Regional Difference in the Rates of Exclusively Breastfed Infants at Hospital Discharge in the Czech Republic from 2000 to 2006

Czech version

Authors: A. Mydlilová ¹; A. Šípek ²; J. Wiesnerová ³; J. Vignerová ⁴
Authors‘ workplace: Národní laktační centrum, Fakultní Thomayerova nemocnice, Praha vedoucí MUDr. A. Mydlilová ¹; Oddělení lékařské genetiky, Fakultní Thomyaerova nemocnice, Praha prim. MUDr. V. Gregor ²; Ústav zdravotnických informací a statistiky ČR ředitelka Mgr. V. Mazánková ³; Státní zdravotní ústav, Oddělení hygieny dětí a mládeže, Praha ředitel MUDr. M. Bořek ⁴
Published in: Čes-slov Pediat 2009; 64 (1): 4-11.
Category: Original Papers

Overview

Purpose:
To identify regions (or particular hospitals) with the lowest exclusive breastfeeding rates at hospital discharge and regional changes in breastfeeding rates from 2000 to 2006 in relation to increasing number of Baby-Friendly hospitals.

Methods:
Data from 675,650 infants born from 2000 to 2006 were collected retrospectively from newborn reports and statistically analyzed.

Results:
The initial increase in the exclusive breastfeeding rate from 90.45% in 2000 to 91.32% in 2002 was followed by a decrease to 89.35% in 2006. To the worst regions with rates under 89% belonged region Karlovy Vary throughout the whole study period and in 2006 the rates decreased under 89% also in regions Ústí n./L., Prague, Olomouc and Central Bohemia. The regions of Karlovy Vary, Ústí n./L. and Prague had the highest proportion of too young (<20 years) or too old (≥35 years) mothers – groups representing risk for breastfeeding. With exception of the Olomouc region, most hospitals of all other regions with low rates are not designed Baby-Friendly. Although the breastfeeding rates were higher in Baby-Friendly (BF) hospitals in comparison with non-BF-hospitals, the difference among particular hospitals were high and in 2006 even 8 BF-hospitals had breastfeeding rates under 85%. The low breastfeeding rates were identified in large hospitals (>2000 born infants per year) with perinatal center, where high risk neonates are concentrated.

Conclusion:
In breastfeeding support it is necessary to focus on regions (or particular hospitals) with identified low breastfeeding rates. To maintain the progress of BF-hospitals the reassessment should be held every 3 years.

Key words:
breastfeeding, Baby-Friendly maternity hospital, perinatal center, maternal age

Sources

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Article was published in

Czech-Slovak Pediatrics

2009 Issue 1