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Title: Comparison of Breastfeeding Practices among Postpartum Women in a Baby–Friendly Hospital and a Non-baby–Friendly Hospital
Authors: Shaima A. Al-Qattan 
Supervisor: Dr. Lemia H. Shaban
Keywords: Breastfeeding
Issue Date: 2017
Publisher:  Kuwait university - college of graduate studies
Abstract: The purpose of this study was to compare infant–feeding practices at birth and 4–6 weeks postpartum in a Baby–Friendly Hospital Initiative (BFHI) hospital and non-BFHI hospital in the state of Kuwait. This study was also aimed at investigating the differences in the intentions, knowledge, attitudes, and self-efficacy regarding breastfeeding held by postpartum women at these two different hospitals. A sample of 409 in-hospital postpartum mothers was recruited from two government hospitals in Kuwait, of which one was BFHI certified, and one was not. The postpartum women completed a baseline questionnaire during face-to-face interviews at the hospital before discharge. At 4–6 weeks postpartum, the participating mothers were followed-up through telephone interviews to obtain information about their current infant–feeding practices. Comparative statistics were calculated using independent samples t-test for continuous variables and chi-square (X2) test for categorical variables. At the time of the baseline interviews, 90.5% of the infants born in the BFHI hospital but only 12% of those born in the non-BFHI hospital were exclusively breastfed. By 4–6 weeks postpartum, the exclusive breastfeeding rate fell to 60.7% and 9.6% among infants born in the BFHI and non-BFHI hospitals, respectively. In addition, the mothers who gave birth at the BFHI hospital initiated breastfeeding faster than those who gave birth at the non-BFHI hospital. The findings reveal significant differences in knowledge, self-efficacy, and attitudes toward breastfeeding among the mothers who delivered at the BFHI and the non-BFHI hospitals. The mothers who gave birth at the BFHI hospital were more knowledgeable about breastfeeding and had higher breastfeeding confidence than those who gave birth at the non-BFHI hospital (P < .001). The mothers who gave birth at the BFHI hospital had positive attitudes toward breastfeeding, while those who gave birth at the non-BFHI hospital had neutral attitudes. In general, it can be seen that the BFHI hospital had significant impacts on the mothers’ knowledge, positive attitudes, and confidence regarding breastfeeding and achieved a high rate of initiating breastfeeding at the hospital. Based on these results, BFHI hospitals have the potential to promote breastfeeding practices in Kuwait.
Appears in Programs:1820 Nutrition Science & Food Science

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