IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i21p11430-d668708.html
   My bibliography  Save this article

Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum

Author

Listed:
  • Lingling Li

    (Department of Obstetrics and Gynecology, Shanghai Changzheng Hospital, Shanghai 200003, China
    School of Public Health, Fudan University, Shanghai 200032, China)

  • Heqing Song

    (School of Public Health, Fudan University, Shanghai 200032, China
    Heqing Song is the co-first author.)

  • Yu Zhang

    (School of Public Health, Fudan University, Shanghai 200032, China
    Vital Statistics Department, Songjiang District Center for Disease Control and Prevention, Shanghai 201600, China)

  • Hang Li

    (School of Public Health, Fudan University, Shanghai 200032, China)

  • Mu Li

    (School of Public Health, University of Sydney, Sydney 2006, Australia
    China Studies Centre, University of Sydney, Sydney 2006, Australia)

  • Hong Jiang

    (School of Public Health, Fudan University, Shanghai 200032, China
    Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China)

  • Yajuan Yang

    (Department of Obstetrics and Gynecology, Shanghai Changzheng Hospital, Shanghai 200003, China)

  • Ying Wu

    (Department of Obstetrics and Gynecology, Shanghai Changzheng Hospital, Shanghai 200003, China)

  • Chunyi Gu

    (School of Public Health, Fudan University, Shanghai 200032, China
    Nursing Department, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China)

  • Yulian Yu

    (Nursing Department, Shanghai Pudong New District People’s Hospital, Shanghai 200032, China)

  • Xu Qian

    (School of Public Health, Fudan University, Shanghai 200032, China
    Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China)

Abstract

Background: Studies have shown that implementing the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative can protect, promote, and support breastfeeding. However, few studies have valuated the quality of breastfeeding supportive services provided by Baby-Friendly Hospitals from the perspective of service users. Methods: This was a hospital-based prospective study, conducted at eight Baby-Friendly Hospitals with a total of 707 pregnant women in Shanghai, China between October 2016 and September 2021. Breastfeeding supportive services during hospitalization were assessed at childbirth discharge using a 12-question questionnaire based on the Chinese “Baby-Friendly Hospital Evaluation Standards”. Women were followed up on six months postpartum. The impact of breastfeeding supportive services during hospitalization on the exclusive breastfeeding at discharge and six months postpartum were assessed. Results: Of the 707 mothers who completed the survey at discharge, 526 were followed up on six months after delivery. The overall exclusive breastfeeding rate among participants was 34.4% at discharge and 52.1% at six months postpartum. Mothers who received better breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at hospitalization discharge compared with mothers who received poorer services (aOR: 3.00; 95% CI: 2.08, 4.35; p < 0.001). Furthermore, they were also more likely to exclusively breastfeed at six months postpartum (aOR: 1.50; 95% CI: 1.03, 2.22; p = 0.033). Conclusion: Better breastfeeding supportive services during hospitalization were significantly associated with higher rate of exclusive breastfeeding at discharge and six months postpartum. More effective measures should be adopted to improve the implementation of the breastfeeding supportive services in Baby-Friendly Hospitals to promote exclusive breastfeeding and better maternal and child health.

Suggested Citation

  • Lingling Li & Heqing Song & Yu Zhang & Hang Li & Mu Li & Hong Jiang & Yajuan Yang & Ying Wu & Chunyi Gu & Yulian Yu & Xu Qian, 2021. "Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum," IJERPH, MDPI, vol. 18(21), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11430-:d:668708
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/21/11430/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/21/11430/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nada A Alyousefi, 2021. "Determinants of Successful Exclusive Breastfeeding for Saudi Mothers: Social Acceptance Is a Unique Predictor," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hsiao-Ling Wu & Der-Fa Lu & Pei-Kwei Tsay, 2022. "Rooming-In and Breastfeeding Duration in First-Time Mothers in a Modern Postpartum Care Center," IJERPH, MDPI, vol. 19(18), pages 1-9, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11430-:d:668708. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.