ArticleMaternal & child nutrition2022
The role of breastfeeding promotion in German hospitals for exclusive breastfeeding duration.
Article in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of breastfeeding prevalence, duration and determining factors in women with type 1 and type 2 diabetes mellitus.Diabetic medicine : a journal of the British Diabetic Association · 2026Pooled it
- Breastfeeding at discharge or transfer from the maternity hospital: results from the German Perinatal Statistics 2021.International breastfeeding journal · 2026Article
- Postpartum Health in Mothers of Preterm Infants in the NICU: Needs, Service Utilization, and Care Gaps-A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Breastfeeding Promotion in Maternity Wards From a Socioeconomic View.Food science & nutrition · 2025Article
- Development and prevalence of breastfeeding initiation in a tertiary obstetric center and its influencing factors.International breastfeeding journal · 2025Article
- Getting breastfeeding started under pandemic visiting restrictions: lessons learned in Germany.International breastfeeding journal · 2024Article
- The role of breastfeeding promotion in German hospitals for exclusive breastfeeding duration.Maternal & child nutrition · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Breastfeeding promotion and support in hospitals is expected to have a positive impact on maternal breastfeeding outcomes. The objective of this study is to examine the association between breastfeeding promotion in maternity hospitals in Germany and exclusive breastfeeding (EBF) rates during the first 4 months. Thus, a nationwide cross-sectional web-based survey of breastfeeding promotion was conducted in 103 hospitals. Mother-infant pairs (n = 962) were recruited at these hospitals for a prospective web-based survey of breastfeeding status at five-time points, that is, during a hospital stay, at discharge as well as after 0.5, 2, and 4 months. The hospital analysis was based on the "10 Steps to Successful Breastfeeding" of the World Health Organization and the United Nations Children's Fund, adapted for Germany. Their degree of implementation was stratified by a breastfeeding promotion index (BPI) as low (≤5 steps), medium (6-8 steps), and high (≥9 steps). The association between the BPI and the odds of EBF at each of the five-time points was estimated by multivariable regression models, adjusting for various maternal factors. At all time points, the proportion of EBF among mothers from high BPI hospitals exceeded the proportion of those from medium or low BPI hospitals. A high BPI was associated with higher odds of EBF during the hospital stay and at discharge, while maternal factors for EBF such as breastfeeding experience and no early use of a pacifier persisted beyond. The high commitment of hospitals and tailored support of mothers is essential for EBF.
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