Evidence map›Paper›PMID 34841935›Full record

Trial reportJournal of human lactation : official journal of International Lactation Consultant Association2022

Healthcare Professionals' Breastfeeding Attitudes and Hospital Practices During Delivery and in Neonatal Intensive Care Units: Pre and Post Implementing the Baby-Friendly Hospital Initiative.

Heli Mäkelä, Anna Axelin, Terhi Kolari, Tuula Kuivalainen, Hannakaisa Niela-Vilén

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of human lactation : official journal of International Lactation Consultant Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Heli MäkeläDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID 0000-0003-0934-1242
Anna AxelinDepartment of Nursing Science, University of Turku, Turku, Finland.
Terhi KolariUniversity on Turku, Department of Biostatistics, University of Turku, Turku, Finland.
Tuula KuivalainenSatakunta Hospital District, Satasairaala, Pori, Finland.
Hannakaisa Niela-VilénDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID 0000-0002-8646-6551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Baby-Friendly Hospital Initiative represents a global effort to support breastfeeding. Commitment to this program has been associated with the longer duration and exclusivity of breastfeeding and improvements in hospital practices. Further, healthcare professionals' breastfeeding attitudes have been associated with the ability to provide professional support for breastfeeding. RESEARCH

aimsTo determine healthcare professionals' breastfeeding attitudes and hospital practices before and after the implementation of the Baby-Friendly Hospital Initiative.

methodsUsing a quasi-experimental pretest-posttest study design, healthcare professionals (

resultsThe healthcare professionals' breastfeeding attitude scores increased significantly after the implementation of the Baby-Friendly Hospital Initiative, difference = 0.16, (95% CI [0.13, 0.19]) and became breastfeeding favorable among all professional groups in each study unit. Positive changes in breastfeeding-supportive hospital practices were achieved. The infants had significantly more frequent immediate and uninterrupted skin-to-skin contact with their mothers. The rate of early breastfeeding, as well as the number of exclusively breastfed infants, increased.

conclusionsAfter the Baby-Friendly Hospital Initiative and Baby-Friendly Hospital Initiative for neonatal wards (Neo-BFHI) interventions were concluded, we found significant improvements in the breastfeeding attitudes of healthcare professionals and in breastfeeding-related care practices.This RCT was registered (0307-0041) with ClinicalTrials.gov on 03/03/2017.

Indexed as

Breast FeedingMaternal Health ServicesAttitude of Health PersonnelFemaleHealth PromotionHospitalsHumansInfantInfant, NewbornIntensive Care Units, NeonatalPregnancyBaby-Friendly Hospital InitiativeBaby-Friendly Hospital Initiative for neonatal wardsbreastfeedingbreastfeeding attitudebreastfeeding practiceshealthcare professionalsNeo-BFHIneonatal intensive care unit (NICU)neonatologypostpartum carequasi-experimental study

Identifiers

PMID34841935
PMCPMC9329761

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.