Hospital-wide breastfeeding rates vs. breastmilk provision for very-low-birth-weight infants
Article first published online: 27 DEC 2012
©2012 The Author(s)/Acta Pædiatrica ©2012 Foundation Acta Pædiatrica
Volume 102, Issue 3, pages 268–272, March 2013
How to Cite
Lee, H. C., Jegatheesan, P., Gould, J. B. and A Dudley, R. (2013), Hospital-wide breastfeeding rates vs. breastmilk provision for very-low-birth-weight infants. Acta Paediatrica, 102: 268–272. doi: 10.1111/apa.12096
- Issue published online: 5 FEB 2013
- Article first published online: 27 DEC 2012
- Accepted manuscript online: 23 NOV 2012 04:13AM EST
- Manuscript Accepted: 19 NOV 2012
- Manuscript Revised: 30 OCT 2012
- Manuscript Received: 30 JUL 2012
- Eunice Kennedy Shriver National Institute of Child Health & Human Development. Grant Number: K23HD068400
- Neonatal intensive care;
- Preterm infants;
- Quality improvement
To investigate the relationship between breastmilk feeding in very-low-birth-weight infants in the neonatal intensive care unit and breastmilk feeding rates for all newborns by hospital.
This was a cross-sectional study of 111 California hospitals in 2007 and 2008. Correlation coefficients were calculated between overall hospital breastfeeding rates and breastmilk feeding rates of very-low-birth-weight infants. Hospitals were categorized in quartiles by crude and adjusted very-low-birth-weight infant rates to compare rankings between measures.
Correlation between breastmilk feeding rates of very-low-birth-weight infants and overall breastfeeding rates varied by neonatal intensive care unit level of care from 0.13 for intermediate hospitals to 0.48 for regional hospitals. For hospitals categorized in the top quartile according to overall breastfeeding rate, only 46% were in the top quartile for both crude and adjusted very-low-birth-weight infant rates. On the other hand, when considering the lowest quartile for overall breastfeeding hospitals, three of 27 (11%) actually were performing in the top quartile of performance for very-low-birth-weight infant rates.
Reporting hospital overall breastfeeding rates and neonatal intensive care unit breastmilk provision rates separately may give an incomplete picture of quality of care.