Evaluation of the Impact of the Baby-Friendly Hospital Initiative on Rates of Breastfeeding

Braun, Maria Luiza; Giugliani, Elsa Regina Justo; Soares, Maria Emília Mattos; Giugliani, Camila; Oliveira, Andréa Proenço de; Danelon, Claudia Maria Machado

doi:10.2105/ajph.93.8.1277

Cited by 118 publications

(129 citation statements)

References 3 publications

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“…Esse achado reforça a necessidade de fortalecimento dessa nova estratégia, com ênfase na continuidade da atenção e no acompanhamento longitudinal, em virtude de sua repercussão na manutenção do aleitamento materno após a alta hospitalar 22 . Evidenciou-se elevada adesão à prática do aleitamento materno durante a permanência do binômio mãe-bebê na maternidade 23 , havendo maior necessidade de se investir no apoio à dupla após a sua alta 24 . Vários países, como Chile, Peru, Nicarágua, Argentina e Reino Unido, desenvolveram passos para o incentivo ao aleitamento materno na atenção primária 25 , e estudos apontam que ações desenvolvidas durante o pré-natal e no período pós-natal são capazes de aumentar, de forma significativa, as prevalências de aleitamento materno 25,26 .…”

Section: Discussionunclassified

Análise de implantação da Rede Amamenta Brasil: desafios e perspectivas da promoção do aleitamento materno na atenção básica

et al. 2013

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Análise de implantação da Rede Amamenta Brasil: desafios e perspectivas da promoção do aleitamento materno na atenção básica Deployment analysis of the Brazilian Breastfeeding Network: challenges and prospects for promoting breastfeeding in primary careAnálisis sobre la implementación de la Red Amamanta Brasil: desafíos y perspectivas de la promoción de la lactancia materna en la atención primaria

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Section: Discussionunclassified

Análise de implantação da Rede Amamenta Brasil: desafios e perspectivas da promoção do aleitamento materno na atenção básica

et al. 2013

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“…B reastfeeding has numerous beneficial health effects, 1 but in many industrialized countries only a minority of infants are exclusively breastfed for 6 months, as recommended by the World Health Organization. The Baby-Friendly Hospital Initiative (BFHI) and the 10 Steps to Successful Breastfeeding proposed by United Nations Children's Fund (UNICEF) have been shown to increase breastfeeding duration and prevalence in different settings [2][3][4][5] but, to date, the long-term effects of the BFHI on the national level have not been demonstrated in a Western country.…”

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Do Baby-Friendly Hospitals Influence Breastfeeding Duration on a National Level?

2005

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ABSTRACT. Objectives. In Switzerland, the BabyFriendly Hospital Initiative (BFHI) proposed by the United Nations Children's Fund (UNICEF) was introduced in 1993 to promote breastfeeding nationwide. This study reports results of a national study of the prevalence and duration of breastfeeding in 2003 throughout Switzerland and analyzes the influence of compliance with UNICEF guidelines of the hospital where delivery took place on breastfeeding duration.Methods. Between April and September 2003, a random sample of mothers who had given birth in the past 9 months in Switzerland received a questionnaire on breastfeeding and complementary feeding. Seventy-four percent of the contacted mothers (n ‫؍‬ 3032) participated; they completed a 24-hour dietary recall questionnaire and reported the age at first introduction of various foods and drinks. After excluding questionnaires with missing information relevant for the analyses, we analyzed data for 2861 infants 0 to 11 months of age, born in 145 different health facilities. Because it was known whether each child was born in a designated baby-friendly hospital (45 hospitals) or in a health facility in the process of being evaluated for BFHI inclusion (31 facilities), we were able to assess a possible influence of the BFHI on breastfeeding success. For this purpose, we merged individual data with hospital data on compliance with the UNICEF guidelines, from a data source collected on an annual basis for quality monitoring of designated babyfriendly hospitals and health facilities in the evaluation process. Information on actual compliance with the guidelines allowed us to investigate the relationship between breastfeeding outcomes and compliance with UNICEF guidelines. We were also able to compare the breastfeeding results with those for non-baby-friendly health facilities. The comparison was based on median durations of exclusive, full, and any breastfeeding calculated for each group. To allow for other known influencing factors, we calculated adjusted hazard ratios by using Cox regression; we also conducted logistic regression analyses with the 24-hour dietary recall data, to calculate adjusted odds ratios for validation of results from the retrospectively collected data.Results. In 2003, the median duration of any breastfeeding was 31 weeks at the national level, compared with 22 weeks in 1994, and the median duration of full breastfeeding was 17 weeks, compared with 15 weeks in 1994. The proportion of exclusively breastfed infants 0 to 5 months of age was 42% for infants born in babyfriendly hospitals, compared with 34% for infants born elsewhere. Breastfeeding duration for infants born in baby-friendly hospitals, compared with infants born in other hospitals, was longer if the hospital showed good compliance with the UNICEF guidelines (35 weeks vs 29 weeks for any breastfeeding, 20 weeks vs 17 weeks for full breastfeeding, and 12 weeks vs 6 weeks for exclusive breastfeeding). To control for differences in the study population between the different types of health faci...

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“…Rotinas e práticas hospitalares inadequadas podem induzir ao desmame precoce, com repercussões no aumento da desnutrição, da diarréia, das doenças infecciosas, e assim, da morbi-mortalidade infantil (2,26). Alguns estudos têm mostrado o impacto positivo dos princípios da Iniciativa no aumento da freqüência e da duração da amamentação (14,27). A redução nas ações de promoção, proteção e apoio à amamentação pode levar ao decréscimo nos indicadores de aleitamento materno, e conseqüentemente, a um maior gasto com substitutos do leite materno e com a assistência à saúde (3,28).…”

Section: Materiais E Métodosunclassified

“…Os resultados disponíveis mostram taxas de aleitamento materno mais expressivas na presença da estratégia (13). Uma pesquisa sobre o impacto e a eficiência do programa desenvolvido pelos HAC, realizada em Porto Alegre, no Brasil, mostrou uma duração mediana de aleitamento materno exclusivo (AME) de 1 e 2 meses, respectivamente, nas crianças nascidas antes e depois que o hospital se tornou "Amigo da Criança" (14). Um estudo populacional regional, também do Brasil, indicou que a duração mediana do aleitamento materno passou de 8,9 para 11,6 meses, e a do AME passou de 27 dias para 3,5 meses após a implantação da IHAC em um município (15).…”

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Doze anos de evolução da Iniciativa Hospital Amigo da Criança no Brasil

Araújo¹,

Schmitz²

2007

Rev Panam Salud Publica

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Evaluation of the Impact of the Baby-Friendly Hospital Initiative on Rates of Breastfeeding

Cited by 118 publications

References 3 publications

Análise de implantação da Rede Amamenta Brasil: desafios e perspectivas da promoção do aleitamento materno na atenção básica

Análise de implantação da Rede Amamenta Brasil: desafios e perspectivas da promoção do aleitamento materno na atenção básica

Do Baby-Friendly Hospitals Influence Breastfeeding Duration on a National Level?

Doze anos de evolução da Iniciativa Hospital Amigo da Criança no Brasil

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