How Baby-Friendly are Manitoba hospitals? The Provincial Infant Feeding Study. Breastfeeding Promotion Steering Committee of Manitoba.
The Breastfeeding Promotion Steering Committee of Manitoba conducted the cross-sectional Provincial Infant Feeding Study in 1996 to examine: correlation between breastfeeding policies and actual practices in Manitoba hospitals; compliance with Baby-Friendly Hospital Initiative (BFHI) criteria; and associations between hospital practices and two-week breastfeeding duration. Three separate surveys obtained information from: administrators concerning hospital policy; nursing staff concerning hospital practices; and all women giving birth in a five-week period, concerning breastfeeding rates and maternal perceptions of hospital practices. The results highlighted the need for policy and practice changes to comply with BFHI criteria. 92% initiated breastfeeding, and 84% were breastfeeding at two weeks postpartum. Independent predictors of weaning included: in-hospital supplementation (adjusted RR = 2.1, 95% CI 1.02-4.36, p = 0.04); temporarily interrupting breastfeeding while in hospital (adjusted RR = 4.9, 95% CI 2.7-8.9, p = 0.0001); no previous breastfeeding experience (adjusted RR = 2.5, 95% CI 1.4-4.4, p = 0.002); and Grade 12 or less maternal education.
Martens
P J
PJ
Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg. pat_martens@cpe.umanitoba.ca
Phillips
S J
SJ
Cheang
M S
MS
Rosolowich
V
V
D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001942:Breast Feeding / Q000706:statistics & numerical data*; D005260:Female; D019983:Guideline Adherence / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000592:standards*; D006302:Health Services Research; D006739:Hospital Administration / Q000592:standards*; D006740:Hospital Administrators / Q000193:education / Q000523:psychology; D006801:Humans; D007231:Infant, Newborn; D008350:Manitoba; D009035:Mothers / Q000193:education / Q000523:psychology; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D016134:Organizational Policy; D011795:Surveys and Questionnaires