Hospital Practices and Women's Likelihood of Fulfilling Their Intention to Exclusively Breastfeed

Bibliographic Data

ID11033864
AuthorsEugene Declercq (0000-0001-5411-3033, At the time of the study Eugene Declercq was with School of Public Health, Boston University, MA. Miriam H. Labbok was with the School of Public Health, University of North Carolina, Chapel Hill. Carol Sakala was with Childbirth Connections, New York, NY. MaryAnn O'Hara was with the University of Washington, Seattle.), Miriam H Labbok (0000-0001-9515-3963, At the time of the study Eugene Declercq was with School of Public Health, Boston University, MA. Miriam H. Labbok was with the School of Public Health, University of North Carolina, Chapel Hill. Carol Sakala was with Childbirth Connections, New York, NY. MaryAnn O'Hara was with the University of Washington, Seattle.), Carol Sakala (0000-0002-0006-347X, At the time of the study Eugene Declercq was with School of Public Health, Boston University, MA. Miriam H. Labbok was with the School of Public Health, University of North Carolina, Chapel Hill. Carol Sakala was with Childbirth Connections, New York, NY. MaryAnn O'Hara was with the University of Washington, Seattle.), MaryAnn O'Hara (At the time of the study Eugene Declercq was with School of Public Health, Boston University, MA. Miriam H. Labbok was with the School of Public Health, University of North Carolina, Chapel Hill. Carol Sakala was with Childbirth Connections, New York, NY. MaryAnn O'Hara was with the University of Washington, Seattle.)
Year2009
Volume99
Issue5
Pages929-935
Publication date2009-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2008.135236
PMID19299680
PMCIDPMC2667852
OpenAlexW2157493298
LanguageEN
Citations received26
References cited20

Objectives. We sought to assess whether breastfeeding-related hospital practices reported by mothers were associated with achievement of their intentions to exclusively breastfeed. Methods. We used data from Listening to Mothers II, a nationally representative survey of 1573 mothers who had given birth in a hospital to a singleton in 2005. Mothers were asked retrospectively about their breastfeeding intention, infant feeding at 1 week, and 7 hospital practices. Results. Primiparas reported a substantial difference between their intention to exclusively breastfeed (70%) and this practice at 1 week (50%). They also reported hospital practices that conflicted with the Baby-Friendly Ten Steps, including supplementation (49%) and pacifier use (45%). Primiparas who delivered in hospitals that practiced 6 or 7 of the steps were 6 times more likely to achieve their intention to exclusively breastfeed than were those in hospitals that practiced none or 1 of the steps. Mothers who reported supplemental feedings to their infant were less likely to achieve their intention to exclusively breastfeed: primiparas (adjusted odds ratio [AOR] = 4.4; 95% confidence interval [CI] = 2.1, 9.3); multiparas (AOR = 8.8; 95% CI = 4.4, 17.6). Conclusions. Hospitals should implement policies that support breastfeeding with particular attention to eliminating supplementation of healthy newborns

Breast feeding · Breastfeeding · Confidence interval · Family medicine · Logistic regression · Odds · Odds ratio · Pacifier · Breastfeeding Practices and Influences · Demography · Infant Development and Preterm Care · Medicine · Obesity, Physical Activity, Diet · Pediatrics

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