Breastfeeding rates at the time of hospital discharge in Baby-Friendly and non-Baby-Friendly hospitals in the Czech Republic in 2000–2006
Authors:
A. Mydlilová 1; A. Šípek 2; J. Wiesnerová 3
Authors‘ workplace:
Národní laktační centrum, Fakultní Thomayerova nemocnice, Praha1, vedoucí MUDr. A. Mydlilová, Oddělení lékařské genetiky, Fakultní Thomayerova nemocnice, Praha2, primář MUDr. V. Gregor, Oddělení biostatistiky a informatiky, ÚZIS, Praha3, ředitel Mgr. J. H
Published in:
Čes-slov Pediat 2011; 66 (4): 207-214.
Category:
Original Papers
Overview
Purpose:
To compare the type of infant feeding at hospital discharge in Baby-Friendly (BF), non-Baby-Friendly (non-BF) hospitals, neonatal intermediate care units (NICU) and perinatal centres (PC) in the Czech Republic.
Methods:
Data from 660,355 infants born from 2000 to 2006 were collected retrospectively from newborn reports and statistically analyzed.
Results:
The exclusive breastfeeding rates decreased in BF hospitals from 92.9% in 2000 to 90.3% in 2006, whereas in non-BF hospitals from 89.4% in 2000 to 87.6% in 2006. Partial breastfeeding in BF hospitals increased from 3.6% in 2000 to 5.7% in 2006, whereas in non-BF hospitals from 4.9% in 2000 to 6.8% in 2006. Exclusive formula feeding rates changed only slightly. The risk of not being exclusively breastfed was higher in non-BF than in BF-hospitals (unadjusted OR=1.57, 95% CI 1.47–1.68 for year 2000, OR=1.6, 95% CI 1.53–1.68 for year 2004 and OR=1.36, 95% CI 1.3–1.42 for year 2006). In hospitals with PC and NICU the exclusive breastfeeding rates were lower than in hospitals without those departments.
Conclusion:
The exclusive breastfeeding rates in the Czech Republic declined from 2000 to 2006 in spite of growing number of Baby-Friendly hospitals and even in them. Nevertheless the breastfeeding rates were significantly better in Baby-Friendly hospitals. The BFHI itself is not sufficient to maintain high breastfeeding rates and it is necessary to develop other programs supporting breastfeeding.
Key words:
breastfeeding, Baby-Friendly hospitals
Sources
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Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2011 Issue 4
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