File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

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

TitleImpact of Baby-Friendly Hospital Practices on Breastfeeding in Hong Kong
Authors
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
Citation
Birth, 2011, v. 38 n. 3, p. 238-245 How to Cite?
Abstract
Background: 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.
Persistent Identifierhttp://hdl.handle.net/10722/140460
ISSN
2013 Impact Factor: 2.048
ISI Accession Number ID
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.

References
Grants

 

Author Affiliations
  1. Kwong Wah Hospital
  2. The University of Hong Kong
  3. Arizona State University at the Downtown Phoenix campus
  4. Hong Kong Institute of Education
  5. Queen Elizabeth Hospital Hong Kong
  6. Queen Mary Hospital Hong Kong
DC FieldValueLanguage
dc.contributor.authorTarrant, Men_HK
dc.contributor.authorWu, KMen_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorLee, ILYen_HK
dc.contributor.authorWong, EMYen_HK
dc.contributor.authorSham, Aen_HK
dc.contributor.authorLam, Cen_HK
dc.contributor.authorDodgson, JEen_HK
dc.date.accessioned2011-09-23T06:12:10Z-
dc.date.available2011-09-23T06:12:10Z-
dc.date.issued2011en_HK
dc.identifier.citationBirth, 2011, v. 38 n. 3, p. 238-245en_HK
dc.identifier.issn0730-7659en_HK
dc.identifier.urihttp://hdl.handle.net/10722/140460-
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.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BIRen_HK
dc.relation.ispartofBirthen_HK
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.subjectBaby-Friendly Hospital Initiativeen_HK
dc.subjectBreastfeedingen_HK
dc.subjectExclusive breastfeedingen_HK
dc.subjectHong Kongen_HK
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.titleImpact of Baby-Friendly Hospital Practices on Breastfeeding in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.emailTarrant, M: tarrantm@hkucc.hku.hken_HK
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.authorityTarrant, M=rp00461en_HK
dc.identifier.authorityFong, DYT=rp00253en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1523-536X.2011.00483.xen_HK
dc.identifier.pmid21884232-
dc.identifier.scopuseid_2-s2.0-80052417851en_HK
dc.identifier.hkuros193012en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80052417851&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume38en_HK
dc.identifier.issue3en_HK
dc.identifier.spage238en_HK
dc.identifier.epage245en_HK
dc.identifier.eissn1523-536X-
dc.identifier.isiWOS:000294602400008-
dc.publisher.placeUnited Statesen_HK
dc.relation.projectChanging infant feeding models: impact of cessation of complimentary infant formula in public hospitals on the duration and exclusivity of breastfeeding-
dc.identifier.scopusauthoridTarrant, M=7004340118en_HK
dc.identifier.scopusauthoridWu, KM=36151664200en_HK
dc.identifier.scopusauthoridFong, DYT=35261710300en_HK
dc.identifier.scopusauthoridLee, ILY=36150817200en_HK
dc.identifier.scopusauthoridWong, EMY=12796061900en_HK
dc.identifier.scopusauthoridSham, A=35312333800en_HK
dc.identifier.scopusauthoridLam, C=36150846300en_HK
dc.identifier.scopusauthoridDodgson, JE=7005791972en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats