Implementing the Ten Steps for Successful Breastfeeding in Hospitals Serving Low-Wealth Patients

Bibliographic Data

ID11039804
AuthorsEmily C Taylor (0000-0002-0417-1849, At the time of the study, all authors were with The Carolina Global Breastfeeding Institute, Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill. Nathan C. Nickel is with the University of Manitoba, Winnipeg, Canada.), Nathan Nickel (0000-0001-5836-5297, At the time of the study, all authors were with The Carolina Global Breastfeeding Institute, Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill. Nathan C. Nickel is with the University of Manitoba, Winnipeg, Canada.), Nathan C Nickel, Miriam H Labbok (0000-0001-9515-3963, At the time of the study, all authors were with The Carolina Global Breastfeeding Institute, Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill. Nathan C. Nickel is with the University of Manitoba, Winnipeg, Canada.)
Year2012
Volume102
Issue12
Pages2262-2268
Publication date2012-12-01
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.2012.300769
PMID23078473
PMCIDPMC3519341
OpenAlexW2140158064
LanguageEN
Citations received3
References cited16

Objectives. The Ten Steps to Successful Breastfeeding is a proven approach to support breastfeeding in maternity settings; however, scant literature exists on the relative impact and interpretation of each step on breastfeeding. We assessed the Ten Steps and their relationship with in-hospital breastfeeding rates at facilities serving low-wealth populations and explored the outcomes to identify step-specific actions. Methods. We present descriptive and nonparametric comparisons and qualitative findings to examine the relationship between the Ten Steps and breastfeeding rates from each hospital using baseline data collection. Results. Some steps (1-policy, 2-training, 4-skin-to-skin, 6-no supplements, and 9-no artificial nipples, followed by 3-prenatal counseling, 7-rooming-in) reflected differences in relative baseline breastfeeding rates between settings. Key informant interviews revealed misunderstanding of some steps. Conclusions. Self-appraisal may be less valid when not all elements of the criteria for evaluating Step implementation may be fully understood. Limited exposure and understanding may lead to self-appraisal errors, resulting in scores that are not reflective of actual practices. Nonetheless, the indication that breastfeeding rates may be better mirrored by a defined subset of steps may provide some constructive insight toward prioritizing implementation activities and simplifying assessment. These issues will be further explored in the next phase of this study

Breastfeeding · Developmental psychology · Dyad · Family medicine · Breastfeeding Practices and Influences · Infant Development and Preterm Care · Infant Nutrition and Health · Medicine · Nursing · Psychology · Pediatrics

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