Evidence map›Paper›PMID 41965583›Full record

ArticleBMC pregnancy and childbirth2026

Impact of nurse-focused Baby-Friendly Hospital Initiative training program on mothers' breastfeeding practices at hospital discharge: a quasi-experimental study.

Abeer Salah Shaban, Samia I Hassan, Amina El-Nemer

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Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06824597 (Impact of Baby Friendly Hospital Initiative Training Program on Nurses' and Mothers' Breastfeeding Practices and Experiences), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT06824597 nanot yet recruitingnot on this map

Impact of Baby Friendly Hospital Initiative Training Program on Nurses' and Mothers' Breastfeeding Practices and Experiences

TypeinterventionalSponsorMansoura UniversityRan2025 to 2025Enrolled142ConditionsBreastfeeding OutcomesArmsBaby-friendly hospital initiative training program
3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Abeer Salah ShabanFaculty of Nursing, Mansoura University, Dakahlia Governorate, Mansoura City, Egypt. dr_abeer_salah@mans.edu.eg.
Samia I HassanFaculty of Nursing, Mansoura University, Dakahlia Governorate, Mansoura City, Egypt.
Amina El-NemerFaculty of Nursing, Mansoura University, Dakahlia Governorate, Mansoura City, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternity nurses play a key role in supporting breastfeeding and implementing the Baby-Friendly Hospital Initiative (BFHI). However, many nurses lack adequate training, and evidence on the impact of Baby-Friendly Hospital Initiative training programs on mothers’ breastfeeding practices is limited. Hence, this study aimed to evaluate the impact of Baby-Friendly Hospital Initiative training for maternity nurses on mothers’ breastfeeding practices at hospital discharge.

methodsA quasi-experimental non-equivalent two-group design was used, including a total of 94 postpartum mothers purposively assigned to the pre-intervention (n = 47) and post-intervention (n = 47) groups according to specific eligibility criteria at MansouraUniversityHospital,Egypt.Astructuredinterviewquestionnaire,whichincludedmothers’demographic characteristics and breastfeeding practices, was utilized in data collection. Mothers were interviewed individually at hospital discharge. The Baby-Friendly Hospital Initiative training program was delivered to maternity nurses working in postpartum wards and the delivery unit. The training was conducted from the beginning of November 2023 to the end of December 2023 and consisted of 10 sessions, each lasting approximately 30–45 min for a total duration of 5 to 7.5 h. Descriptive statistics, chi-square, and Monte Carlo tests were used in data analysis. Absolute risk differences and adjusted odds ratios with 95% confidence intervals were also calculated.

resultsThe studied mothers in the post-intervention group exhibited highly statistically significant improvements in self-reported breastfeeding practices compared to the pre-intervention group (p < 0.001). Major improvements were observed in assisting mothers in early initiation of breastfeeding (53.2% vs. 12.8%), exclusive breastfeeding without non-breast milk feeds (68.1% vs. 14.9%), breastfeeding on demand (70.2% vs. 25.5%), and avoidance of pacifier use (74.5% vs. 38.3%).

conclusionsThis study underscores that implementing the Baby-Friendly Hospital Initiative training program for nurses was associated with improvements in mothers’ self-reported breastfeeding practices at hospital discharge and may contribute to enhancing practices aligned with the Baby-Friendly Hospital standards. These findings indicate that a continuous, comprehensive Baby-Friendly Hospital Initiative training program for all maternity staff is essential to maintain high competency and promote adherence to BFHI standards.

trial registrationClinicalTrials.gov, NCT06824597, retrospectively registered on 31 January 2025.

Indexed as

Breast FeedingHealth PromotionMothersPostnatal CareAdultFemaleHumansInfant, NewbornPatient DischargePostpartum PeriodProgram EvaluationYoung AdultA quasi-experimental studyBaby-Friendly Hospital InitiativeBreastfeeding practicesHospital dischargeMothersNursesTraining program

Identifiers

PMID41965583
PMCPMC13085387

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Registered trials

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.