Effect of Baby Friendly Health Care policies on breastfeeding duration: a surviva

描述（由申请人提供）：最近，联合委员会增加了纯母乳喂养作为评估产科中心质量的围产期护理核心措施。联合委员会和美国儿科学会都认为，支持母乳喂养妇女是美国医院关心的一项重要护理质量。拟议的研究考察了接受反映成功母乳喂养十项步骤每一项的政策对出院时纯母乳喂养、纯母乳喂养持续时间和任何母乳喂养持续时间的个别可归因边际效应。这项研究的结果将有助于医院决策者优先考虑Step的实施，因为他们寻求增加纯母乳喂养，以响应新的联合委员会措施。最终，这项研究的结果将通过提供支持妇女喂养意图的信息来提高护理质量。

DESCRIPTION (provided by applicant): Recently, the Joint Commission added exclusive breastfeeding as a perinatal care core measure to assess maternity center quality. Both the Joint Commission and the American Academy of Pediatrics identified supporting breastfeeding women as an important quality of care concern for hospitals in the United States. The proposed study examines the individually attributable marginal effect of exposure to policies reflecting each one of the Ten Steps to Successful Breastfeeding on exclusive breastfeeding at hospital discharge, exclusive breastfeeding duration, and any breastfeeding duration. The findings from this study will aid hospital policy makers in prioritizing Step implementation as they seek to increase exclusive breastfeeding in response to the new Joint Commission measure. Ultimately, the findings from this study will result in improved quality of care by providing information that will support women with their feeding intentions. PUBLIC HEALTH RELEVANCE: The proposed study will identify the individual impact of each of the Ten Steps to Successful Breastfeeding on exclusive breastfeeding at hospital discharge (the new Joint Commission perinatal care core measure), exclusive breastfeeding duration, and any breastfeeding duration. This study will provide hospital administrators that may not want to implement all Ten Steps, information to guide the prioritization of Step implementation as they seek to make incremental steps towards supporting women in their infant feeding decisions.