Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Pérez‐Escamilla, Rafael; Martinez, Josefa L.; Segura‐Pérez, Sofía

doi:10.1111/mcn.12294

Cited by 396 publications

(433 citation statements)

References 89 publications

(160 reference statements)

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“…25,26 Additionally, feeding is of prevalent concern for parents as preterm infants often have difficulty establishing breastfeeding and may require expressed breastmilk or oral supplemental feeding. 27,28 It is essential that parents are provided with accurate information when they need it: too much information may cause anxiety, while too little may create fear. 7 Information seeking by parents whose infant is in the NICU, whether online, through health professionals, or through peers, is thought to stem from a need to control the situation and is a method of engaging in care of their infant.…”

Section: Discussionmentioning

confidence: 99%

Learning to parent from Google? Evaluation of available online health evidence for parents of preterm infants requiring neonatal intensive care

Dol¹,

Richardson

Boates

et al. 2018

Health Informatics J

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The study aim was to identify and evaluate the reliability and quality of online resources for parents of preterm infants seeking health information about their infant using the DISCERN tool and Health on Net code. An Internet search (www.google.com) was used to identify websites for parents of preterm infants on their infants' health and health issues. For each search, the top 100 "hits" were downloaded, yielding 1200 websites. After reviewing websites for exclusion criteria and duplicates, 197 websites remained and were analyzed. According to the DISCERN tool, the websites had a moderate reliability score (mean = 29.88, standard deviation = 4.88, range: 18-40), moderate treatment score (mean = 24.15, standard deviation = 5.79, range: 10-35), and moderate overall quality score (mean = 3.41, standard deviation = 0.89, range: 1-5). Only 24 (12.2%) websites had current Health on Net code approval and no other websites met full eligibility for certification. Overall, the reliability and quality of information available online to parents of preterm infants is lacking.

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Section: Discussionmentioning

confidence: 99%

Learning to parent from Google? Evaluation of available online health evidence for parents of preterm infants requiring neonatal intensive care

Dol¹,

Richardson

Boates

et al. 2018

Health Informatics J

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show abstract

“…Despite these problems with postnatal care, increasing proportions of women reported that they received consistent advice and support with infant feeding reflecting the work that has been put into this aspect of care (Perez-Escamilla et al, 2016). Overall, the vast majority of women said that staff treated them with respect, although less so in the postnatal period compared to antenatal and intrapartum care, and overall, women indicated consistently high satisfaction with their care.…”

Section: Discussionmentioning

confidence: 99%

Change over time in women's views and experiences of maternity care in England, 1995–2014: A comparison using survey data

Henderson

Redshaw

2017

Midwifery

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Backgroundthere have been changes in maternity care policy over the last 20 years and women's experience, continuity and satisfaction with care have become more prominent. However there has been no research examining changes over time in women's reported experience.Methodsthis study used secondary analysis of data collected in four postal surveys of maternity care experiences in 1995, 2006, 2010 and 2014. In each case women who had delivered in a specified time period in England were randomly sampled and sent a questionnaire three months after the birth. Women were excluded if they were aged less than 16 years or their infant had died. The majority of questions were comparable over the different surveys. Descriptive statistics and adjusted odds ratios are presented.Findingsin the antenatal period, an increasing proportion of women had early first contact with a healthcare professional, screening for Down's syndrome, both dating and anomaly scans and the total number of ultrasound scans increased over the period. The proportion of women given explanations about screening and choice regarding interventions during labour and birth both appear to have increased. In the postnatal period, length of hospital stay declined over time but the proportion of women who considered their length of stay too short remained constant. The number of postnatal home visits also declined and there was a substantial increase in the proportion of women who would have liked more visits. Overall satisfaction with care remained high especially for care during pregnancy, labour and birth.Conclusionsdespite fewer antenatal checks, shorter hospital stays and fewer postnatal home visits, women were generally very positive about their care in pregnancy, labour and birth, and the postnatal period. Maternity care has changed in many respects, with earlier contact with health professionals, more scans and more information. However, reduced continuity of care and a need for support in the early weeks with a new infant was expressed by many women and are issues that may be contributing to some of the dissatisfaction expressed.

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“…10,11 Mothers who room-in are better able to learn and detect their infants’ hunger cues 12 and are more likely to be exclusively breastfeeding at hospital discharge. 13,14 Studies have also suggested that rooming-in facilitates mother-infant bonding, which, in turn, positively influences breastfeeding. 15 Furthermore, rooming-in promotes family-centered care as the infant is not taken away for pediatric rounds and other routine procedures.…”

Section: Introductionmentioning

confidence: 99%

Trends in rooming‐in practices among hospitals in the United States, 2007‐2015

Barrera

Boundy

Perrine

2018

Birth

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Background Rooming-in, or keeping mothers and infants together throughout the birth hospitalization, increases breastfeeding initiation and duration, and is one of the Ten Steps to Successful Breastfeeding. Methods The Centers for Disease Control and Prevention’s (CDC) Maternity Practices in Infant Nutrition and Care (mPINC) survey is a biennial census of all birth facilities in the United States and its territories. Data from the 2007–2015 mPINC surveys were used to assess trends in the prevalence of hospitals with most (≥90%) infants rooming-in more than 23 hours per day (ideal practice). Hospital practices among breastfed infants not rooming-in at night and reasons why hospitals without ideal rooming-in practices removed healthy, full-term, breastfed infants from their mothers’ rooms were also analyzed. Results The percentage of hospitals with ideal practice increased from 27.8% in 2007 to 51.4% in 2015. Most breastfed infants who were not rooming-in were brought to their mothers at night for feedings (91.8% in 2015). Among hospitals without ideal rooming-in practices, the percentage removing 50% or more of infants from their mothers’ rooms at any point during the hospitalization decreased for all reasons surveyed during 2007–2015; however, in 2015, hospitals still reported regularly removing infants for hearing tests (73.2%), heel sticks (65.5%), infant baths (40.2%), pediatric rounds (35.5%), and infant photos (25.4%). Conclusions Hospital implementation of rooming-in increased 23.6 percentage points during 2007–2015. Continued efforts are needed to ensure that all mothers who choose to breastfeed receive optimal lactation support during the first days after giving birth.

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Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Cited by 396 publications

References 89 publications

Learning to parent from Google? Evaluation of available online health evidence for parents of preterm infants requiring neonatal intensive care

Learning to parent from Google? Evaluation of available online health evidence for parents of preterm infants requiring neonatal intensive care

Change over time in women's views and experiences of maternity care in England, 1995–2014: A comparison using survey data

Trends in rooming‐in practices among hospitals in the United States, 2007‐2015

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