Vital Signs: Improvements in Maternity Care Policies and Practices That Support Breastfeeding — United States, 2007–2013

Perrine, Cria G.; Galuska, Deborah A.; Dohack, Jaime L.; Shealy, Katherine R.; Murphy, Paulette E.; Grummer‐Strawn, Laurence M.; Scanlon, Kelley S.

doi:10.15585/mmwr.mm6439a5

Cited by 62 publications

(65 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Experiences in the first hours and days after birth influence breastfeeding outcomes. Maternity care policies, such as the Baby-Friendly Hospital Initiative, define evidence-based hospital policies for implementing 10 steps to support breastfeeding practices, and these have been shown to improve early breastfeeding rates nationally ( 108 ). In 2013, 53.9% of hospitals nationally had implemented more than half of the 10 steps, suggesting there is a continuing need for improvement in implementing this policy.…”

Section: Social Determinants and Dimensions Of Influence On Early Lifmentioning

confidence: 99%

Preventing Obesity Across Generations: Evidence for Early Life Intervention

Haire‐Joshu

Tabak

2016

Annu. Rev. Public Health

View full text Add to dashboard Cite

To prevent the intergenerational transfer of obesity and end the current epidemic, interventions are needed across the early life stages, from preconception to prenatal to infancy through the age of 2 years. The foundation for obesity is laid in early life by actions and interactions passed from parent to child that have long-lasting biologic and behavioral consequences. The purpose of this paper is to examine the best evidence about (a) factors in parents and offspring that promote obesity during the early life stages, (b) the social determinants and dimensions of obesity in early life, (c) promising and effective interventions for preventing obesity in early life, and (d) opportunities for future research into strategies to disrupt the intergenerational cycle of obesity that begins early in life. The pathway for halting the intergenerational obesity epidemic requires the discovery and development of evidence-based interventions that can act across multiple dimensions of influence on early life.

show abstract

Section: Social Determinants and Dimensions Of Influence On Early Lifmentioning

confidence: 99%

Preventing Obesity Across Generations: Evidence for Early Life Intervention

Haire‐Joshu

Tabak

2016

Annu. Rev. Public Health

View full text Add to dashboard Cite

show abstract

“…Though the maternal and child-health benefits of breastfeeding are well documented,1–6 rates of breastfeeding in the US remain suboptimal 7,8. Only 18.8% of infants are breastfed exclusively at age 6 months, and only 26.7% are still being breastfed at age of 12 months 9.…”

Section: Introductionmentioning

confidence: 99%

Maternal experiences with and sources of information on galactagogues to support lactation: a cross-sectional study

Bazzano¹,

Cenac²,

Brandt³

et al. 2017

IJWH

View full text Add to dashboard Cite

An increase in the marketing and use of herbal galactagogues among breastfeeding mothers in the US has raised the issue of how best to provide support and information on the use of these products, particularly in light of limited availability of certified lactation counselors and continued suboptimal rates of breastfeeding globally. Currently, no cross-sectional data are available on the experiences and attitudes of mothers regarding the use of herbal and pharmaceutical galactagogues for lactation in the US. The findings of an online survey of 188 breastfeeding mothers on experiences with and sources of information on galactagogues are presented. Most mothers (76%) reported that while breastfeeding, they felt as though they were not making enough milk to meet the needs of their child, and yet 54% also indicated that they had not supplemented with formula. A large proportion of respondents reported utilizing galactagogues to increase lactation and finding them useful. The results indicated that most women learned about galactagogues from the Internet or by word of mouth through friends. Lactation consultants were the third-most reported sources of information on these products. While many respondents reported perceiving galactagogues as innocuous, more evidence on safety and efficacy is needed to support women properly who seek out and use them. Large-scale studies of the prevalence of galactagogue use in the US and rigorous evaluation of use globally are needed to ensure that mothers who choose to breastfeed may safely avail themselves of all options when counseling support is insufficient.

show abstract

“…6 However, only 26% of US hospitals report having implemented Step 6. 7 Although there is no US benchmark for formula supplementation of breastfed infants during birth hospitalization, the HealthyPeople 2020 (HP2020) objective MICH-23, which is to reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life to no more than 14.2%, seems applicable. 8 Because US insurance carriers are required to cover 48 hours of newborn care, most infants spend the first 2 days in the hospital.…”

mentioning

confidence: 99%

“…Whether this objective is met is highly dependent on the hospital's maternity care policies and practices. 7,9 New York, compared with other US states, has the secondhighest proportion of mothers who report that their breastfed infant received formula before 2 days of age (26.1%). This is much higher than the national average (17.1%).…”

mentioning

confidence: 99%

Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals

et al. 2017

View full text Add to dashboard Cite

OBJECTIVES: We examined the variation between 126 New York hospitals in formula supplementation among breastfed infants after adjusting for socioeconomic, maternal, and infant factors and stratifying by level of perinatal care. METHODS:We used 2014 birth certificate data for 160 911 breastfed infants to calculate hospital-specific formula supplementation percentages by using multivariable hierarchical logistic regression models. RESULTS:Formula supplementation percentages varied widely among hospitals, from 2.3% to 98.3%, and was lower among level 1 hospitals (18.2%) than higher-level hospitals (50.6%-57.0%). Significant disparities in supplementation were noted for race and ethnicity (adjusted odds ratios [aORs] were 1.54-2.05 for African Americans, 1.85-2.74 for Asian Americans, and 1.25-2.16 for Hispanics, compared with whites), maternal education (aORs were 2.01-2.95 for ≤12th grade, 1.74-1.85 for high school or general education development, and 1.18-1.28 for some college or a college degree, compared with a Master's degree), and insurance coverage (aOR was 1.27-1.60 for Medicaid insurance versus other). Formula supplementation was higher among mothers who smoked, had a cesarean delivery, or diabetes. At all 4 levels of perinatal care, there were exemplar hospitals that met the HealthyPeople 2020 supplementation goal of ≤14.2%. After adjusting for individual risk factors, the hospital-specific, risk-adjusted supplemental formula percentages still revealed a wide variation. CONCLUSIONS:A better understanding of the exemplar hospitals could inform future efforts to improve maternity care practices and breastfeeding support to reduce unnecessary formula supplementation, reduce disparities, increase exclusive breastfeeding and breastfeeding duration, and improve maternal and child health outcomes.

show abstract

Vital Signs: Improvements in Maternity Care Policies and Practices That Support Breastfeeding — United States, 2007–2013

Cited by 62 publications

References 12 publications

Preventing Obesity Across Generations: Evidence for Early Life Intervention

Preventing Obesity Across Generations: Evidence for Early Life Intervention

Maternal experiences with and sources of information on galactagogues to support lactation: a cross-sectional study

Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals

Contact Info

Product

Resources

About