Perinatología y Reproducción Humana (Jan 2021)

Follow-up to the baby friendly hospital initiative in two hospitals of the Mexican Social Security Institute

  • Marianne G. Monroy-Azuara,
  • Graciela S. Arciga-Vázquez,
  • Elba N. Cano-Vázquez,
  • Socorro Méndez-Martínez,
  • Guillermo Islas-Hernández,
  • Ma. Sabina Rodríguez-Ramírez,
  • Dulcina Vargas-Ramírez,
  • Rubí Z. Arroyo-García

DOI
https://doi.org/10.24875/PER.19000085
Journal volume & issue
Vol. 35, no. 1

Abstract

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Background: The Baby Friendly Hospital Initiative has proven to be effective to increase exclusive and prolonged breastfeeding. Material and methods: Longitudinal study, in two hospitals of second level, in the period from 2015 to 2018. A percentage above 85% in each step was considered acceptable. The statistical analysis was descriptive using student’s t test to compare the mean between the two hospitals and ANOVA to compare the mean throughout time in SPSS v.25. Results: Steps 1 and 7 were different between the hospitals with p = 0.010 and p = 0.023, respectively. In the follow-up, General Zone Hospital No. 5 kept steps 1, 2, 3, 7, 8, and 9 above 85%, while those who did not were steps 4, 5, 6, and 10, p = 0.37. Steps of General Hospital No. 15 that remained over 85% were 1, 3, 7, and 9; those that oscillated over time with a <85% rating were steps 2, 4, 5, 6, 8, and 10, p = 0.003. Conclusion: Monitoring child-friendly hospitals allow us to observe areas of opportunity to strengthen training for both clinical and non-clinical staff, pregnant women, the general population, and to improve exclusive and prolonged breastfeeding.

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