262157 Hospital experiences and long-term breastfeeding success, California 2010

Monday, October 29, 2012 : 5:00 PM - 5:15 PM

Carina Saraiva, MPH , California Department of Public Health, Maternal, Child and Adolescent Health Division, Sacramento, CA
Archana Minnal, MPH , Maternal, Child and Adolescent Health Division, California Department of Public Health, Sacramento, CA
Michael P. Curtis, PhD , Maternal, Child and Adolescent Health Division, California Department of Public Health, Sacramento, CA
Background: Hospital maternity care practices influence infant feeding behaviors during a period critical for successful breastfeeding initiation. The prevalence of maternity care practices that support breastfeeding, and their association with long-term breastfeeding success, have not been well described in California.

Methods: The California Maternal and Infant Health Assessment (MIHA) is a statewide-representative survey of women with a recent live birth that collects self-reported information on infant feeding practices and maternal experiences immediately after delivery, including: rooming-in, early skin-to-skin contact and breastfeeding initiation, formula supplementation, pacifier use, and receipt of contact information for post-discharge support or a gift pack containing formula upon discharge from the hospital. MIHA 2010 data were analyzed to show the prevalence of these hospital practices and their association with breastfeeding behavior at three months postpartum among mothers of healthy newborns. Results: Most California mothers reported that their baby stayed in their room during the hospital stay (89%) and that the hospital gave them a telephone number to call for help with breastfeeding after discharge (85%). Only two-thirds reported initiating breastfeeding early (66%) and not using a pacifier while in the hospital (62%). Half reported not supplementing their infant with formula (54%), while less than half reported holding their infant skin-to-skin (43%) or not receiving a gift pack containing formula (43%). Only 10% reported experiencing all seven of these hospital practices. Mothers experiencing at least 6 of the 7 practices were more likely to exclusively breastfeed at three months postpartum (56%), compared to those only experiencing 0-2 or 3-5 practices (19% and 30%, respectively).

Conclusions: Establishing maternity care policies and practices that support breastfeeding as a standard of care in California hospitals will help meet Healthy People 2020 goals and improve overall maternal and child health.

Learning Areas:
Program planning
Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
1) Identify a data source used to track progress in implementing evidence-based maternity care policies and practices in California 2) Discuss the status of maternity care practices that support breastfeeding in California 3) Describe the association between hospital experiences immediately after delivery and breastfeeding initiation, duration and exclusivity

Keywords: Breast Feeding, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I earned a masters in public health and am a researcher with the California Department of Public Health where I have: published in-hospital breastfeeding initiation data for California hospitals; provided evaluation consultation to the Birth and Beyond California Project; and initiated a study into the effect of maternity care practices and policies on exclusive breastfeeding initiation among California birthing hospitals utilizing CDC mPINC data. I have presented at various conferences on these and other topics.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.