A comparison of exclusive breastfeeding in Belgian maternity facilities with and without Baby‐friendly Hospital status

Robert, Emmanuelle; Michaud-Létourneau, Isabelle; Dramaix-Wilmet, Michèle; Swennen, Béatrice; Devlieger, Roland

doi:10.1111/mcn.12845

Cited by 10 publications

(8 citation statements)

References 36 publications

(49 reference statements)

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“…In addition, more respectful healthcare in line with Baby-Friendly Hospital Initiative (BFHI) recommendations would mark the difference with the related variables. It is essential to underline that accreditation by the BFHI does not ensure efficient support [ 31 ]; however, it is a step in this direction.…”

Section: Discussionmentioning

confidence: 99%

Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months?

Mena‐Tudela

Soriano‐Vidal

Vila‐Candel

et al. 2023

IJERPH

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Background: The World Health Organization (WHO) recommends early initiation of breastfeeding (EIBF) within the first hour after birth. However, certain perinatal factors, namely caesarean section, may prevent this goal from being achieved. The aim of our study was to examine the relationship between EIBF (maternal lactation in the first hours and degree of latching before hospital discharge) and the maintenance of exclusive breastfeeding (MBF) up to the recommended 6 months of age (as advocated by the WHO). Methods: This observational, retrospective cohort study included a random sample of all births between 2018 and 2019, characterising the moment of breastfeeding initiation after birth and the infant's level of breast latch (measured by LATCH assessment tool) prior to hospital discharge. Data were collected from electronic medical records and from follow-up health checks of infants up to 6 months postpartum. Results: We included 342 women and their newborns. EIBF occurred most often after vaginal (p < 0.001) and spontaneous births with spontaneous amniorrhexis (p = 0.002). LATCH score <9 points was associated with a 1.4-fold relative risk of abandoning MBF (95%CI: 1.2–1.7) compared with a score of 9–10 points. Conclusions: Although we were unable to find a significant association between EIBF in the first 2 h after birth and MBF at 6 months postpartum, low LATCH scores prior to discharge were associated with low MBF, indicating the importance of reinforcing the education and preparation efforts of mothers in the first days after delivery, prior to the establishment of an infant feeding routine upon returning home.

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Section: Discussionmentioning

confidence: 99%

Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months?

Mena‐Tudela

Soriano‐Vidal

Vila‐Candel

et al. 2023

IJERPH

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“…Our theoretical framework for this study is that, although high rates of EBF are possible by promotion in hospitals at delivery and in the immediate postnatal period by trained personnel, these rates are rapidly eroded due to lack of structured support in the community [22,23]. We hypothesize that facility based trained personnel can continue to provide outreach breastfeeding counseling services in the community by mobile phone and sustain EBF effectively ( Fig.…”

Section: Introductionmentioning

confidence: 99%

Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study

Jerin¹,

Akter²,

Talukder³

et al. 2020

Int Breastfeed J

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Background: Rapid increases in hospital and cesarean deliveries threaten an already falling exclusive breastfeeding rate (EBR) in Bangladesh. There is neither a sustained Baby-Friendly Hospital Initiative (BFHI) nor any community support for breastfeeding mothers. Our aim was to find out whether breastfeeding support after hospital delivery and subsequently by mobile phone at home is effective in improving EBR in infants under six-months of age. Methods: A quasi-experimental study was carried out in 2010 at the Centre for Woman and Child Health (CWCH), Savar, Bangladesh. A total of 129 mothers delivered at CWCH were recruited in pre-intervention phase and their infants followed up between 0 and 5 months of age in the community for exclusive breastfeeding (EBF), anthropometry and illness. An intervention package was then implemented with postpartum support for first hour breastfeeding initiation, correction of position and attachment and face-to-face counseling in hospital followed by mobile phone support by two trained Research Assistants once every 15 days after discharge up to six months of age. During the intervention phase, 164 pregnant women delivered at CWCH were recruited and followed up as in the pre-intervention phase. Results: In the pre-intervention phase among 114 infants, 66 (58%) were found to be exclusively breastfed. In the intervention phase among 151 infants, 118 (78%) were exclusively breastfed (p = 0.000). In the pre-intervention phase EBR at less than one month and five months were 85 and 42% as in the intervention phase these EBR were 89 and 71% respectively. Wasting (weight-for-height Z-score < − 2.00), stunting (height-for-age Z-score < − 2.00), and underweight (weight-for-age Z-score < − 2.00) was 17 (15%), 7 (6%), and 14 (13%) respectively in the preintervention phase. In the intervention phase wasting, stunting, and underweight was 16 (11%), 16 (11%), and 15 (10%) respectively. Therefore, there was no statistically significant differences in nutritional status of the infants in the two phases. There was also no significant differences in child morbidity (pneumonia and diarrhea) between the two phases. Conclusion: A combination of hospital support and mobile phone counseling in the community sustained higher rates of EBF in the community after hospital delivery.

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“…Recent studies from Europe (Belgium, Switzerland) (Robert et al, 2019; Spaeth et al, 2018) and the U.S. (Ducharme‐Smith et al, 2021) that directly aimed to compare breastfeeding rates of mothers from BFHI certified and noncertified hospitals, used different study designs and measurement time points. However, similar to our study, they did not find convincing longer‐term associations between breastfeeding promotion in hospitals and maternal EBF.…”

Section: Discussionmentioning

confidence: 99%

The role of breastfeeding promotion in German hospitals for exclusive breastfeeding duration

Hockamp

Sievers²,

Hülk

et al. 2022

Maternal & Child Nutrition

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Breastfeeding promotion and support in hospitals is expected to have a positive impact on maternal breastfeeding outcomes. The objective of this study is to examine the association between breastfeeding promotion in maternity hospitals in Germany and exclusive breastfeeding (EBF) rates during the first 4 months. Thus, a nationwide cross-sectional web-based survey of breastfeeding promotion was conducted in 103 hospitals. Mother-infant pairs (n = 962) were recruited at these hospitals for a prospective web-based survey of breastfeeding status at five-time points, that is, during a hospital stay, at discharge as well as after 0.5, 2, and 4 months. The hospital analysis was based on the "10 Steps to Successful Breastfeeding" of the World Health Organization and the United Nations Children's Fund, adapted for Germany. Their degree of implementation was stratified by a breastfeeding promotion index (BPI) as low (≤5 steps), medium (6-8 steps), and high (≥9 steps). The association between the BPI and the odds of EBF at each of the five-time points was estimated by multivariable regression models, adjusting for various maternal factors. At all time points, the proportion of EBF among mothers from high BPI hospitals exceeded the proportion of those from medium or low BPI hospitals. A high BPI was associated with higher odds of EBF during the hospital stay and at discharge, while maternal factors for EBF such as breastfeeding experience and no early use of a pacifier persisted beyond. The high commitment of hospitals and tailored support of mothers is essential for EBF.

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A comparison of exclusive breastfeeding in Belgian maternity facilities with and without Baby‐friendly Hospital status

Cited by 10 publications

References 36 publications

Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months?

Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months?

Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counseling: a quasi-experimental study

The role of breastfeeding promotion in German hospitals for exclusive breastfeeding duration

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