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Does Breastfeeding Education Affect Nursing Staff Beliefs, Exclusive Breastfeeding Rates, and Baby-Friendly Hospital Initiative Compliance? The Experience of a Small, Rural Canadian Hospital

Manitoba Centre for Health Policy and Evaluation, Department of Community Health Sciences, University of Manitoba, R2008-351 Tache Avenue, Winnipeg, Manitoba, Canada R2H2A6.

The effectiveness of a breastfeeding education intervention consisting of a 11/2-hour mandated session for all nursing staff, with an optional self-paced tutorial, was evaluated in a small rural Canadian hospital. The intervention was designed to increase exclusive breastfeeding rates, create positive beliefs and attitudes among staff members, and increase compliance with the World Health Organization/UNICEF Baby-Friendly Hospital Initiative (BFHI). Staff surveys and chart audits were conducted at both the intervention and control site hospitals prior to the intervention and 7 months after the intervention. Over a 7-month period, the intervention hospital experienced an increase in BFHI compliance (24.4 vs. 31.9, P<.01), breastfeeding beliefs (55.0 vs. 58.8, P<.05), and exclusive breastfeeding rates (31% vs. 54% of breastfed babies, P<.05) but no change in breastfeeding attitudes (44.0 vs. 44.9, P=.80). The control site experienced no change in BFHI compliance, beliefs, or attitudes but a significant decrease in exclusive breastfeeding rates (43% vs. 0%, P<.05).

Key Words: Ten Steps to Successful Breastfeeding • International Code of the Marketing of Breast Milk Substitutes • health care provider attitudes • nonrandom quasi-experiment • hospital • education

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