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Breastfeeding Support in Spanish Neonatal Intensive Care Units and the Baby-Friendly Hospital Initiative: A National Survey / Clara Alonso-Diaz in Journal of Human Lactation, Vol. 32 n° 4 (Novembre 2016)
Titre : Breastfeeding Support in Spanish Neonatal Intensive Care Units and the Baby-Friendly Hospital Initiative: A National Survey Type de document : texte imprimé Auteurs : Clara Alonso-Diaz, Auteur ; Isabel Utrera-Torres, Auteur ; Conception de Alba-Romero, Auteur Année de publication : 2016 Article en page(s) : pp. 613-626 Langues : Anglais (eng) Catégories : Espagne
IHAB Initiative Hôpital Ami des Bébés
Prématuré (avant 37 semaines)
Résumé : BACKGROUND: The Baby-Friendly Hospital Initiative (BFHI) has a positive effect on brestfeeding in maternity wards; however, few studies have examined to what degree it affects care neonatal intensive care units (NICUs). Recently, the BFHI has been adapted too the NICUs (Neo-BFHI).
OBJECTIVE: This study aimed to compare breastfeeding support in Spanish NICUs in hospitals with BFHI accraditation or in the process of being accredited (group 1) with NICUs in hospitals that have not yet begun this initiative (group 2).
METHODS: A validated questionnaire on breastfeeding support was distributed to level II and III NICUs in Spanish public hospitals. A univariate analysis and an analysid adjusted for the number of beds in NICUs were conducted. The results of the analysis of 36 breastfeeding support measures are presented in accordance with the Ten Steps to Successful Breastfeeding adapted to NICUs.
RESULTS: Of the 141 participating NICUs, 129 (91%) responded to the questionnaire: 38 NICUs from group 1 and 91 NICUs from group 2. Group 1 had implemented a higher number of breastfeeding support measures than group 2. There were significant differences in 18 measures related to steps 2, 4, 5, 7, and 8 of the Neo-BFHI. In addition, a comparison of NICUs in hospitals with full accreditation (7 of 129) with those in group 2 revealed significant differences in 7 measures pertaining to steps 2, 5, 8, and 9.
CONCLUSION: The Spanish NICUs in hospitals with BFHI accreditation or in the process of being accredited have better implementation of practices to promote and support breastfeeding. [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 32 n° 4 (Novembre 2016) . - pp. 613-626[article]