Exclusive breastfeeding in the hospital: how accurate are the data?

Journal of Human Lactation : Official Journal of International Lactation Consultant Association
Irena Zakarija-Grkovic

Abstract

Accurate hospital exclusive breastfeeding (EBF) rates, a core indicator of hospital performance, are important. The aim of this study was to assess the accuracy of hospital infant feeding data by comparing EBF rates obtained from standard charts in which once-daily observations are recorded with new infant feeding charts in which every feed was documented. In this cross-sectional study, 157 healthy mother-infant pairs were enrolled at the University Hospital of Split, Croatia, between February and May 2008. Infant feeding data were gathered from 4 sources: (1) standard once-daily observations recorded by pediatricians; (2) new, every-feed observations recorded by nursing staff; (3) interview with the mother before discharge; and (4) Newborn Examination Form, completed on discharge by the pediatrician. WHO definitions were used to determine EBF during the first 48 hours and from birth until discharge. Only 3% of infants were EBF throughout the hospital stay when calculated with the every-feed method, as opposed to 56% and 82%, with the once-daily and newborn examination methods, respectively (P < .001). Maternal report confirmed the finding that 97% of infants were supplemented with formula, indicating that most formula suppleme...Continue Reading

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Citations

Mar 19, 2016·Maternal & Child Nutrition·Irena Zakarija-GrkovićPat Hoddinott
Nov 7, 2015·European Journal of Public Health·Irena Zakarija-GrkovićTea Burmaz
Aug 23, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Marija Boban, Irena Zakarija-Grković
Jun 8, 2012·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Irena Zakarija-GrkovicTea Burmaz
May 22, 2016·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Linda MurraySean Beggs
Feb 27, 2013·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Jane E ParryMarie Tarrant
Aug 24, 2017·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Signe BruunGitte Zachariassen
Jul 3, 2021·Nutrients·Bernadette BürgerAlexandra Wolf-Spitzer

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cesarean section

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