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A Breastfeeding Quality Improvement Project in Rural Primary Care / Deborah Dumphy in Journal of Human Lactation, Vol. 32 n° 4 (Novembre 2016)
Titre : A Breastfeeding Quality Improvement Project in Rural Primary Care Type de document : texte imprimé Auteurs : Deborah Dumphy, Auteur ; Julie Thompson, Auteur ; Myra Clark, Auteur Année de publication : 2016 Article en page(s) : pp. 633-641 Langues : Anglais (eng) Catégories : Allaitement exclusif
Consultation pour l'allaitement
Consultation pour nourrisson
Système de soin
Visite à domicile
Résumé : BACKGROUND: Breastfeeding is the gold standard nutrition for infants, and more than three-fourths of US mother-infant couplets initiate breastfeeding at birth. However, breastfeeding rates plummet after hospitaldischarge, when mother-infant couplets enter primary care. This quality improvement project examined the effect of a primary care intervention on breastfeeding rates from the newborn visit through the 4-month visit.
OBJECTIVE: The overall aim of this evidence-based quality improvement project was to increase breastfeeding rates by refining the care provided to a diverse patient population with historically low breastfeeding rates.
METHODS: Two independent groups of mother-infant couplets, a pre-implementation (N=43) and a post-implementation (N=45), where longitudinally evaluated on breastfeeding rates at the newborn, 1-month, 2-month, and 4-month well-child visits for exclusice, partial, and any breastfeeding rates. Relationships for the 2 groups were compared using 2-sample t tests, chi-square, and Fischer exact tests.
RESULTS: Post-implementation rates for any breastfeeding progressively increased at each timepoint. Exclusive breastfeeding increased 40.98% at the 1-month visit, 27.4% at the 2-month visit, and 139% at the 4-month visit.
CONCLUSION: The implementation of an evidence-based breastfeeding-friendly office protocol in a rural low breastfeeding rate primary care setting was associated with increased breastfeeding rates. [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 32 n° 4 (Novembre 2016) . - pp. 633-641[article]National Survey of Convention Centers’ Lactation Facilities / Kristin Koo in Journal of Human Lactation, Vol. 32 n° 4 (Novembre 2016)
Titre : National Survey of Convention Centers’ Lactation Facilities Type de document : texte imprimé Auteurs : Kristin Koo, Auteur ; Diane L. Spatz, Auteur Année de publication : 2016 Article en page(s) : pp.735-739 Langues : Anglais (eng) Catégories : Convention
Résumé : Background: There is little published about lactation accommodations in public spaces.
Objective: The objective of this study was to determine what lactation facilities, if any, convention centers in the United
States are providing to accommodate breastfeeding moms.
Methods: A list of national convention centers was collected from meetings-conventions.com and recorded in an Excel
spreadsheet, with the name of the center, total meeting square feet, number of meeting rooms, address, and telephone
number. Each convention center was contacted by phone and administered the survey. Questions were asked as to what
type of lactation accommodations were available, if any.
Results: A response rate of 78.7% (326 of 414 convention centers) was achieved. A mere 5.5% reported permanently designated
lactation rooms, whereas 32% made temporary accommodations. While the phone survey was conducted, a wide variety of
qualitative responses were provided by participants, demonstrating an overall lack of awareness of this as a public health issue.
Conclusion: Return to work and breastfeeding in public are commonly reported barriers to breastfeeding. This survey
clearly demonstrates a lack of accommodations in very public areas that are visited by women on a regular basis. Policy
changes are necessary so all women can be supported in reaching their personal breastfeeding goals. [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 32 n° 4 (Novembre 2016) . - pp.735-739[article]