The impact of training based on the Baby-Friendly Hospital Initiative on breastfeeding practices in the Northeast of Brazil
The impact of training based on the Baby-Friendly Hospital Initiative on breastfeeding practices in the Northeast of Brazil
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DOI：
10.2223/jped.1422
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发表时间：
2005-12-01
影响因子：
3.3
通讯作者：
Lira, Pedro I. C.
中科院分区：
文献类型：
--
作者：
Coutinho, Sonia B.;Lima, Marília de C.;Lira, Pedro I. C.
目的：为了评估培训的基础上的婴儿友好医院倡议母乳喂养的做法在产科病房和在第一个6 months of life.METHODS：百分之九十的护理辅助人员和助产士在两个机构（A和B）在帕拉迪纳，伯南布哥州接受培训。334位母亲在分娩后的48小时和10天内接受了采访，以评估产科的母乳喂养做法和爱婴医院倡议第4至10步的执行情况。166名母亲接受了7次家访，以评估婴儿出生后6个月内的母乳喂养情况，并将结果与1998年在该地区进行的队列研究结果进行比较。产妇B的表现明显好于产妇A，从第4步到第10步，以及纯母乳喂养和向婴儿提供更少的水或茶（p < 0.001）。与以前的队列研究相比，显示产科病房的母乳喂养做法有所改善，纯母乳喂养的流行率有所增加（从21.2%到70%），在分娩后的前48小时和整个前六个月。培训促进了与母乳喂养有关的某些做法的部分改变，对产科病房的完全母乳喂养产生积极影响。然而，在出生后的前6个月，这些做法没有发生重大变化，这表明需要采取有效的干预措施，支持卫生部门和社区的纯母乳喂养。
OBJECTIVE: To evaluate the impact of training based on the Baby Friendly Hospital Initiative on breastfeeding practices in maternity wards and during the first 6 months of life.METHODS: Ninety percent of nursing auxiliaries and midwives were trained at two institutions (A and B) in Palmares, Pernambuco state. Three hundred and thirty-four mothers were interviewed within the first 48 hours and 10 days after childbirth to evaluate breastfeeding practices at the maternities and fulfillment of steps 4 through 10 of the Baby Friendly Hospital Initiative. A subset of 166 mothers received seven home visits to evaluate breastfeeding practices throughout the first 6 months of life and to compare results with those of a cohort study conducted in the area in 1998.RESULTS: The performance of maternity B was significantly better than that of maternity A, from steps 4 to 10 and also in terms of exclusive breastfeeding and offering less water or tea to infants (p < 0.001). The comparison with a previous cohort study demonstrated an improvement in breastfeeding practices at the maternity wards and an increase of exclusive breastfeeding prevalence (from 21.2 to 70%), during the first 48 hours after delivery and throughout the first six months.CONCLUSIONS: The training promoted partial change to some practices related to breastfeeding, having a positive effect on total and exclusive breastfeeding at the maternity wards. However, there was no significant change to these practices over the first 6 months of life, suggesting the need for effective interventions to support exclusive breastfeeding in the health sector and in the community.