Effect of a hospital policy of not accepting free infant formula on in-hospital formula supplementation rates and breast-feeding duration
To investigate the effect of public hospitals in Hong Kong not accepting free infant formula from manufacturers on in-hospital formula supplementation rates and breast-feeding duration. Prospective cohort study. In-patient postnatal units of four public hospitals in Hong Kong. Two cohorts of breast-feeding mother-infant pairs (n 2560). Cohort 1 (n 1320) was recruited before implementation of the policy to stop accepting free infant formula and cohort 2 (n 1240) was recruited after policy implementation. Participants were followed prospectively for 12 months or until they stopped breast-feeding. The mean number of formula supplements given to infants in the first 24 h was 2·70 (sd 3·11) in cohort 1 and 1·17 (sd 1·94) in cohort 2 (P<0·001). The proportion of infants who were exclusively breast-fed during the hospital stay increased from 17·7 % in cohort 1 to 41·3 % in cohort 2 (P<0·001) and the risk of breast-feeding cessation was significantly lower in cohort 2 (hazard ratio=0·81; 95 % CI 0·73, 0·90). Participants who non-exclusively breast-fed during the hospital stay had a significantly higher risk of stopping any or exclusive breast-feeding. Higher levels of formula supplementation also increased the risk of breast-feeding cessation in a dose-response pattern. After implementation of a hospital policy to pay market price for infant formula, rates of in-hospital formula supplementation were reduced and the rates of in-hospital exclusive breast-feeding and breast-feeding duration increased..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:18 |
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| Enthalten in: |
Public health nutrition - 18(2015), 14, Seite 2689 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Tarrant, Marie [VerfasserIn] |
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| Links: |
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| Themen: |
Breast-feeding |
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| doi: |
10.1017/S1368980015000117 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC1960650165 |
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| 245 | 1 | 0 | |a Effect of a hospital policy of not accepting free infant formula on in-hospital formula supplementation rates and breast-feeding duration |
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| 520 | |a To investigate the effect of public hospitals in Hong Kong not accepting free infant formula from manufacturers on in-hospital formula supplementation rates and breast-feeding duration. Prospective cohort study. In-patient postnatal units of four public hospitals in Hong Kong. Two cohorts of breast-feeding mother-infant pairs (n 2560). Cohort 1 (n 1320) was recruited before implementation of the policy to stop accepting free infant formula and cohort 2 (n 1240) was recruited after policy implementation. Participants were followed prospectively for 12 months or until they stopped breast-feeding. The mean number of formula supplements given to infants in the first 24 h was 2·70 (sd 3·11) in cohort 1 and 1·17 (sd 1·94) in cohort 2 (P<0·001). The proportion of infants who were exclusively breast-fed during the hospital stay increased from 17·7 % in cohort 1 to 41·3 % in cohort 2 (P<0·001) and the risk of breast-feeding cessation was significantly lower in cohort 2 (hazard ratio=0·81; 95 % CI 0·73, 0·90). Participants who non-exclusively breast-fed during the hospital stay had a significantly higher risk of stopping any or exclusive breast-feeding. Higher levels of formula supplementation also increased the risk of breast-feeding cessation in a dose-response pattern. After implementation of a hospital policy to pay market price for infant formula, rates of in-hospital formula supplementation were reduced and the rates of in-hospital exclusive breast-feeding and breast-feeding duration increased. | ||
| 650 | 4 | |a Breast-feeding | |
| 650 | 4 | |a Hong Kong | |
| 650 | 4 | |a Formula supplementation | |
| 650 | 4 | |a Hospital practices | |
| 650 | 4 | |a Infant feeding | |
| 700 | 1 | |a Lok, Kris Yw |4 oth | |
| 700 | 1 | |a Fong, Daniel Yt |4 oth | |
| 700 | 1 | |a Lee, Irene Ly |4 oth | |
| 700 | 1 | |a Sham, Alice |4 oth | |
| 700 | 1 | |a Lam, Christine |4 oth | |
| 700 | 1 | |a Wu, Kendra M |4 oth | |
| 700 | 1 | |a Bai, Dorothy L |4 oth | |
| 700 | 1 | |a Wong, Ka Lun |4 oth | |
| 700 | 1 | |a Wong, Emmy My |4 oth | |
| 700 | 1 | |a Chan, Noel Pt |4 oth | |
| 700 | 1 | |a Dodgson, Joan E |4 oth | |
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| 856 | 4 | 2 | |u http://www.ncbi.nlm.nih.gov/pubmed/25721766 |
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