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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Baby-friendly hospital initiative improves breastfeeding initiation rates in a US hospital setting.
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Baby-friendly hospital initiative improves breastfeeding initiation rates in a US hospital setting.

机译：在美国医院，爱婴医院倡议提高了母乳喂养的开始率。

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OBJECTIVE: Breastfeeding initiation rates were compared at Boston Medical Center before (1995), during (1998), and after (1999) Baby-Friendly policies were in place. Boston Medical Center, an inner-city teaching hospital that provides care primarily to poor, minority, and immigrant families, achieved Baby-Friendly status in 1999. METHODS: Two hundred complete medical records, randomly selected by a computer, were reviewed from each of 3 years: 1995, 1998, and 1999. Infants were excluded for medical records missing feeding data, human immunodeficiency virus-positive parent, neonatal intensive care unit admission, maternal substance abuse, adoption, incarceration, or hepatitis C-positive mother. All infant feedings during the hospital postpartum stay were tallied, and each infant was categorized into 1 of 4 groups: exclusive breast milk, mostly breast milk, mostly formula, and exclusive formula. RESULTS: Maternal and infant demographics for all 3 years were comparable. The breastfeeding initiation rate increased from 58% (1995) to 77.5% (1998) to 86.5% (1999). Infants exclusively breastfed increased from 5.5% (1995) to 28.5% (1998) to 33.5% (1999). Initiation rates increased among US-born black mothers in this population from 34% (1995) to 64% (1998) to 74% (1999). CONCLUSIONS: Full implementation of the Ten Steps to Successful Breastfeeding leading to Baby-Friendly designation is an effective strategy to increase breastfeeding initiation rates in the US hospital setting.
机译：目的：比较波士顿医学中心在（1995）之前，（1998）期间和（1999）之后的母乳喂养开始率。波士顿医疗中心是一家市内教学医院，主要为贫困，少数民族和移民家庭提供医疗服务，该医院于1999年获得“爱婴”身份。方法：从计算机中随机抽取200份完整的医疗记录，对每个记录进行审查3岁：1995年，1998年和1999年。婴儿因缺少病史，喂养数据缺失，人类免疫缺陷病毒阳性父母，新生儿重症监护病房入院，母体药物滥用，收养，监禁或丙型肝炎阳性母亲而被排除在医疗记录之外。对产后住院期间的所有婴儿喂养进行统计，并将每个婴儿分为4组中的1组：纯母乳，主要是母乳，主要是配方奶粉和独家配方奶。结果：所有3年的母婴人口统计数据均具有可比性。母乳喂养开始率从58％（1995）增至77.5％（1998）增至86.5％（1999）。全母乳喂养的婴儿从5.5％（1995）增至28.5％（1998）增至33.5％（1999）。在美国出生的黑人母亲中，这一人群的启蒙率从34％（1995）增至64％（1998）增至74％（1999）。结论：在美国医院环境中，全面实施成功母乳喂养的十个步骤导致婴儿友好化是提高母乳喂养开始率的有效策略。

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