期刊
JOURNAL OF HUMAN LACTATION
卷 38, 期 3, 页码 537-547出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/08903344211058373
关键词
Baby-Friendly Hospital Initiative; Baby-Friendly Hospital Initiative for neonatal wards; breastfeeding; breastfeeding attitude; breastfeeding practices; healthcare professionals; Neo-BFHI; neonatology; neonatal intensive care unit (NICU); postpartum care; quasi-experimental study
资金
- Government Research Financing of the Satakunta Hospital District [133/2020, 85013]
Implementing the Baby-Friendly Hospital Initiative led to significant improvements in healthcare professionals' breastfeeding attitudes and related hospital practices, including increased rates of skin-to-skin contact, early breastfeeding, and exclusive breastfeeding.
Background: The Baby-Friendly Hospital Initiative represents a global effort to support breastfeeding. Commitment to this program has been associated with the longer duration and exclusivity of breastfeeding and improvements in hospital practices. Further, healthcare professionals' breastfeeding attitudes have been associated with the ability to provide professional support for breastfeeding. Research Aims: To determine healthcare professionals' breastfeeding attitudes and hospital practices before and after the implementation of the Baby-Friendly Hospital Initiative. Methods: Using a quasi-experimental pretest-posttest study design, healthcare professionals (N = 131) from the single hospital labor and delivery, maternity care, and neonatal intensive care were recruited before and after the Baby-Friendly Hospital Initiative intervention during 2017 and 2019. Breastfeeding attitudes with the validated Breastfeeding Attitude Questionnaire, breastfeeding-related hospital practices, and background characteristics were collected. Results: The healthcare professionals' breastfeeding attitude scores increased significantly after the implementation of the Baby-Friendly Hospital Initiative, difference = 0.16, (95% CI [0.13, 0.19]) and became breastfeeding favorable among all professional groups in each study unit. Positive changes in breastfeeding-supportive hospital practices were achieved. The infants had significantly more frequent immediate and uninterrupted skin-to-skin contact with their mothers. The rate of early breastfeeding, as well as the number of exclusively breastfed infants, increased. Conclusions: After the Baby-Friendly Hospital Initiative and Baby-Friendly Hospital Initiative for neonatal wards (Neo-BFHI) interventions were concluded, we found significant improvements in the breastfeeding attitudes of healthcare professionals and in breastfeeding-related care practices. This RCT was registered (0307-0041) with ClinicalTrials.gov on 03/03/2017.
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