J Korean Med Sci.  2018 Oct;33(43):e272. 10.3346/jkms.2018.33.e272.

Positive Effect of Baby-Friendly Hospital Initiatives on Improving Mothers' Intention for Successful Breastfeeding in Korea

Affiliations
  • 1Database and Bioinformatics Laboratory, College of Electrical and Computer Engineering, Chungbuk National University, Cheongju, Korea.
  • 2The School of Medicine, Nankai University, Tianjin, China.
  • 3Center for Neurodegenerative Science Van Andel Research Institute, Grand Rapids, MI, USA.
  • 4SC Cheil Obstetrics & Gynecology Hospital, Seoul, Korea.
  • 5ShezMiz Obstetric Hospital, Gumi, Korea.
  • 6Medi Flower Obstetric Hospital, Seoul, Korea.
  • 7Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea.
  • 8Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea. kyjoo@hanyang.ac.kr

Abstract

BACKGROUND
In Korea, the breastfeeding (BF) rate of infants aged 6 months or more is drastically decreasing, and this phenomenon is particularly worrisome for the future health of the population. The present study aimed to identify an antenatal strategy for initiation and continuation of human BF, and to identify how Baby-Friendly Hospitals (BFHs) may positively influence the intention to breastfeed.
METHODS
A total of 414 pregnant Korean antenatal women were surveyed using questionnaires to determine current knowledge of the benefits of human breast milk, whether they planned to breastfeed after delivery, to continue BF after reinstatement in the workforce, are willing to abide by rooming-in care for infants, and plan to give birth at BFHs.
RESULTS
We found that planning room-in care, greater awareness of BF benefits for infant and mother, participation in antenatal education programs, and provision of BF facilities in the workplace were positively associated with plans for exclusive breastfeeding (EBF) and longer BF duration. The mothers who planned to give birth at BFHs also desired to breastfeed immediately after birth, implement in-room care, continue BF at their workplace, participate in antenatal BF educational programs, and were more aware of the benefits of BF.
CONCLUSION
If the beneficial effects of BFHs were well known to individuals, these would enhance the success rate of BF in Korea. Antenatal education and consequent acquisition of better knowledge of the benefits of BF are important for increasing the rate of BF practices.

Keyword

Breastfeeding; Human Milk; Baby-Friendly Hospital

MeSH Terms

Breast Feeding*
Female
Humans
Infant
Intention*
Korea*
Milk, Human
Mothers
Parturition
Prenatal Education
Rooming-in Care
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