QuaSti - Qualität im Stillfreundlichen Krankenhaus

Deneke, Christiane; Lüttmann, U.; Seibt, Andrea

doi:10.1055/s-2008-1042421

Cited by 3 publications

(11 citation statements)

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“…Sometimes, uncertainties or fears about a new situation, and breastfeeding in particular, play a role in maternal decision-making. Women are often sceptical about breastfeeding, suspecting that their babies will not be fed adequately [3, 4]. To increase the acceptance of breastfeeding as a normal means of baby nutrition, the National Breast Feeding Commission (Nationale Stillkommission) [5] was founded in Germany in 1994, was based on the WHO Innocenti Declaration, and published in 1990 [6].…”

Section: Introductionmentioning

confidence: 99%

“…These different statements, intensive industrial promotion of bottle-feeding, and the early introduction of complementary food, confuse young and inexperienced mothers [1]. In Germany, the breastfeeding initiation rates are 97 – 81.5% [4, 8, 9, 10]. During the first study in Germany, known as “Stillen und Säuglingsernährung” (SuSe-Study), conducted from 1997 to 1998, 91% of mothers initiated breastfeeding, but only 25% continued to breastfeed after four months [9].…”

Section: Introductionmentioning

confidence: 99%

“…During the first study in Germany, known as “Stillen und Säuglingsernährung” (SuSe-Study), conducted from 1997 to 1998, 91% of mothers initiated breastfeeding, but only 25% continued to breastfeed after four months [9]. Other studies showed similar results for breastfeeding iniation rates, including the national survey of children and youth (KiGGS) of 81.5% [8], the regional Bavarian study, “Stella” at 90% [10], and the Hamburger studies, Quasti 1 through 4 at 97% [4]. …”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding motivation in Pomerania: Survey of neonates in Pomerania (SNiP-Study)

et al. 2016

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BackgroundThe Nationale Stillkommission was founded in Germany in 1994 to increase the acceptance of breastfeeding as the primary means of infant nutrition. Scientific studies like “Stillen und Säuglingsernährung (SuSe-Studie)”, and regional studies in Bavaria, Freiburg, Hamburg, and Berlin demonstrated breastfeeding initiation rates of 90 to 95%, but the total breastfeeding rate decreased to 25–61% after infants were 6 months old. One predictor of breastfeeding duration may be maternal motivation. The present study aimed to describe breastfeeding motivation.MethodsWe analysed data collected in 2004–2008, during a previous study, the Survey of Neonates in Pomerania (SNiP). We retrieved data regarding maternal breastfeeding motivation, family environment, and socioeconomic factors. We constructed a quantitative breastfeeding-motivation score to identify factors involved in maternal breastfeeding.ResultsNinety five percent of mothers who gave birth in the study period and area provided information in the survey. The breastfeeding initiation rate was 88.4%. Mothers’ intentions to provide exclusive breastfeeding (only breast milk, no other liquids or infant formula) increased linearly from 71.9% in 2005 to 76.8% in 2008. Women motivated to provide exclusive breastfeeding were, on average, older, primiparous, and able to deliver spontaneously more often than women with less breastfeeding motivation. Furthermore, women with no motivation to provide exclusive breastfeeding and women that intended to provide breastfeeding combined with a complementary nutrition source had visited prenatal classes less frequently, had lower levels education, had lower average incomes, had a German nationality more often, and used tobacco more often than women motivated to provide exclusive breastfeeding.ConclusionsBreastfeeding intentions increased during the SNiP Study. This study identified several factors that might serve for targeted breastfeeding promotion in mothers younger than 25 years, mothers with low education, and multiparous mothers or women who have received a caesarean section. Furthermore, breastfeeding motivation might be enhanced during pregnancy and/or after delivery by providing prenatal classes.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Breastfeeding motivation in Pomerania: Survey of neonates in Pomerania (SNiP-Study)

et al. 2016

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“…Auch in die bundesweite SuSe-Studie waren nur gesunde, reife Neugeborene eingeschlossen [14]. Eine regional in Hamburg durchgeführte Studie [12] wurde selektiv in "babyfreundlich" zertifizierten Geburtskliniken durchgeführt, um die dort stattfindende besondere Stillförderung zu evaluieren. Auch die Freiburger Stillstudie [16] wurde nur in zertifizierten Geburtskliniken durchgeführt, Früh-und Mehrlingsgeburten waren nicht repräsentativ vertreten und -wie in allen genannten Studien -minderjährige Mütter ausgeschlossen.…”

Section: Introductionunclassified

“…Einige Studien untersuchten die Stillquoten, jedoch wurden diese nur auf regionaler Ebene und mit unterschiedlichen Erhebungsmethoden durchgeführt, was die Vergleichbarkeit einschränkt. Die aktuellsten, meist regionalen Studien zeigen mit 90-97 % eine relativ hohe Prävalenz von Frauen, die mit dem Stillen begannen [12][13][14][15][16][17]. Die Basiserhebung des bundesweiten Kinder-und Jugendgesundheitssurvey (KiGGS), die 2003 bis 2006 durchgeführt wurde, zeigt, dass 76,7 % der 0-bis 17-Jährigen (Geburtsjahrgänge 1986-2006) nach der Geburt jemals gestillt worden waren [18].…”

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Einflussfaktoren auf Verbreitung und Dauer des Stillens in Deutschland

Lippe

Brettschneider

Gutsche

et al. 2014

Bundesgesundheitsbl.

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Factors Associated with the Duration of Breastfeeding in the Freiburg Birth Collective, Germany (FreiStill)

Rasenack¹,

Schneider²,

Jahnz³

et al. 2012

Geburtsh Frauenheilk

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Purpose: The health benefits of breastfeeding for both infants and mothers are well-documented. The aim of this study was to clarify factors associated with successful breastfeeding. Methods: We performed a prospective, multi-centre cohort study of 443 mothers in person using a standardised questionnaire on postpartum day 1. Women who had started to breast-feed were interviewed by telephone after 3, 6 and 12 months. A statistical analysis was performed using the SAS system. Results: 92?% of women (409/443) were initially breastfeeding. After three months the rate decreased to 74?%, after six months to 61?% and after 12 months to 28?%, respectively. Bivariate analysis revealed a significant positive association with the following factors: maternal age >?35 years, higher educational level, intention to breastfeed on postpartum day one, high motivation after three months, partner?s support of the decision to breastfeed, satisfaction with the care provided in the maternity clinic, a positive breastfeeding experience and follow-up care by a midwife. Elective caesarean delivery, the use of breastfeeding aids, formula supplementation early on and the mother?s concern about the amount of milk correlated negatively. Following a multivariate logistic regression analysis, four factors were correlated with having a positive influence on duration of breastfeeding: higher educational level, satisfaction with the care provided within the maternity clinic, follow-up care by a midwife, and a positive current experience of breastfeeding. Conclusion: Our data demonstrate certain factors successfully influence breastfeeding. Competent care in the maternity clinic, postpartum care by a midwife and a positive experience with breastfeeding increase the rate of breastfeeding and thus have a positive impact on the health of mother and newborn.

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QuaSti - Qualität im Stillfreundlichen Krankenhaus

Cited by 3 publications

References 0 publications

Breastfeeding motivation in Pomerania: Survey of neonates in Pomerania (SNiP-Study)

Breastfeeding motivation in Pomerania: Survey of neonates in Pomerania (SNiP-Study)

Einflussfaktoren auf Verbreitung und Dauer des Stillens in Deutschland

Factors Associated with the Duration of Breastfeeding in the Freiburg Birth Collective, Germany (FreiStill)

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