[Determinants of newborn feeding in maternity hospital care. Part II: factors associated with exclusive breast feeding].
OBJECTIVE
To study the effects of newborn status and hospital practices on exclusive breast-feeding in a maternity ward.


METHODS
National survey conducted in January 1995 in 427 hospitals.


METHODS
Data on 11,422 newborns obtained from hospital staff. Statistical analysis was performed using odds ratios (OR), population attributable risks (PAR%) and logistic regression method.


RESULTS
The most important factors for supplementation were: caesarean section (OR = 5.3; PAR = 19.0%), first breastfeeding later than 2 h after birth (OR = 5.2; PAR = 41.3%), mother and newborn separation longer than 1 h/24 h (OR = 3.4; PAR = 44.9%). Logistic regression analysis showed that first feeding in 2 hours is the main prognostic factor for exclusive breastfeeding in a maternity ward.


CONCLUSIONS
Changes in hospital practices increase the proportion of exclusively breastfeeding infants during stay in the maternity ward.
Mazur
J
J
Zakładu Epidemiologii, Młodziezy Instytutu Matki i Dziecka w Warszawie.
Mikiel-Kostyra
K
K
D001942:Breast Feeding / Q000706:statistics & numerical data*; D005260:Female; D006748:Hospital Departments; D006801:Humans; D007231:Infant, Newborn; D008427:Maternal Health Services / Q000458:organization & administration*; D011044:Poland / Q000453:epidemiology; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors