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Journal of Human Lactation, Vol. 22, No. 4,
439-445 (2006)
DOI: 10.1177/0890334406293163
Assessment of Breastfeeding Practices and Reasons for Success in a Military Community Hospital
David M. Haas, MD
Uniformed Services University of the Health Sciences, Bethesda, MD, Naval Hospital Camp Lejeune, North Carolina
Carolyn S. Howard, MSN
Women’s Pavilion and Birth Place, Western Wake Medical Center, Cary, NC
Marlene Christopher, MD
Naval Hospital Camp Lejeune
Katherine Rowan, MSN
Health Support Services, Naval Hospital Camp Lejeune
Mary C. Broga, MD
Naval Hospital Camp Lejeune
Tani Corey, MSN
OB/GYN clinic at Naval Hospital Camp Lejeune
The authors’ objectives were (1) to assess factors associated with breastfeeding rates in the early postpartum period and (2) to assess factors contributing to successful breastfeeding among an active-duty and military-dependent population. In September 2002, a baseline breastfeeding survey was administered to women presenting for infant or postpartum care in a military health care facility. A lactation service was then established, and between May and September 2004, a cross-sectional survey was subsequently conducted. Surveys assessed demographics, breastfeeding history and practices, and perceived reasons for success and discontinuation. A total of 934 surveys were collected. Ninety-two percent of women initiated breastfeeding. Eighty-five percent were breastfeeding at 1 week. The rate was 67.0% at 6 weeks and 61.7% at 6 months. Prior breastfeeding experience predicted continued breast-feeding at 6 weeks (OR 2.04); higher education level predicted breastfeeding at 6 months (OR 2.55). Breastfeeding rates increased after the establishment of a lactation service.
Key Words: breastfeeding rate • lactation consultant • prediction of breastfeeding
References
- US Department of Health and Human Services. HHS Blueprint for Action on Breastfeeding. Washington, DC: US Department of Health and Human Services, Office on Women’s Health; 2000.
- Queenan JT. Breastfeeding: it’s an important gift. Obstet Gynecol. 2003;102: 3-4.[Free Full Text]
- Philipp BL, Merewood A, O’Brien S. Physicians and breastfeeding promotion in the United States: a call for action. Pediatrics. 2001;107: 584-588.[Free Full Text]
- Sisk JE, Greer AL, Wojtowycz M, Pincus LB, Aubry RH. Implementing evidence-based practice: evaluation of an opinion leader strategy to improve breast-feeding rates. Am J Obstet Gynecol. 2004;190: 413-421.[CrossRef][Medline]
[Order article via Infotrieve]
- Kuan LW, Britto M, Decolongon J, Schoettker PJ, Atherton HD, Kotagal UR. Health system factors contributing to breastfeeding success. Pediatrics. 1999;104: e28-e28.[Abstract/Free Full Text]
- Humphreys AS, Thompson NJ, Miner KR. Intention to breastfeed in low-income pregnant women: the role of social support and previous experience. Birth. 1998;25: 169-174.[CrossRef][Medline]
[Order article via Infotrieve]
- Chertok IR, Shoham-Vardi I, Hallak M. Four-month breastfeeding duration in postcesarean women of different cultures in the Israeli Negev. J Perinat Neonatal Nurs. 2004;18: 145-160.[Medline]
[Order article via Infotrieve]
- Mitra AK, Khoury AJ, Carothers C, Foretich C. Evaluation of a comprehensive Loving Support program among state women, infants, and children (WIC) program breast-feeding coordinators. South Med J. 2003;96: 168-171.[Medline]
[Order article via Infotrieve]
- Philipp BL, Merewood A, Miller LW, et al. Baby-Friendly Hospital Initiative improves breastfeeding initiation rates in a US hospital setting. Pediatrics. 2001;108: 677-681.[Abstract/Free Full Text]
- Taveras EM, Capra AM, Braveman PA, Jensvold NG, Escobar GJ, Lieu TA. Clinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics. 2003;112: 108-115.[Abstract/Free Full Text]
- Dennis C, Hodnett E, Gallop R, Chalmers B. The effect of peer support on breastfeeding duration among primiparous women: a randomized controlled trial. Can Med Assoc J. 2002;166: 21-28.[Abstract/Free Full Text]
- US Department of Health and Human Services. Healthy People 2010. Washington, DC: US Department of Health and Human Services; 2000.
- Stevens KV, Janke J. Breastfeeding experiences of active duty military women. Mil Med. 2003;168: 380-384.[Medline]
[Order article via Infotrieve]
- Clauss BJ, Hall-Harris EB. Development of a breastfeeding support program at Naval Hospital Sigonella, Italy. Pediatr Nurs. 1999;25: 161-166.[Medline]
[Order article via Infotrieve]
- Hogan SE. Overcoming barriers to breastfeeding: suggested breast-feeding promotion programs for communities in eastern Nova Scotia. Can J Public Health. 2001;92: 105-108.[Medline]
[Order article via Infotrieve]
- McIntyre E, Pisaniello D, Gun R, Sanders C, Frith D. Balancing breastfeeding and paid employment: a project targeting employers, women and workplaces. Health Promot Int. 2002;17: 215-222.[Abstract/Free Full Text]
- Hellings P. A discriminant model to predict breastfeeding success. West J Nurs Res. 1985;7: 471-478.[Free Full Text]
- Lawlor-Smith C, McIntyre E, Bruce J. Effective breastfeeding support in a general practice. Aust Fam Physician. 1997;26: 573-580.[Medline]
[Order article via Infotrieve]
- Humenick SS, Hill PD, Spiegelberg PL. Breastfeeding and health professional encouragement. J Hum Lact. 1998;14: 305-310.[Abstract/Free Full Text]
- McKeever P, Stevens B, Miller KL, et al. Home versus hospital breast-feeding support for newborns: a randomized controlled trial. Birth. 2002;29: 258-265.[CrossRef][Medline]
[Order article via Infotrieve]
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