Evidence map›Paper›PMID 35334026›Full record

ArticleMaternal and child health journal2022

Baby Friendly Hospital Designation and Breastfeeding Outcomes Among Maryland WIC Participants.

Susan M Gross, Dania Orta-Aleman, Amy Kovar Resnik, Kirstie Ducharme-Smith, Marycatherine Augustyn, JoAnne Silbert-Flagg, Nadine Rosenblum, Laura E Caulfield

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Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

8 authors.

Susan M GrossDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, E4543, Baltimore, MD, 21205, USA. sgross3@jh.edu.ORCID http://orcid.org/0000-0003-1589-2307
Dania Orta-AlemanCenter for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, W2041, Baltimore, MD, 21205, USA.
Amy Kovar ResnikMaryland WIC Program, Maryland Department of Health, 201 W. Preston Street, 1st Floor, Baltimore, MD, 21201, USA.
Kirstie Ducharme-SmithCenter for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, W2041, Baltimore, MD, 21205, USA.
Marycatherine AugustynDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, E4541, Baltimore, MD, 21205, USA.
JoAnne Silbert-FlaggJohns Hopkins School of Nursing, 525 North Wolfe Street, Room 462, Baltimore, MD, 21205, USA.
Nadine RosenblumDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21205, USA.
Laura E CaulfieldCenter for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, E2537, Baltimore, MD, 21205, USA.

Funding

Maternal and Child Health Bureau R40MC30762
6 · The paper itself

Abstract

objectivesThe Baby-Friendly Hospital Initiative is an effective intervention to support maternal practices around breastfeeding. However, little is known about its impact on participants of the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). The purpose of this study was to evaluate whether Baby Friendly Hospital (BFH) designation in Maryland improved breastfeeding practices among Special Supplemental Nutrition Program for Women, Infants and Children (WIC) participants.

methodsBreastfeeding practices of WIC participants (22,543 mother-infant dyads) were analyzed utilizing WIC management information system de-identified data from four Maryland WIC agencies during 2010-12 and 2017-19. Participants lived in areas served by a hospital that became BFH in 2016 or remained non-BFH. Pre-post implementation breastfeeding practices (breastfeeding initiation, at 3 months and 6 months) of women associated with a BFH were compared to women associated with a non-BFH using propensity score weighting and a difference-in-difference modeling.

resultsFrom pre to post intervention no differences in breastfeeding initiation or any breastfeeding at 6 months were attributable to BFH status. There was some evidence that BFH designation in 2016 was associated with an absolute percent change of 2.4% (P = 0.09) for any breastfeeding at 3 months. DISCUSSION: Few differences in breastfeeding outcomes among WIC participants were attributable to delivery in a BFH. Results from this study inform policy about maternity practices impacting WIC breastfeeding outcomes. More study needed to determine the impact of BFH delivery on differences in breastfeeding outcomes between sub-groups of women.

Indexed as

Breast FeedingHealth PromotionChildFemaleHospitalsHumansInfantMarylandMothersPregnancyBaby Friendly Hospital InitiativeBreastfeedingSpecial Supplemental Nutrition Program for Women Infants and Children (WIC)

Identifiers

PMID35334026

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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.