Naslov
Exclusive breastfeeding in the hospital: how accurate are the data?

Autori
Zakarija-Grković, Irena

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

Skup
4th ABM Regional European Meeting for Physicians

Mjesto i datum
Trst, Italija, 19.05.2012. - 20.05.2012

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
exclusive breastfeeding; infant feeding records; hospital; Croatia

Sažetak
Background: Accurate hospital exclusive breastfeeding (EBF) rates, a core indicator of hospital performance, are important. Objective: The aim of this study was to assess the accuracy of hospital infant feeding data by comparing EBF rates obtained from standard charts in which ‘once daily’ observations are recorded with new, infant feeding charts in which ‘every feed’ was documented. Methods: In this cross-sectional study, 157 healthy mother/infant pairs were enrolled at the University Hospital of Split, Croatia, between February and May 2008. Infant feeding data were gathered from four sources: 1) standard ‘once daily’ observations recorded by paediatricians ; 2) new, ‘every-feed’ observations recorded by nursing staff ; 3) interview with the mother prior to discharge and 4) ‘Newborn examination form’, completed upon discharge by the paediatrician. WHO definitions were used to determine EBF during the first 48 hours and from birth until discharge. Results: Only 3% of infants were EBF throughout the hospital stay when calculated with the ‘every- feed’ method, as opposed to 56% and 82%, with the ‘once- daily’ and ‘Newborn examination’ methods, respectively (p<0.001). Maternal report confirmed the finding that 97% of infants were supplemented with formula indicating that most formula supplements are not recorded in the standard, ‘once- daily’ charts. Conclusion: Accurate documentation of infant feeding practices is essential to obtain reliable EBF rates. This study shows that once- daily recordings of infant feeding practices grossly underestimate the prevalence of formula supplementation in breastfed infants, resulting in significantly higher, erroneous EBF rates.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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