Article: Impact of Baby-Friendly Hospital Practices on Breastfeeding in Hong Kong

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TitleImpact of Baby-Friendly Hospital Practices on Breastfeeding in Hong Kong
AuthorsTarrant, M2
Wu, KM2
Fong, DYT2
Lee, ILY6
Wong, EMY3
Sham, A1
Lam, C5
Dodgson, JE4
KeywordsBaby-Friendly Hospital Initiative
Breastfeeding
Exclusive breastfeeding
Hong Kong
Issue Date2011
PublisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BIR
CitationBirth, 2011, v. 38 n. 3, p. 238-245 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1523-536X.2011.00483.x
AbstractBackground: The World Health Organization (WHO) developed the Baby-Friendly Hospital Initiative to improve hospital maternity care practices that support breastfeeding. In Hong Kong, although no hospitals have yet received the Baby-Friendly status, efforts have been made to improve breastfeeding support. The aim of this study was to examine the impact of Baby-Friendly hospital practices on breastfeeding duration. Methods: A sample of 1,242 breastfeeding mother-infant pairs was recruited from four public hospitals in Hong Kong and followed up prospectively for up to 12months. The primary outcome variable was defined as breastfeeding for 8weeks or less. Predictor variables included six Baby-Friendly practices: breastfeeding initiation within 1hour of birth, exclusive breastfeeding while in hospital, rooming-in, breastfeeding on demand, no pacifiers or artificial nipples, and information on breastfeeding support groups provided on discharge. Results: Only 46.6 percent of women breastfed for more than 8weeks, and only 4.8 percent of mothers experienced all six Baby-Friendly practices. After controlling for all other Baby-Friendly practices and possible confounding variables, exclusive breastfeeding while in hospital was protective against early breastfeeding cessation (OR: 0.61; 95% CI: 0.42-0.88). Compared with mothers who experienced all six Baby-Friendly practices, those who experienced one or fewer Baby-Friendly practices were almost three times more likely to discontinue breastfeeding (OR: 3.13; 95% CI: 1.41-6.95). Conclusions: Greater exposure to Baby-Friendly practices would substantially increase new mothers' chances of breastfeeding beyond 8weeks postpartum. To further improve maternity care practices in hospitals, institutional and administrative support are required to ensure all mothers receive adequate breastfeeding support in accordance with WHO guidelines. (BIRTH 38:3 September 2011) © 2011, the Authors. Journal compilation © 2011, Wiley Periodicals, Inc.
ISSN0730-7659
2011 Impact Factor: 2.182
2011 SCImago Journal Rankings: 0.126
DOIhttp://dx.doi.org/10.1111/j.1523-536X.2011.00483.x
ReferencesReferences in Scopus
GrantsChanging infant feeding models: impact of cessation of complimentary infant formula in public hospitals on the duration and exclusivity of breastfeeding
DC Field
Value
dc.contributor.authorTarrant, M
dc.contributor.authorWu, KM
dc.contributor.authorFong, DYT
dc.contributor.authorLee, ILY
dc.contributor.authorWong, EMY
dc.contributor.authorSham, A
dc.contributor.authorLam, C
dc.contributor.authorDodgson, JE
dc.date.accessioned2011-09-23T06:12:10Z
dc.date.available2011-09-23T06:12:10Z
dc.date.issued2011
dc.description.abstractBackground: The World Health Organization (WHO) developed the Baby-Friendly Hospital Initiative to improve hospital maternity care practices that support breastfeeding. In Hong Kong, although no hospitals have yet received the Baby-Friendly status, efforts have been made to improve breastfeeding support. The aim of this study was to examine the impact of Baby-Friendly hospital practices on breastfeeding duration. Methods: A sample of 1,242 breastfeeding mother-infant pairs was recruited from four public hospitals in Hong Kong and followed up prospectively for up to 12months. The primary outcome variable was defined as breastfeeding for 8weeks or less. Predictor variables included six Baby-Friendly practices: breastfeeding initiation within 1hour of birth, exclusive breastfeeding while in hospital, rooming-in, breastfeeding on demand, no pacifiers or artificial nipples, and information on breastfeeding support groups provided on discharge. Results: Only 46.6 percent of women breastfed for more than 8weeks, and only 4.8 percent of mothers experienced all six Baby-Friendly practices. After controlling for all other Baby-Friendly practices and possible confounding variables, exclusive breastfeeding while in hospital was protective against early breastfeeding cessation (OR: 0.61; 95% CI: 0.42-0.88). Compared with mothers who experienced all six Baby-Friendly practices, those who experienced one or fewer Baby-Friendly practices were almost three times more likely to discontinue breastfeeding (OR: 3.13; 95% CI: 1.41-6.95). Conclusions: Greater exposure to Baby-Friendly practices would substantially increase new mothers' chances of breastfeeding beyond 8weeks postpartum. To further improve maternity care practices in hospitals, institutional and administrative support are required to ensure all mothers receive adequate breastfeeding support in accordance with WHO guidelines. (BIRTH 38:3 September 2011) © 2011, the Authors. Journal compilation © 2011, Wiley Periodicals, Inc.
dc.description.grantChanging infant feeding models: impact of cessation of complimentary infant formula in public hospitals on the duration and exclusivity of breastfeeding
dc.description.grantcode97223
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationBirth, 2011, v. 38 n. 3, p. 238-245 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1523-536X.2011.00483.x
dc.identifier.doihttp://dx.doi.org/10.1111/j.1523-536X.2011.00483.x
dc.identifier.epage245
dc.identifier.hkuros193012
dc.identifier.isiWOS:000294602400008
Funding AgencyGrant Number
Government of the Hong Kong Special Administrative Region, Hong Kong SAR05060721
University of Hong Kong, Hong Kong SAR10207306
University of Hong Kong
School of Nursing, University of Hong Kong
Funding Information:

Funding for this study was provided by the Health and Health Services Research Fund, Government of the Hong Kong Special Administrative Region, Hong Kong SAR (Grant No. 05060721), the University of Hong Kong, Hong Kong SAR (Grant No. 10207306), the University of Hong Kong Strategic Research Theme of Public Health, and the School of Nursing, University of Hong Kong.

dc.identifier.issn0730-7659
2011 Impact Factor: 2.182
2011 SCImago Journal Rankings: 0.126
dc.identifier.issue3
dc.identifier.pmid21884232
dc.identifier.scopuseid_2-s2.0-80052417851
dc.identifier.spage238
dc.identifier.urihttp://hdl.handle.net/10722/140460
dc.identifier.volume38
dc.languageeng
dc.publisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BIR
dc.publisher.placeUnited States
dc.relation.ispartofBirth
dc.relation.referencesReferences in Scopus
dc.rightsThe definitive version is available at www.blackwell-synergy.com
dc.subject.meshBreast Feeding - statistics and numerical data
dc.subject.meshGuideline Adherence - statistics and numerical data
dc.subject.meshHealth Promotion
dc.subject.meshHospitals, Public - standards
dc.subject.meshMaternal Health Services - standards
dc.subjectBaby-Friendly Hospital Initiative
dc.subjectBreastfeeding
dc.subjectExclusive breastfeeding
dc.subjectHong Kong
dc.titleImpact of Baby-Friendly Hospital Practices on Breastfeeding in Hong Kong
dc.typeArticle
Author Affiliations
  1. Kwong Wah Hospital
  2. The University of Hong Kong
  3. Hong Kong Institute of Education
  4. Arizona State University at the Downtown Phoenix campus
  5. Queen Elizabeth Hospital Hong Kong
  6. Queen Mary Hospital Hong Kong