated with breastfeeding practices through 6 months.
Methods
This study was a cross-sectional 2 group comparison, using prospective data collected through a self-report telephone survey and retrospective data gathered from participants’ records. Women (N = 182) participating in four Maryland Special Supplemental Nutrition Program for Women, Infants and Children agencies were recruited. One hundred and eight (59%) participants delivered at designated Baby-Friendly Hospitals; 74 (41%) delivered in non-Baby-Friendly designated hospitals. Logistic regression models were utilized to determine the influence of perceived Step adherence on exclusive breastfeeding.
Results
Reported adherence to 10-Steps policies ranged from 10%–85% (lowest for Step 9, highest for Step 10) and only Step 9 (give no pacifiers or artificial nipples to breastfeeding infants) differed according to Baby-Friendly Hospital status. Greater exposure to the 10 Steps was positively associated with exclusive breastfeeding during hospitalization. The lack of perceived adherence to Step 6 (no food or drink other than human milk), Step 9, and the International Code of Marketing of Breast-milk Substitutes (no formula, bottles, or artificial nipples) significantly decreased the likelihood of exclusive breastfeeding through 6 months.
Conclusion
Maternal perception of Baby-Friendly Step adherence was associated with exclusive breastfeeding.</description><identifier>ISSN: 0890-3344</identifier><identifier>EISSN: 1552-5732</identifier><identifier>DOI: 10.1177/0890334421993771</identifier><identifier>PMID: 33591853</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Breast Feeding ; Child ; Cross-Sectional Studies ; Female ; Health Promotion ; Hospitals ; Humans ; Infant ; Maryland ; Pregnancy ; Prospective Studies ; Retrospective Studies</subject><ispartof>Journal of human lactation, 2022-02, Vol.38 (1), p.78-88</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-3c28743fec513b7f66cc82f5704f82e90b558be59719fad0ca03f6946afa1d8f3</citedby><cites>FETCH-LOGICAL-c337t-3c28743fec513b7f66cc82f5704f82e90b558be59719fad0ca03f6946afa1d8f3</cites><orcidid>0000-0002-6433-8145</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0890334421993771$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0890334421993771$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33591853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ducharme-Smith, Kirstie</creatorcontrib><creatorcontrib>Gross, Susan M.</creatorcontrib><creatorcontrib>Resnik, Amy</creatorcontrib><creatorcontrib>Rosenblum, Nadine</creatorcontrib><creatorcontrib>Dillaway, Chloe</creatorcontrib><creatorcontrib>Orta Aleman, Dania</creatorcontrib><creatorcontrib>Augustyn, Marycatherine</creatorcontrib><creatorcontrib>Silbert-Flagg, Joanne</creatorcontrib><creatorcontrib>Caulfield, Laura E.</creatorcontrib><title>Exposure to Baby-Friendly Hospital Practices and Breastfeeding Outcomes of WIC Participants in Maryland</title><title>Journal of human lactation</title><addtitle>J Hum Lact</addtitle><description>Background
The Baby-Friendly Hospital Initiative is an effective intervention to support maternal practices around breastfeeding. However, adherence of hospitals to the Baby-Friendly 10 Steps, as determined from the perspective of women participating in the United States Special Supplemental Nutrition Program for Women, Infants, and Children, has not been assessed.
Research Aims
(1) To compare maternal perceptions about maternity practices in Baby-Friendly Hospitals and non-Baby-Friendly Hospitals; (2) to evaluate the associations between degree of exposure to the Baby-Friendly 10 Steps and breastfeeding practices through the first 6 months; and (3) to evaluate whether the receipt of specific Steps was associated with breastfeeding practices through 6 months.
Methods
This study was a cross-sectional 2 group comparison, using prospective data collected through a self-report telephone survey and retrospective data gathered from participants’ records. Women (N = 182) participating in four Maryland Special Supplemental Nutrition Program for Women, Infants and Children agencies were recruited. One hundred and eight (59%) participants delivered at designated Baby-Friendly Hospitals; 74 (41%) delivered in non-Baby-Friendly designated hospitals. Logistic regression models were utilized to determine the influence of perceived Step adherence on exclusive breastfeeding.
Results
Reported adherence to 10-Steps policies ranged from 10%–85% (lowest for Step 9, highest for Step 10) and only Step 9 (give no pacifiers or artificial nipples to breastfeeding infants) differed according to Baby-Friendly Hospital status. Greater exposure to the 10 Steps was positively associated with exclusive breastfeeding during hospitalization. The lack of perceived adherence to Step 6 (no food or drink other than human milk), Step 9, and the International Code of Marketing of Breast-milk Substitutes (no formula, bottles, or artificial nipples) significantly decreased the likelihood of exclusive breastfeeding through 6 months.
