Effect on Baby-Friendly Hospital Steps When Hospitals Implement a Policy to Pay for Infant Formula
© The Author(s) 2015..
BACKGROUND: The Baby-Friendly Hospital Initiative requires hospitals to pay market price for infant formula. No studies have specifically examined the effect of hospitals paying for infant formula on breastfeeding mothers' exposure to Baby-Friendly steps.
OBJECTIVES: To investigate the effect of hospitals implementing a policy of paying for infant formula on new mothers' exposure to Baby-Friendly steps and examine the effect of exposure to Baby-Friendly steps on breastfeeding rates.
METHODS: We used a repeated prospective cohort study design. We recruited 2 cohorts of breastfeeding mother-infant pairs (n = 2470) in the immediate postnatal period from 4 Hong Kong public hospitals and followed them by telephone up to 12 months postpartum. We assessed participants' exposure to 6 Baby-Friendly steps by extracting data from the medical record and by maternal self-report.
RESULTS: After hospitals began paying for infant formula, new mothers were more likely to experience 4 out of 6 Baby-Friendly steps. Breastfeeding initiation within the first hour increased from 28.7% to 45%, and in-hospital exclusive breastfeeding rates increased from 17.9% to 41.4%. The proportion of mothers who experienced all 6 Baby-Friendly steps increased from 4.8% to 20.5%. The risk of weaning was progressively higher among participants experiencing fewer Baby-Friendly steps. Each additional step experienced by new mothers decreased the risk of breastfeeding cessation by 8% (hazard ratio = 0.92; 95% CI, 0.89-0.95).
CONCLUSION: After implementing a policy of paying for infant formula, breastfeeding mothers were exposed to more Baby-Friendly steps, and exposure to more steps was significantly associated with a lower risk of breastfeeding cessation.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2016 |
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| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
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| Enthalten in: |
Journal of human lactation : official journal of International Lactation Consultant Association - 32(2016), 2 vom: 19. Mai, Seite 238-49 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Tarrant, Marie [VerfasserIn] |
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| Links: |
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| Themen: |
Baby-Friendly Hospital |
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| Anmerkungen: |
Date Completed 27.02.2017 Date Revised 27.02.2017 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/0890334415599399 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM251959899 |
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| 500 | |a Date Completed 27.02.2017 | ||
| 500 | |a Date Revised 27.02.2017 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2015. | ||
| 520 | |a BACKGROUND: The Baby-Friendly Hospital Initiative requires hospitals to pay market price for infant formula. No studies have specifically examined the effect of hospitals paying for infant formula on breastfeeding mothers' exposure to Baby-Friendly steps | ||
| 520 | |a OBJECTIVES: To investigate the effect of hospitals implementing a policy of paying for infant formula on new mothers' exposure to Baby-Friendly steps and examine the effect of exposure to Baby-Friendly steps on breastfeeding rates | ||
| 520 | |a METHODS: We used a repeated prospective cohort study design. We recruited 2 cohorts of breastfeeding mother-infant pairs (n = 2470) in the immediate postnatal period from 4 Hong Kong public hospitals and followed them by telephone up to 12 months postpartum. We assessed participants' exposure to 6 Baby-Friendly steps by extracting data from the medical record and by maternal self-report | ||
| 520 | |a RESULTS: After hospitals began paying for infant formula, new mothers were more likely to experience 4 out of 6 Baby-Friendly steps. Breastfeeding initiation within the first hour increased from 28.7% to 45%, and in-hospital exclusive breastfeeding rates increased from 17.9% to 41.4%. The proportion of mothers who experienced all 6 Baby-Friendly steps increased from 4.8% to 20.5%. The risk of weaning was progressively higher among participants experiencing fewer Baby-Friendly steps. Each additional step experienced by new mothers decreased the risk of breastfeeding cessation by 8% (hazard ratio = 0.92; 95% CI, 0.89-0.95) | ||
| 520 | |a CONCLUSION: After implementing a policy of paying for infant formula, breastfeeding mothers were exposed to more Baby-Friendly steps, and exposure to more steps was significantly associated with a lower risk of breastfeeding cessation | ||
| 650 | 4 | |a Clinical Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Baby-Friendly Hospital | |
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| 700 | 1 | |a Lok, Kris Y W |e verfasserin |4 aut | |
| 700 | 1 | |a Fong, Daniel Y T |e verfasserin |4 aut | |
| 700 | 1 | |a Wu, Kendra M |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Irene L Y |e verfasserin |4 aut | |
| 700 | 1 | |a Sham, Alice |e verfasserin |4 aut | |
| 700 | 1 | |a Lam, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Bai, Dorothy Li |e verfasserin |4 aut | |
| 700 | 1 | |a Wong, Ka Lun |e verfasserin |4 aut | |
| 700 | 1 | |a Wong, Emmy M Y |e verfasserin |4 aut | |
| 700 | 1 | |a Chan, Noel P T |e verfasserin |4 aut | |
| 700 | 1 | |a Dodgson, Joan E |e verfasserin |4 aut | |
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