Dear Spiral user, We’re pleased to introduce Helix, https://helix.imperial.ac.uk/ Imperial’s new repository for research datasets. Please use Helix for all future dataset deposits. There is no change to Spiral - continue depositing as usual. For queries, contact the Research Data Management team at rdm-enquiries@imperial.ac.uk. Kind regards, the Spiral Team. The Spiral team
Formula milk supplementation on the postnatal ward: a cross-sectional analytical study
File(s)
nutrients-10-00608.pdf (1007.65 KB)
Published version
Author(s)
Biggs, Kirsty
Hurrell, Katherine
Matthews, Eleanor
Khaleva, Ekaterina
Munblit, D
Type
Journal Article
Abstract
Breastfeeding rates are low in the UK, where approximately one quarter of infants receive a breastmilk substitute (BMS) in the first week of life. We investigated the reasons for early BMS use in two large maternity units in the UK, in order to understand the reasons for the high rate of early BMS use in this setting. Data were collected through infant feeding records, as well as maternal and midwife surveys in 2016. During 2016, 28% of infants received a BMS supplement prior to discharge from the hospital maternity units with only 10% supplementation being clinically indicated. There was wide variation in BMS initiation rates between different midwives, which was associated with ward environment and midwife educational level. Specific management factors associated with non-clinically indicated initiation of BMS were the absence of skin-to-skin contact within an hour of delivery (p = 0.01), and no attendance at an antenatal breastfeeding discussion (p = 0.01). These findings suggest that risk of initiating a BMS during postnatal hospital stay is largely modifiable. Concordance with UNICEF Baby Friendly 10 steps, attention to specific features of the postnatal ward working environment, and the targeting of midwives and mothers with poor educational status may all lead to improved exclusive breastfeeding rates at hospital discharge.
Date Issued
2018-05-14
Date Acceptance
2018-05-09
Citation
Nutrients, 2018, 10 (5)
URI
DOI
ISSN
2072-6643
Publisher
MDPI AG
Journal / Book Title
Nutrients
Volume
10
Issue
5
Copyright Statement
© 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access
article distributed under the terms and conditions of the Creative Commons Attribution
(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Subjects
attitudes
breastfeeding
formula supplementation
justification of supplementation
knowledge
midwifery
1111 Nutrition And Dietetics
Publication Status
Published online
Article Number
608