Conclusion
Maternal perception of Baby-Friendly Step adherence was associated with exclusive breastfeeding.</description><subject>Breast Feeding</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Promotion</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Maryland</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><issn>0890-3344</issn><issn>1552-5732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAYhC0EoqWwMyGPLAF_xHE8QtXSSkXtAGKMHMeuXCVxsBOJ_ntctTAgMb3DPXe69wC4xegBY84fUS4QpWlKsBCUc3wGxpgxkjBOyTkYH-TkoI_AVQg7hLBAHF-CEaVM4JzRMdjOvjoXBq9h7-CzLPfJ3FvdVvUeLlzobC9ruPFS9VbpAGVbwWevZeiN1pVtt3A99Mo1UXIGfiyncCN9RG0n2z5A28JX6fd1tF2DCyProG9OdwLe57O36SJZrV-W06dVoijlfUIVyXlKjVYM05KbLFMqJ4ZxlJqcaIFKxvJSM8GxMLJCSiJqMpFm0khc5YZOwP0xt_Puc9ChLxoblK5jB-2GUJBUoAylmOCIoiOqvAvBa1N03jaxb4FRcZi3-DtvtNyd0oey0dWv4WfPCCRHIMitLnZu8G389v_Aby9Eglw</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Ducharme-Smith, Kirstie</creator><creator>Gross, Susan M.</creator><creator>Resnik, Amy</creator><creator>Rosenblum, Nadine</creator><creator>Dillaway, Chloe</creator><creator>Orta Aleman, Dania</creator><creator>Augustyn, Marycatherine</creator><creator>Silbert-Flagg, Joanne</creator><creator>Caulfield, Laura E.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6433-8145</orcidid></search><sort><creationdate>20220201</creationdate><title>Exposure to Baby-Friendly Hospital Practices and Breastfeeding Outcomes of WIC Participants in Maryland</title><author>Ducharme-Smith, Kirstie ; Gross, Susan M. ; Resnik, Amy ; Rosenblum, Nadine ; Dillaway, Chloe ; Orta Aleman, Dania ; Augustyn, Marycatherine ; Silbert-Flagg, Joanne ; Caulfield, Laura E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-3c28743fec513b7f66cc82f5704f82e90b558be59719fad0ca03f6946afa1d8f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Breast Feeding</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Promotion</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Maryland</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ducharme-Smith, Kirstie</creatorcontrib><creatorcontrib>Gross, Susan M.</creatorcontrib><creatorcontrib>Resnik, Amy</creatorcontrib><creatorcontrib>Rosenblum, Nadine</creatorcontrib><creatorcontrib>Dillaway, Chloe</creatorcontrib><creatorcontrib>Orta Aleman, Dania</creatorcontrib><creatorcontrib>Augustyn, Marycatherine</creatorcontrib><creatorcontrib>Silbert-Flagg, Joanne</creatorcontrib><creatorcontrib>Caulfield, Laura E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of human lactation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ducharme-Smith, Kirstie</au><au>Gross, Susan M.</au><au>Resnik, Amy</au><au>Rosenblum, Nadine</au><au>Dillaway, Chloe</au><au>Orta Aleman, Dania</au><au>Augustyn, Marycatherine</au><au>Silbert-Flagg, Joanne</au><au>Caulfield, Laura E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exposure to Baby-Friendly Hospital Practices and Breastfeeding Outcomes of WIC Participants in Maryland</atitle><jtitle>Journal of human lactation</jtitle><addtitle>J Hum Lact</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>38</volume><issue>1</issue><spage>78</spage><epage>88</epage><pages>78-88</pages><issn>0890-3344</issn><eissn>1552-5732</eissn><abstract>Background
The Baby-Friendly Hospital Initiative is an effective intervention to support maternal practices around breastfeeding. However, adherence of hospitals to the Baby-Friendly 10 Steps, as determined from the perspective of women participating in the United States Special Supplemental Nutrition Program for Women, Infants, and Children, has not been assessed.
Research Aims
(1) To compare maternal perceptions about maternity practices in Baby-Friendly Hospitals and non-Baby-Friendly Hospitals; (2) to evaluate the associations between degree of exposure to the Baby-Friendly 10 Steps and breastfeeding practices through the first 6 months; and (3) to evaluate whether the receipt of specific Steps was associated with breastfeeding practices through 6 months.
Methods
This study was a cross-sectional 2 group comparison, using prospective data collected through a self-report telephone survey and retrospective data gathered from participants’ records. Women (N = 182) participating in four Maryland Special Supplemental Nutrition Program for Women, Infants and Children agencies were recruited. One hundred and eight (59%) participants delivered at designated Baby-Friendly Hospitals; 74 (41%) delivered in non-Baby-Friendly designated hospitals. Logistic regression models were utilized to determine the influence of perceived Step adherence on exclusive breastfeeding.
Results
Reported adherence to 10-Steps policies ranged from 10%–85% (lowest for Step 9, highest for Step 10) and only Step 9 (give no pacifiers or artificial nipples to breastfeeding infants) differed according to Baby-Friendly Hospital status. Greater exposure to the 10 Steps was positively associated with exclusive breastfeeding during hospitalization. The lack of perceived adherence to Step 6 (no food or drink other than human milk), Step 9, and the International Code of Marketing of Breast-milk Substitutes (no formula, bottles, or artificial nipples) significantly decreased the likelihood of exclusive breastfeeding through 6 months.
Conclusion
Maternal perception of Baby-Friendly Step adherence was associated with exclusive breastfeeding.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>33591853</pmid><doi>10.1177/0890334421993771</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6433-8145</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of human lactation, 2022-02, Vol.38 (1), p.78-88 |
| issn | 0890-3344 1552-5732 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2490604121 |
| source | Access via SAGE; MEDLINE |
| subjects | Breast Feeding Child Cross-Sectional Studies Female Health Promotion Hospitals Humans Infant Maryland Pregnancy Prospective Studies Retrospective Studies |
| title | Exposure to Baby-Friendly Hospital Practices and Breastfeeding Outcomes of WIC Participants in Maryland |
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