Association of Maternity Care Practices and Policies with In-Hospital Exclusive Breastfeeding in the United States

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Chloe M BarreraCria G Perrine

Abstract

Background: Experiences during the birth hospitalization affect breastfeeding outcomes. In the United States, hospital policies and practices supportive of breastfeeding are routinely assessed through the Maternity Practices in Infant Nutrition and Care (mPINC) survey; however, mPINC does not capture data on breastfeeding outcomes. Materials and Methods: Data from the 2015 mPINC survey were linked to 2015 data from the Joint Commission (TJC), a major accreditor of health care systems in the United States (n = 1,305 hospitals). Each hospital participating in mPINC is given a total score, which is the average of seven subscores; all ranging from 0 to 100. TJC has hospital-specific data on the percentage of infants exclusively breastfeeding at hospital discharge. We used linear regression to estimate differences between quartiles of (1) total mPINC score and (2) each mPINC subscore with rates of exclusive breastfeeding at hospital discharge, adjusting for hospital type, teaching status, and number of annual births. We additionally used linear models to test for trend across quartiles of mPINC score. Results: The mean percentage of in-hospital exclusive breastfeeding increased from 39.0% for hospitals in the lowest mPINC total...Continue Reading

References

Sep 6, 2005·Pediatrics·Anne MerewoodHoward Bauchner
Oct 10, 2008·Pediatrics·Ann M DiGirolamoSara B Fein
Jun 6, 2012·Pediatrics·Cria G PerrineLaurence M Grummer-Strawn
Oct 9, 2015·MMWR. Morbidity and Mortality Weekly Report·Cria G PerrineKelley S Scanlon
Feb 8, 2018·Maternal & Child Nutrition·Julie A PattersonBeth H Olson
May 22, 2018·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Ellen O BoundyHeather C Hamner

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Citations

Oct 12, 2019·BMC Pregnancy and Childbirth·Sarah HoldrenLiisa Lehtonen
Nov 6, 2020·Maternal & Child Nutrition·Jennifer M NelsonCria G Perrine
Jan 12, 2021·Seminars in Perinatology·Rebecca HobanAloka L Patel
Jul 31, 2021·The Journal of Perinatal & Neonatal Nursing·Cathy L EmeisCatherine Collins-Fulea
Jul 31, 2021·The Journal of Perinatal & Neonatal Nursing·Diana R Jolles, Lauren Hoehn-Velasco
Jun 11, 2020·Pediatrics·Lori Feldman-Winter, Ann Kellams
Jan 29, 2022·BMC Pregnancy and Childbirth·Leandro CorderoCraig A Nankervis

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Software Mentioned

mPINC

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