Naslov
Utjecaj izobrazbe zdravstvenih djelatnika rodilišta na dojenje
(Hospital Practices and Breastfeeding Rates before and after the UNICEF/WHO 20-Hour Course for Maternity Staff)

Autori
Zakarija-Grković, Irena

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Skup
Međunarodni simpozij Dojenje v sodobni praksi

Mjesto i datum
Laško, Slovenija, 2013

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
breastfeeding; training; maternity staff; Baby-Friendly Hospital Initiative

Sažetak
Objectives: To evaluate knowledge, practices, and attitudes to breastfeeding among Croatian health profesionals before and after completing the revised and expanded UNICEF/WHO 20-hour course. To assess the accuracy of hospital infant feeding data. To evaluate the impact of the UNICEF/WHO 20-hour course on hospital practices and breastfeeding rates during the first 12 months of life. Methods: A questionnaire testing knowledge, practices, and attitudes toward breastfeeding was distributed to 424 health professionals in Southern Croatia before and 308 after training. Seven hundred and seventy three mothers (388 in the pre- training group and 385 in the post- training group) were included in a birth cohort and interviewed at discharge, 3, 6 and 12 months postpartum to evaluate hospital practices and infant feeding. WHO definitions were used to determine breastfeeding rates. Results: Knowledge, attitudes and case-scenario based practices improved significantly post- training. Management of mastitis remained the case scenario with the highest frequency of incorrenct responses. The number of staff with positive attitudes toward breastfeeding increased from 65% to 79%, whereas the number of staff with neutral attitudes dropped from 26.6% to 9.9% (P<0, 001) Only 3% of infants were exclusively breastfed throughout the hospital stay. Most formula supplements are not recorded in the standard charts. Only 1 (Step 8) out of 7 Baby-Friendly practices assessed improved significantly 3 months following training. The proportion of newborns exclusively breastfed during the first 48 hours increased from 6.0 to 11.7% (P <0, 005). There was no difference in breastfeeding rates at discharge, 3, 6 or 12 months between the pre- and post-training groups. Conclusion: The UNICEF/WHO 20-hour course is an effective tool for improving health professionals' breastfeeding knowledge, attitudes and individual practices. Every feed a newborn receives in hospital should be recorded if we are to obtain reliable and accurate breastfeeding rates. Significant changes in hospital practices are unlikely to occur with training alone, especially for practices that require a change in hospital policy. However, training is still a key component to drive changes that need to occur.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA