The Baby‐Friendly Hospital Initiative as an Intervention to Improve Breastfeeding Rates: A Review of the Literature

Howe-Heyman, Abigail; Lutenbacher, Melanie

doi:10.1111/jmwh.12376

Cited by 59 publications

(59 citation statements)

References 31 publications

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“…Of note, however, is that an increase in exclusive breastfeeding in the hospital is a criterion for Baby‐friendly certification. Thus, concluding that the intervention increases breastfeeding initiation employs a circular logic because the intervention itself cannot also be a measured outcome” (Howe‐Heyman & Lutenbacher, , p.100).…”

Section: Discussionmentioning

confidence: 99%

“…On this regard, some countries like the United Kingdom or France do not use the international 75% criterion for accreditation (Malik & Cutting, ) to avoid a self‐selection effect. Scepticism towards the methodologies used to assess the impact of BFHI policies have increased over the years (Atchan et al, ; Bartington, Griffiths, Tate,, & Dezateux, ; Howe‐Heyman & Lutenbacher, ; Merewood et al, ; Munn, Newman, Mueller, Phillips, & Taylor, ; Patnode, Henninger, Senger, Perdue, & Whitlock, ) and with that, the impact of BFHI has been increasingly questioned (Brodribb et al, ; Gomez‐Pomar & Blubaugh, ; Howe‐Heyman & Lutenbacher, ). Prospective studies are needed to examine causal factors associated with increased or decreased BF rates within baby‐friendly hospitals (Merewood et al, ; Munn et al, ).…”

Section: Discussionmentioning

confidence: 99%

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

Robert

Michaud-Létourneau

Dramaix-Wilmet

et al. 2019

Maternal & Child Nutrition

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A retrospective cross‐sectional study was carried out in Wallonia (the southern region of Belgium) in which a 20‐question breastfeeding (BF) module was included in an immunization survey. The purpose of this paper is to compare exclusive breastfeeding (EBF) prevalences and BF practices for mothers giving birth in Baby‐friendly Hospital Initiative (BFHI) and non‐BFHI maternity facilities. A total of 557 mothers responded to BF questions when their child was 18–24 months old; 26.7% of them delivered in a BFHI maternity facility. At discharge, a larger proportion of children were exclusively breastfed if they were born in a BFHI maternity facility (76.5% vs. 65.8%, p = .02). The median duration of EBF (15.0 vs. 12.9 weeks, p = .3), and the proportion of children exclusively breastfed at 5 months (16.8% vs 15.8%, p = 1.0) were similar in both groups. Few mothers knew that EBF was recommended for the first 6 months of life (28.6% in BFHI vs 23.1% in non‐BFHI, p = .2). For most groups of the population examined, the rates of BF tended to be higher in BFHI facilities, but many differences were not significant. More specifically, BFHI seemed to boost BF practices among mothers more likely to breastfeed, but the Initiative did not seem to trigger enhanced BF practices in mothers traditionally less likely to breastfeed (except for indifferent/negative partner's attitude and mothers of Belgian origin). Influencing the BF practices of mothers less likely to breastfeed requires a special attention with complementary actions in maternity facilities as well as in community services.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Robert

Michaud-Létourneau

Dramaix-Wilmet

et al. 2019

Maternal & Child Nutrition

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“…Many countries have implemented the BFHI and found a dramatic increase in breastfeeding rates among their population . The Agency for Healthcare Research and Quality conducted a systematic review of 9 cohort studies related to breastfeeding (1,227,532 women) and concluded that rates of breastfeeding are higher among women who give birth in BFHI‐certified facilities compared with non‐BFHI facilities .…”

Section: The 10 Steps To Successful Breastfeedingmentioning

confidence: 99%

Demand for Lactation Leads to Flowing Supply of Success: Support Requested from States to Improve Breastfeeding Practices

Alakaam

2019

J Midwife Womens Health

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“…Study participants were recruited while being admitted to the post-natal maternity units of the 12 de Octubre Hospital, a metropolitan certified Baby-Friendly Hospital [27] in Madrid, Spain. This is the hospital to which most of the Chinese population in Madrid is referred (being the nearest hospital to the largest concentration of Chinese population in Spain) [28].…”

Section: Aimmentioning

confidence: 99%

Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid

et al. 2018

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BackgroundMaternal breastfeeding is a practice that is associated with multiple health benefits for mothers and children. One of the lowest rates of breastfeeding has been observed among Chinese women who immigrate to high income countries. At present, there is a lack of comparative information between this group and that of Spanish-born women. Considering the relationship between the attitude of women towards breastfeeding and the initiation of breastfeeding, the aim of the study was to determine whether the attitude towards breastfeeding among Chinese postpartum women who have immigrated to Spain differs from that of Spanish-born postpartum women.MethodsCross-sectional study, with between-group comparison, of 73 postpartum Spanish-born and Chinese immigrant women admitted to the maternity units of “12 de Octubre” Hospital (Spain) between April and November 2016. Attitudes toward breastfeeding were analyzed using the Spanish or Chinese version of the Iowa Infant Feeding Attitude Scale (IIFAS). A wide set of socioeconomic, biological, working and attitudinal conditions were considered as covariates. The association between IIFAS and country of origin was assessed by three multiple linear regression models (B, SE, and 95% confidence interval were calculated).ResultsAll Chinese women were first generation immigrants. Chinese-born women were four years younger than Spanish-born mothers, had a lower educational level, more frequently had a paid job (mainly self-employed), and planned to return to work almost two months earlier than Spanish-born mothers did. Most Chinese women did not breastfeed exclusively.Chinese immigrant women obtained scores of approximately 9 points less in the Iowa Infant Feeding Attitude Scale (IIFAS) when compared to Spanish-born women [95% CI -15.59, -2.48], after adjusting for the different socioeconomic, educational and work-related factors.ConclusionsChinese-born women resident in Spain present a lower score on the IIFAS, when compared to Spanish-born women, which implies a more negative attitude towards breastfeeding. The between-groups difference is consistent, even when adjusting for known confounders and other factors which could affect the attitude of the mothers. It is therefore striking that, despite being in Spain, Chinese-born women maintain these preferences/attitudes regarding breastfeeding, compared with Spanish-born women, who obtain overall high scores.

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The Baby‐Friendly Hospital Initiative as an Intervention to Improve Breastfeeding Rates: A Review of the Literature

Cited by 59 publications

References 31 publications

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

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

Demand for Lactation Leads to Flowing Supply of Success: Support Requested from States to Improve Breastfeeding Practices

Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid

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