Breastfeeding promotion and support: a quality improvement study
Daniela Menichini, Francesca Zambri, Laura Govoni, Alba Ricchi, Ramona Infante, Elisabetta Palmieri, Maria Cristina Galli, Maria Teresa Molinazzi, Marisa Patrizia Messina, Angela Putignano, Federico Banchelli, Isabella Neri, Sofia Colaceci, Isabella Neri, Angela Giusti
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.