Journal of Korean Medical Science

Korean Acad Medical Sciences (대한의학회)
권호 표지
DOI QR코드

DOI QR Code

Positive Effect of Baby-Friendly Hospital Initiatives on Improving Mothers' Intention for Successful Breastfeeding in Korea

  • Park, Hyun Woo (Database and Bioinformatics Laboratory, College of Electrical and Computer Engineering, Chungbuk National University) ;
  • Ryu, Keun Ho (Database and Bioinformatics Laboratory, College of Electrical and Computer Engineering, Chungbuk National University) ;
  • Piao, Yongjun (Database and Bioinformatics Laboratory, College of Electrical and Computer Engineering, Chungbuk National University) ;
  • Li, Peipei (Center for Neurodegenerative Science Van Andel Research Institute) ;
  • Hong, Jae Shik (SC Cheil Obstetrics & Gynecology Hospital) ;
  • Kim, Hee Bum (ShezMiz Obstetric Hospital) ;
  • Chung, Hwanwook (Medi Flower Obstetric Hospital) ;
  • Hoh, Jeong-Kyu (Department of Obstetrics and Gynecology, College of Medicine, Hanyang University) ;
  • Kim, Yong Joo (Department of Pediatrics, College of Medicine, Hanyang University)
  • Received : 2018.05.14
  • Accepted : 2018.07.05
  • Published : 2018.10.22
⟨ Previous Next ⟩

Abstract

Background: In Korea, the breastfeeding (BF) rate of infants aged 6 months or more is drastically decreasing, and this phenomenon is particularly worrisome for the future health of the population. The present study aimed to identify an antenatal strategy for initiation and continuation of human BF, and to identify how Baby-Friendly Hospitals (BFHs) may positively influence the intention to breastfeed. Methods: A total of 414 pregnant Korean antenatal women were surveyed using questionnaires to determine current knowledge of the benefits of human breast milk, whether they planned to breastfeed after delivery, to continue BF after reinstatement in the workforce, are willing to abide by rooming-in care for infants, and plan to give birth at BFHs. Results: We found that planning room-in care, greater awareness of BF benefits for infant and mother, participation in antenatal education programs, and provision of BF facilities in the workplace were positively associated with plans for exclusive breastfeeding (EBF) and longer BF duration. The mothers who planned to give birth at BFHs also desired to breastfeed immediately after birth, implement in-room care, continue BF at their workplace, participate in antenatal BF educational programs, and were more aware of the benefits of BF. Conclusion: If the beneficial effects of BFHs were well known to individuals, these would enhance the success rate of BF in Korea. Antenatal education and consequent acquisition of better knowledge of the benefits of BF are important for increasing the rate of BF practices.

