Effects of hospital policies and practices on initiation and duration of breastfeeding
Version of Record online: 24 NOV 2008
© 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd
Child: Care, Health and Development
Volume 35, Issue 1, pages 106–111, January 2009
How to Cite
Manganaro, R., Marseglia, L., Mamì, C., Paolata, A., Gargano, R., Mondello, M., Puliafito, A. and Gemelli, M. (2009), Effects of hospital policies and practices on initiation and duration of breastfeeding. Child: Care, Health and Development, 35: 106–111. doi: 10.1111/j.1365-2214.2008.00899.x
- Issue online: 29 DEC 2008
- Version of Record online: 24 NOV 2008
- Accepted for publication 15 August 2008
- hospital practices
Background The aim of this study was to verify if hospital policies and practices, independently of main maternal sociodemographic determinants, influence initiation and duration of breastfeeding.
Methods The study was carried out at the Immunization Centre of Messina where all infants born in the four maternity wards of Messina are vaccinated, using a structured questionnaire, constructed in conformity with the methodology suggested by the WHO.
Results Data analysis, performed by non-parametric and multivariate analysis of variance and by Kaplan–Meier curves, showed that the highest probability rate (P < 0.001) of initiation and duration of breastfeeding, independently of maternal age, parity, education levels, smoke and work was found in infants born in a University Hospital, characterized by earlier times of first suckling, longer hospital stay and higher rate of exclusive breastfeeding at discharge.
Conclusion Our data emphasize the role and responsibility of hospital policies and practices in the promotion, and in the duration of breastfeeding.