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- Title
Availability of lactation counseling services influences breastfeeding among infants admitted to to neonatal intensive care units.
- Authors
Castrucci BC; Hoover KL; Lim S; Maus KC; Castrucci, Brian C; Hoover, Kathleen L; Lim, Suet; Maus, Katherine C
- Abstract
<bold>Purpose: </bold>To assess the association between the presence of international board-certified lactation consultant (IBCLC) services at a delivery hospital and the breastfeeding practices of women whose infants required neonatal intensive care unit (NICU) admission.<bold>Design: </bold>Cross-sectional study using population-level data.<bold>Setting: </bold>Philadelphia, Pennsylvania.<bold>Subjects: </bold>2132 infants admitted to the NICU.<bold>Measures: </bold>Breastfeeding at hospital discharge was measured with the question, "Is the infant being breastfed?" Delivery hospitals were dichotomized as to the presence or absence of an IBCLC on staff<bold>Analysis: </bold>Logistic regression was used to assess the relationship between breastfeeding at discharge and the presence of an IBCLC at the delivery facility while adjusting for maternal characteristics and birth outcomes.<bold>Results: </bold>Among mothers of infants admitted to the NICU, breastfeeding rates among mothers who delivered at hospitals with an IBCLC were nearly 50% compared with 36.9% among mothers who delivered at hospitals without an IBCLC. The adjusted odds of breastfeeding initiation prior to hospital discharge were 1.34 (95% confidence interval = 1.03, 1.76) times higher for women who delivered at a facility with an IBCLC.<bold>Conclusions: </bold>To increase breastfeeding rates among the NICU population, these findings support the need for universal availability of IBCLCs at delivery facilities that have NICUs.
- Publication
American Journal of Health Promotion, 2007, Vol 21, Issue 5, p410
- ISSN
0890-1171
- Publication type
journal article
- DOI
10.4278/0890-1171-21.5.410