ArticleEuropean journal of midwifery2021
Maternity ward staff perceptions of exclusive breastfeeding in Finnish maternity hospitals: A cross-sectional study.
Article in European journal of midwifery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Timing Routines With Patience: A Focused Ethnography on Newborn Breastfeeding in Hospitals.Maternal & child nutrition · 2026Article
- Maternal and neonatal factors associated with exclusive breastfeeding upon hospital discharge.Revista brasileira de enfermagem · 2025Article
- The effect of on-site and on-call nurse on exclusive breastfeeding in two different hospital settings: a prospective observational cohort study.Italian journal of pediatrics · 2024Observational
- Exclusive breastfeeding rate and related factors among mothers within maternal health WeChat groups in Jiaxing, Zhejiang province, China: a cross-sectional survey.International breastfeeding journal · 2022Article
- The Effect of a Structured Individualized Educational Intervention on Breastfeeding Rates in Greek Women.International journal of environmental research and public health · 2021Article
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Authors and funding
6 authors.
Funding
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Abstract
introductionThis study aimed to describe exclusive breastfeeding (EBF, Step 6 of the Baby-Friendly Hospital Initiative) in Finnish maternity hospitals and identify factors that promote or limit EBF.
methodsA cross-sectional study design was used, and data were collected from eight maternity hospitals in Finland during a 10-day period in May 2014. The staff completed questionnaires (n=1554) from separate work shifts. The data were analyzed using descriptive statistics, and chi-squared and Fisher's tests. Responses to open-ended questions were analyzed using content analysis.
resultsMaternity ward staff reported that 72% (n=1105) of the infants were exclusively breastfed during their work shift. The strongest promoting factors of exclusive breastfeeding were: maternity ward staffs' profession and education in breastfeeding counselling; multiparity; vaginal delivery; early skin-to-skin contact between mother and infant; initial breastfeeding after birth; rooming-in; and initial success of breastfeeding. The use of a nipple shield, the need for additional breastfeeding counselling, and infants' blood tests were limiting factors to exclusive breastfeeding. Open-ended answers revealed that exclusive breastfeeding was mainly delayed because of medical issues for the mother or infant.
conclusionsFinnish maternity hospitals could improve exclusive breastfeeding rates by focusing attention and resources on breastfeeding counselling and evidence-based maternity care practices related to immediate care after birth, promoting vaginal delivery, rooming-in and availability of skilled counselling.
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