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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Baby-Friendly Hospital Practices and Meeting Exclusive Breastfeeding Intention

Cria G. Perrine, Kelley S. Scanlon, Ruowei Li, Erika Odom and Laurence M. Grummer-Strawn
Pediatrics July 2012, 130 (1) 54-60; DOI: https://doi.org/10.1542/peds.2011-3633
Cria G. Perrine
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Kelley S. Scanlon
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Ruowei Li
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Erika Odom
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Laurence M. Grummer-Strawn
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Abstract

OBJECTIVE: To describe mothers’ exclusive breastfeeding intentions and whether Baby-Friendly hospital practices are associated with achieving these intentions.

METHODS: In the 2005–2007 Infant Feeding Practices Study II, women completed a prenatal questionnaire and approximately monthly questionnaires through 12 months. Mothers met their prenatal exclusive breastfeeding intention if their duration after the hospital stay (excluding hospital supplementation) equaled or exceeded their intention. Primary predictor variables included 6 Baby-Friendly hospital practices: breastfeeding within 1 hour of birth, giving only breast milk, rooming in, breastfeeding on demand, no pacifiers, and information on breastfeeding support.

RESULTS: Among women who prenatally intended to exclusively breastfeed (n = 1457), more than 85% intended to do so for 3 months or more; however, only 32.4% of mothers achieved their intended exclusive breastfeeding duration. Mothers who were married and multiparous were more likely to achieve their exclusive breastfeeding intention, whereas mothers who were obese, smoked, or had longer intended exclusive breastfeeding duration were less likely to meet their intention. Beginning breastfeeding within 1 hour of birth and not being given supplemental feedings or pacifiers were associated with achieving exclusive breastfeeding intention. After adjustment for all other hospital practices, only not receiving supplemental feedings remained significant (adjusted odds ratio = 2.3, 95% confidence interval = 1.8, 3.1).

CONCLUSIONS: Two-thirds of mothers who intend to exclusively breastfeed are not meeting their intended duration. Increased Baby-Friendly hospital practices, particularly giving only breast milk in the hospital, may help more mothers achieve their exclusive breastfeeding intentions.

KEY WORDS
  • exclusive breastfeeding
  • intention
  • duration
  • Baby-Friendly Hospital Initiative
  • Abbreviations:
    aOR —
    adjusted odds ratio
    CI —
    confidence interval
    IFPS II —
    Infant Feeding Practices Study II
    WIC —
    Special Supplemental Nutrition Program for Women, Infants, and Children
    • Accepted February 28, 2012.
    • Copyright © 2012 by the American Academy of Pediatrics

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    Pediatrics
    Vol. 130, Issue 1
    1 Jul 2012
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    Baby-Friendly Hospital Practices and Meeting Exclusive Breastfeeding Intention
    Cria G. Perrine, Kelley S. Scanlon, Ruowei Li, Erika Odom, Laurence M. Grummer-Strawn
    Pediatrics Jul 2012, 130 (1) 54-60; DOI: 10.1542/peds.2011-3633

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    Baby-Friendly Hospital Practices and Meeting Exclusive Breastfeeding Intention
    Cria G. Perrine, Kelley S. Scanlon, Ruowei Li, Erika Odom, Laurence M. Grummer-Strawn
    Pediatrics Jul 2012, 130 (1) 54-60; DOI: 10.1542/peds.2011-3633
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