Breastfeeding in a Baby Friendly Hospital: Preliminary Findings [14J]

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Abstract

INTRODUCTION:

The Baby-Friendly Hospital Initiative (BFHI) was created to improve maternity and breastfeeding practices globally. Increased “Baby-Friendly” practices improves the chances of breastfeeding beyond 6 weeks. UF Health was designated a baby-friendly hospital in 2015. The aim of this study was to determine if the percentage of infants breastfed under the new BFHI policy at UF Health and determine if it is projected to meet the Healthy People 2020 goal both in initiation and continuance of breastfeeding at 6 weeks.

METHODS:

IRB approval was obtained for this retrospective chart review. Charts were identified by CPT codes for both vaginal and cesarean deliveries. Data was abstracted from EMR; women were excluded if they received prenatal care outside UF Health since BFHI program has a significant prenatal educational component. Initial review abstracted data from 150 eligible charts approximately 2 years after BFHI (2/2017-3/2017). Data was analyzed with GraphPad and JMP statistical software.

RESULTS:

Mothers initiated breastfeeding 91.4% of the time at UF Health. Factors that made a mother more likely to breastfeed at 6 weeks were: white versus black (75 v 43%, p = 0.45), private insurance versus Medicaid (82 v 40%, p=0.0001), and married versus single (83 v 41%, p=0.0001).

CONCLUSION:

UF Health’s breastfeeding policies are currently projected to meet the 2020 goal for all infants who have ever been breast fed, but despite the BFHI there were still deficits at 6 weeks. Future studies will explore specific barriers to breastfeeding in these populations.

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