Keywords

Acknowledgement

Supported by : National Research Foundation of Korea

References

  1. World Health Organization. Strategy to accelerate progress towards the attainment of international development goals and targets related to reproductive health. Reprod Health Matters 2005;13(25):11-8. https://doi.org/10.1016/S0968-8080(05)25166-2
  2. World Health Organization; UNICEF. Baby-Friendly Hospital Initiative: revised, updated and expanded for integrated care. http://www.who.int/nutrition/topics/bfhi/en/. Updated 2018. Accessed April 10, 2018.
  3. Centers for Disease Control and Prevention (CDC). Vital signs: hospital practices to support breastfeeding--United States, 2007 and 2009. MMWR Morb Mortal Wkly Rep 2011;60(30):1020-5.
  4. Centers for Disease Control and Prevention (CDC). Breastfeeding-related maternity practices at hospitals and birth centers--United States, 2007. MMWR Morb Mortal Wkly Rep 2008;57(23):621-5.
  5. Lee S. The 2015 National Survey on Fertility, Family Health and Welfare in Korea. Sejong: Korean Institute for Health and Social Affairs; 2015.
  6. Choi EJ, Park EJ, Kim HR, Oh MA, Lee NH, Choi JH. Report on the Status of BF in Korea by Korea Institute for Health and Social Affairs. Sejong: Korean Institute for Health and Social Affairs; 2016.
  7. Ministry of Health and Welfare, Korea Health Promotion Foundation. Health plan 2020. http://www.mohw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=0319&CONT_SEQ=330479&page=1. Updated 2016. Accessed April 10, 2018.
  8. Kang NM, Choi YJ, Hyun T, Lee JE. Associations of breastfeeding knowledge, attitude and interest with breastfeeding duration: a cross-sectional web-based study. J Korean Acad Nurs 2015;45(3):449-58. https://doi.org/10.4040/jkan.2015.45.3.449
  9. Stuebe AM, Bonuck K. What predicts intent to breastfeed exclusively? Breastfeeding knowledge, attitudes, and beliefs in a diverse urban population. Breastfeed Med 2011;6(6):413-20. https://doi.org/10.1089/bfm.2010.0088
  10. Kang NM, Lee JE, Bai Y, Van Achterberg T, Hyun T. Breastfeeding initiation and continuation by employment status among Korean women. J Korean Acad Nurs 2015;45(2):306-13. https://doi.org/10.4040/jkan.2015.45.2.306
  11. Chung W, Kim H, Nam CM. Breast-feeding in South Korea: factors influencing its initiation and duration. Public Health Nutr 2008;11(3):225-9. https://doi.org/10.1017/S136898000700047X
  12. Kim MJ, Kim YM, Yoo JH. Factors affecting exclusive breast-feeding during the first 6 months in Korea. Pediatr Int 2013;55(2):177-80. https://doi.org/10.1111/ped.12004
  13. Hawkins SS, Stern AD, Baum CF, Gillman MW. Evaluating the impact of the Baby-Friendly Hospital Initiative on breast-feeding rates: a multi-state analysis. Public Health Nutr 2015;18(2):189-97. https://doi.org/10.1017/S1368980014000238
  14. Venancio SI, Saldiva SR, Escuder MM, Giugliani ER. The Baby-Friendly Hospital Initiative shows positive effects on breastfeeding indicators in Brazil. J Epidemiol Community Health 2012;66(10):914-8. https://doi.org/10.1136/jech-2011-200332
  15. Perez-Escamilla R, Martinez JL, Segura-Perez S. Impact of the Baby-Friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review. Matern Child Nutr 2016;12(3):402-17. https://doi.org/10.1111/mcn.12294
  16. Wang HJ, Kim IO. Effect of rooming-in of new mothers on breast feeding rate. Korean J Women Health Nurs 2009;15(1):5-12. https://doi.org/10.4069/kjwhn.2009.15.1.5
  17. Bramson L, Lee JW, Moore E, Montgomery S, Neish C, Bahjri K, et al. Effect of early skin-to-skin mother--infant contact during the first 3 hours following birth on exclusive breastfeeding during the maternity hospital stay. J Hum Lact 2010;26(2):130-7. https://doi.org/10.1177/0890334409355779
  18. Wong KL, Fong DY, Lee IL, Chu S, Tarrant M. Antenatal education to increase exclusive breastfeeding: a randomized controlled trial. Obstet Gynecol 2014;124(5):961-8. https://doi.org/10.1097/AOG.0000000000000481
  19. Nickel NC, Labbok MH, Hudgens MG, Daniels JL. The extent that noncompliance with the ten steps to successful breastfeeding influences breastfeeding duration. J Hum Lact 2013;29(1):59-70. https://doi.org/10.1177/0890334412464695
  20. Basrowi RW, Sulistomo AB, Adi NP, Vandenplas Y. Benefits of a dedicated breastfeeding facility and support program for exclusive breastfeeding among workers in Indonesia. Pediatr Gastroenterol Hepatol Nutr 2015;18(2):94-9. https://doi.org/10.5223/pghn.2015.18.2.94
  21. UNICEF Korea. List of Baby-Friendly Hospitals in Korea. http://www.unicef.or.kr/involve/mommy/withus_hospital_list.asp. Updated 2017. Accessed November 27, 2017.
  22. World Health Organization. National implementation of the Baby-Friendly Hospital initiative 2017. http://www.who.int/nutrition/publications/infantfeeding/bfhi-national-implementation2017/en/. Updated 2018. Accessed April 10, 2018.
  23. Kim YJ. Important role of medical training curriculum to promote the rate of human milk feeding. Pediatr Gastroenterol Hepatol Nutr 2017;20(3):147-52. https://doi.org/10.5223/pghn.2017.20.3.147

Cited by

  1. Breastfeeding Knowledge, Attitude, and Practice among White-Collar and Blue-Collar Workers in Indonesia vol.34, pp.45, 2018, https://doi.org/10.3346/jkms.2019.34.e284
  2. Client-Centered Breastfeeding-Promotion Strategies: Q Methodology vol.18, pp.6, 2018, https://doi.org/10.3390/ijerph18062955
  3. Dietary intake and nutritional status of Korean children and adolescents: a review of national survey data vol.64, pp.9, 2018, https://doi.org/10.3345/cep.2020.01655
  4. Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum vol.18, pp.21, 2021, https://doi.org/10.3390/ijerph182111430