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Article: Effect on Baby-Friendly Hospital Steps When Hospitals Implement a Policy to Pay for Infant Formula

TitleEffect on Baby-Friendly Hospital Steps When Hospitals Implement a Policy to Pay for Infant Formula
Authors
Issue Date2016
PublisherSage Science Press (US). The Journal's web site is located at http://www.sagepub.com/journal.aspx?pid=250
Citation
Journal of Human Lactation, 2016, v. 32 n. 2, p. 238-249 How to Cite?
AbstractBackground: The Baby-Friendly Hospital Initiative requires hospitals to pay market price for infant formula. No studies have specifically examined the effect of hospitals paying for infant formula on breastfeeding mothers' exposure to Baby-Friendly steps. Objectives: To investigate the effect of hospitals implementing a policy of paying for infant formula on new mothers' exposure to Baby-Friendly steps and examine the effect of exposure to Baby-Friendly steps on breastfeeding rates. Methods: We used a repeated prospective cohort study design. We recruited 2 cohorts of breastfeeding mother-infant pairs (n = 2470) in the immediate postnatal period from 4 Hong Kong public hospitals and followed them by telephone up to 12 months postpartum. We assessed participants' exposure to 6 Baby-Friendly steps by extracting data from the medical record and by maternal self-report. Results: After hospitals began paying for infant formula, new mothers were more likely to experience 4 out of 6 Baby-Friendly steps. Breastfeeding initiation within the first hour increased from 28.7% to 45%, and in-hospital exclusive breastfeeding rates increased from 17.9% to 41.4%. The proportion of mothers who experienced all 6 Baby-Friendly steps increased from 4.8% to 20.5%. The risk of weaning was progressively higher among participants experiencing fewer Baby-Friendly steps. Each additional step experienced by new mothers decreased the risk of breastfeeding cessation by 8% (hazard ratio = 0.92; 95% CI, 0.89-0.95). Conclusion: After implementing a policy of paying for infant formula, breastfeeding mothers were exposed to more Baby-Friendly steps, and exposure to more steps was significantly associated with a lower risk of breastfeeding cessation.
Persistent Identifierhttp://hdl.handle.net/10722/218494
ISSN
2015 Impact Factor: 2.233
2015 SCImago Journal Rankings: 0.896

 

DC FieldValueLanguage
dc.contributor.authorTarrant, AM-
dc.contributor.authorLok, YWK-
dc.contributor.authorFong, DYT-
dc.contributor.authorWu, KM-
dc.contributor.authorLee, ILY-
dc.contributor.authorSham, A-
dc.contributor.authorLam, C-
dc.contributor.authorBai, DL-
dc.contributor.authorWong Cheung, KL-
dc.contributor.authorWong, EMY-
dc.contributor.authorChan, NPT-
dc.contributor.authorDodgson, JE-
dc.date.accessioned2015-09-18T06:40:17Z-
dc.date.available2015-09-18T06:40:17Z-
dc.date.issued2016-
dc.identifier.citationJournal of Human Lactation, 2016, v. 32 n. 2, p. 238-249-
dc.identifier.issn0890-3344-
dc.identifier.urihttp://hdl.handle.net/10722/218494-
dc.description.abstractBackground: The Baby-Friendly Hospital Initiative requires hospitals to pay market price for infant formula. No studies have specifically examined the effect of hospitals paying for infant formula on breastfeeding mothers' exposure to Baby-Friendly steps. Objectives: To investigate the effect of hospitals implementing a policy of paying for infant formula on new mothers' exposure to Baby-Friendly steps and examine the effect of exposure to Baby-Friendly steps on breastfeeding rates. Methods: We used a repeated prospective cohort study design. We recruited 2 cohorts of breastfeeding mother-infant pairs (n = 2470) in the immediate postnatal period from 4 Hong Kong public hospitals and followed them by telephone up to 12 months postpartum. We assessed participants' exposure to 6 Baby-Friendly steps by extracting data from the medical record and by maternal self-report. Results: After hospitals began paying for infant formula, new mothers were more likely to experience 4 out of 6 Baby-Friendly steps. Breastfeeding initiation within the first hour increased from 28.7% to 45%, and in-hospital exclusive breastfeeding rates increased from 17.9% to 41.4%. The proportion of mothers who experienced all 6 Baby-Friendly steps increased from 4.8% to 20.5%. The risk of weaning was progressively higher among participants experiencing fewer Baby-Friendly steps. Each additional step experienced by new mothers decreased the risk of breastfeeding cessation by 8% (hazard ratio = 0.92; 95% CI, 0.89-0.95). Conclusion: After implementing a policy of paying for infant formula, breastfeeding mothers were exposed to more Baby-Friendly steps, and exposure to more steps was significantly associated with a lower risk of breastfeeding cessation.-
dc.languageeng-
dc.publisherSage Science Press (US). The Journal's web site is located at http://www.sagepub.com/journal.aspx?pid=250-
dc.relation.ispartofJournal of Human Lactation-
dc.rightsJournal of Human Lactation. Copyright © Sage Science Press (US).-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleEffect on Baby-Friendly Hospital Steps When Hospitals Implement a Policy to Pay for Infant Formula-
dc.typeArticle-
dc.identifier.emailTarrant, AM: tarrantm@hku.hk-
dc.identifier.emailLok, YWK: krislok@hku.hk-
dc.identifier.emailFong, DYT: dytfong@hku.hk-
dc.identifier.emailWu, KM: wukendra@HKUCC-COM.hku.hk-
dc.identifier.emailChan, NPT: nptchan@hku.hk-
dc.identifier.authorityTarrant, AM=rp00461-
dc.identifier.authorityFong, DYT=rp00253-
dc.identifier.authorityChan, NPT=rp01680-
dc.description.naturepostprint-
dc.identifier.doi10.1177/0890334415599399-
dc.identifier.scopuseid_2-s2.0-84963938790-
dc.identifier.hkuros252268-
dc.identifier.hkuros258026-
dc.identifier.hkuros264709-
dc.identifier.volume32-
dc.identifier.issue2-
dc.identifier.spage238-
dc.identifier.epage249-
dc.publisher.placeUnited States-

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