Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Dennison, Barbara A. ; Hawke, Bethany A. ; Ruberto, Rachael A. ; Gregg, Deborah J.
Dennison, Barbara A. ; Hawke, Bethany A. ; Ruberto, Rachael A. ; Gregg, Deborah J. Less -
Description:
Introduction

Increasing breastfeeding is a public health priority supported by strong evidence. In 2009, New York passed Public Health Law § 2505–a, requiring that hospitals support the World Health Organization’s (WHO’s) recommended “Ten Steps for Successful Breastfeeding” (Ten Steps). This legislation strengthened and codified existing New York State’s hospital perinatal regulations. The purpose of this study was to assess hospital policy compliance with New York laws and regulations related to breastfeeding.

Methods

In 2009, 2011, and 2013, we collected written breastfeeding policies from 129 New York hospitals that provided maternity services. A policy review tool was developed to quantify compliance with the 28 components of breastfeeding support specified in New York Codes, Rules, and Regulations and the new legislation. In 2010 and 2012, hospitals received individual feedback from the New York State Department of Health, which informed hospitals in 2012 that formal regulatory enforcement, including potential fines, would be implemented for noncompliance.

Results

The number of components included in hospital policies increased from a mean of 10.4 in 2009, to 16.8 in 2011, and to 27.1 in 2013) (P < .001); a greater increase occurred from 2011 through 2013 than from 2009 through 2011 (P < .001). The percentage of hospitals with fully compliant policies increased from 0% in 2009, to 5% in 2011, and to 75% in 2013 (P < .001), and the percentage that included all WHO’s 10 steps increased from 0% to 9% to 87%, respectively (P < .001).

Conclusion

Although legislation or regulations requiring certain practices are important, monitoring with enforcement accelerates, and may be necessary for, full implementation. Future research is needed to evaluate the impact of improved hospital breastfeeding policies on breastfeeding outcomes in New York.


Subjects:
[+]
Breast Feeding Chronic Disease Evidence-Based Practice Female Guideline Adherence Health Knowledge, Attitudes, Practice Health Plan Implementation Health Promotion Hospital Administrators Hospitals, Maternity Humans Mothers Organizational Policy Original Research Patient Education As Topic Practice Guidelines As Topic Quality Assurance, Health Care
Source:
Prev Chronic Dis. 12.
Pubmed ID:
26226069
Pubmed Central ID:
PMC4523115
Document Type:
Journal Article
Funding:
DP09-901/3U58DP001963-01S2/DP/NCCDPHP CDC HHS/United States
Name as Subject:
World Health Organization. ; World Health Organization.
World Health Organization. ; World Health Organization. Less -
Place as Subject:
New York
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:5b6a411965c720b59dacdfdd9355602e02fdce9583ffb7ac0d7b8da846bcdc16
Download URL:
https://stacks.cdc.gov/view/cdc/34222/cdc_34222_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-12-E122.nxml	txt
  	PCD-12-E122s01.gif	gif
  	PCD-12-E122s01.jpg	jpeg

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