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Auteur Karen C. Schliep
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Factors in the Hospital Experience Associated with Postpartum Breastfeeding Success / Karen C. Schliep in Breastfeeding Medicine, Vol. 14, n°5 (Juin 2019)
Titre : Factors in the Hospital Experience Associated with Postpartum Breastfeeding Success Type de document : texte imprimé Auteurs : Karen C. Schliep, Auteur ; Daniel Denhalter, Auteur ; Lisa H. Gren, Auteur Année de publication : 2019 Article en page(s) : pp. 334–341 Langues : Anglais (eng) Catégories : Accessoire et technique
Durée de l'allaitement
Frein à l'allaitement
IHAB Initiative Hôpital Ami des Bébés
Lait artificiel pour nourrisson
Pratique de l'allaitement
Promotion de l'allaitement
Mots-clés : packs gratuits Résumé : "Introduction: Hospitals are in a unique position to promote, protect, and support breastfeeding. However, the association between in-hospital events and breastfeeding success within population-based samples has not been well studied.
Materials and Methods: A stratified (by education and birth weight) systematic sample of 5,770 mothers taking part in the Utah Pregnancy Risk Assessment Monitoring System, 2012–2015, were included. Mothers, 2–4 months postpartum, completed the 82-item questionnaire, including if they had ever breastfed their new baby, and if so, current breastfeeding status. Relationships between in-hospital experiences and breastfeeding termination and duration were evaluated via Poisson and Cox proportional hazard regression models, respectively, adjusting for other in-hospital experiences, maternal age, race/ethnicity, maternal education, marital status, smoking, physical activity, delivery method, pregnancy complications, and length of hospital stay.
Results: Of all, 94.4% of mothers self-reported breastfeeding initiation, of whom 18.8% had breastfed <2 months, having breastfed on average 3.2 weeks (standard error: 0.07). In fully adjusted models, mothers who reported receiving a pacifier, receiving formula, or had staff help them learn how to breastfeed had a higher prevalence of terminating breastfeeding before 2 months (adjusted prevalence ratio [aPR] = 1.13, 95% confidence interval [CI]: 0.97–1.32; aPR = 1.20, 95% CI: 1.07–1.36; and aPR = 1.25, 95% CI: 1.08–1.34). Conversely, mothers who reported starting and feeding only breast milk in the hospital and receiving a phone number to call for help with breastfeeding had a lower prevalence of breastfeeding termination before 2 months (aPR = 0.72, 95% CI: 0.61–0.86; aPR = 0.57, 95% CI: 0.51–0.64; and aPR = 0.91, 95% CI: 0.80–1.03). Adjusted Cox models showed similar direction of associations.
Conclusions: Encouraging mothers to exclusively breastfeed in the hospital, and reducing gift packs containing pacifiers and formula, may be key areas United States hospitals can focus on to increase breastfeeding success. Prospective assessment in other geographical regions is needed to corroborate these findings."
[Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 14, n°5 (Juin 2019) . - pp. 334–341[article]