Breastfeeding promotion and support: a quality improvement study

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Abstract

Background. Breastfeeding success is determined by early skin to skin contact, early initiation of breastfeeding, rooming-in, baby-led breastfeeding, creation of a favorable environment, specific training of health professionals, and continuity of care.Objective. To investigate the women’s satisfaction regarding the care and support re-ceived in the first days after childbirth. MaterialandMethods. A questionnaire of 24 items was administered to mothers be-fore discharge, from May to September 2019 at the University Hospital of Modena.Results. The predictive variables of exclusive breastfeeding were the delivery mode, age at birth and parity. The multivariate analysis showed that a high satisfaction score was associated with vaginal birth (OR=2.63, p=0.005), rooming-in during the hospitalization (OR=8.64, p<0.001), the skin to skin contact (OR=6.61, p=0.001) and the first latch-on within 1 hour after birth (OR=3.00, p=0.02). Conclusions. Mothers’ satisfaction is one of the important factors of positive experience during hospital stay and of better health outcomes.

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Authors

Daniela Menichini - International Doctorate School in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Italy

Francesca Zambri - National Centre for diseases Prevention and Health Promotion – Italian National Institute of Health, Rome, Italy

Laura Govoni - School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy

Alba Ricchi - School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy

Ramona Infante - School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy

Elisabetta Palmieri - School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy

Maria Cristina Galli - Mother-Infant Department, University of Modena and Reggio-Emilia Modena, Italy

Maria Teresa Molinazzi - School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy

Marisa Patrizia Messina - Department of Gynecological and Obstetrics Sciences, Sapienza University of Rome, Italy

Angela Putignano - Mother-Infant Department, University of Modena and Reggio-Emilia Modena, Italy

Federico Banchelli - Department of Diagnostics, Clinical and Public Health Medicine, Statistics Unit, University of Modena and Reggio Emilia

Isabella Neri - School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy

Sofia Colaceci - Saint Camillus International University of Health and Medical Sciences (UniCamillus), Rome, Italy

Isabella Neri

Angela Giusti - National Centre for diseases Prevention and Health Promotion – Italian National Institute of Health, Rome, Italy

How to Cite
Menichini, D., Zambri, F., Govoni, L., Ricchi, A., Infante, R., Palmieri, E., Galli, M. C., Molinazzi, M. T., Messina, M. P., Putignano, A., Banchelli, F., Neri, I., Colaceci, S., Neri, I., & Giusti, A. (2021). Breastfeeding promotion and support: a quality improvement study. Annali dell’Istituto Superiore Di Sanità, 57(2), 161-166. Retrieved from https://annali.iss.it/index.php/anna/article/view/1344
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