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Determinants of Nonmedically Indicated In-Hospital Supplementation of Infants Whose Birthing Parents Intended to Exclusively Breastfeed / Julia Temple Newhook in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)
Titre : Determinants of Nonmedically Indicated In-Hospital Supplementation of Infants Whose Birthing Parents Intended to Exclusively Breastfeed Type de document : texte imprimé Auteurs : Julia Temple Newhook, Auteur ; Leigh Anne Newhook, Auteur ; William K. Midodzi, Auteur Année de publication : 2017 Article en page(s) : pp. 278-284 Langues : Anglais (eng) Catégories : complémentation
Education à la santé
Education personnel hospitalier
Lait artificiel pour nourrisson
Peau à peau
Poids de l'enfant
Poids de naissance
Résumé : "Background:
Despite high rates of intention to exclusively breastfeed, rates of exclusive breastfeeding in Canada are low. Supplementation may begin in hospital and is associated with reduced breastfeeding duration.
The aim of this investigation was to explore determinants of in-hospital nonmedically indicated supplementation of infants whose birthing parents intended to exclusively breastfeed.
This study is a cross-sectional one-group nonexperimental design, focused on participants who intended to exclusively breastfeed for 6 months (n = 496). Data were collected between October 2011 and October 2015 in Newfoundland and Labrador. Variables measured included age; rural/urban location; education; income; race; marital status; parity; smoking status; having been breastfed as an infant; previous breastfeeding experience; Iowa Infant Feeding Attitude Scale score; delivery mode; infant birth weight; birth satisfaction; skin-to-skin contact; length of participant’s hospital stay; breastfeeding advice from a lactation consultant, registered nurse, or physician; and first impression of breastfeeding. We evaluated determinants of in-hospital nonmedically indicated supplementation using bivariate and multivariate logistic regression analyses.
Overall, 16.9% (n = 84) of infants received nonmedically indicated supplementation in hospital. Multivariate modeling revealed four determinants: low total prenatal Iowa Infant Feeding Attitude Scale score (odds ratio [OR] = 1.96, 95% confidence interval [CI] [1.18, 3.27]), no previous breastfeeding experience (OR = 2.03, 95% CI [1.15, 3.61]), negative first impression of breastfeeding (OR = 2.67, 95% CI [1.61, 4.43]), and receiving breastfeeding advice from a hospital physician (OR = 2.86, 95% CI [1.59, 5.15]).
Elements of the hospital experience, self-efficacy, and attitudes toward infant feeding are determinants of nonmedically indicated supplementation of infants whose birthing parents intended to exclusively breastfeed." [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 33, n°2 (Mai 2017) . - pp. 278-284[article]Hospital Staff's Perceptions with Regards to the Baby-Friendly Initiative: Experience from a Canadian Tertiary Care Center / Catherine Pound in Journal of Human Lactation, Vol. 32 n° 4 (Novembre 2016)
Titre : Hospital Staff's Perceptions with Regards to the Baby-Friendly Initiative: Experience from a Canadian Tertiary Care Center Type de document : texte imprimé Auteurs : Catherine Pound, Auteur ; Natalie Ward, Auteur ; Marine Freuchet, Auteur Année de publication : 2016 Article en page(s) : pp. 648-657 Langues : Anglais (eng) Catégories : Canada
Education personnel hospitalier
IHAB Initiative Hôpital Ami des Bébés
Maternité Niveau 3
Résumé : BACKGROUND: Adherence to Baby Friendly Initiative (BFI) practices is low in Canadian hospitals, despite evidence showing a positive impact of BFI practicies on breastfeeding rates and duration. In 2012, the provincial Ontario Ministry of Health and long Term Care added BFI status to its progress indicators for public Health Units, which are now riquired to begin BFI implementation.
OBJECTIVE: This study aims to explore health care workers' self-reported knowledge of the BFI and their perception of the importance of its components.
METHODS: A questionnaire was electronically sent to 2237 employees working at our institution.
RESULTS: Questionnaires were completed by 651 participants, of which 110 ( 16.9%) and 87 (13.5%) participants reported having good knowledge of the BFI and the Ten Steps to Successful Breastfeeding, respectively. Multiple logistic regression showed that having children and having received formal breathfeeding education were associated with higher self-reported knowledge. Additionally, 481 (75%) participants reported that it was important or very important to them that the institution adopt the BFI. Having children and being an allied health professional were associated with perceiving the implementation of the BFI as important.
CONCLUSION: The result of our study have allowed us to identify potential barriers to implementation of the BFI, which can be targeted through system changes and staff education. Through this approach, we hope to facilitate acceptance of the BFI at our institution and increase support for optimal breastfeeding practices among our patients. [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 32 n° 4 (Novembre 2016) . - pp. 648-657[article]