Preview

Title

Advanced search

Breastfeeding Support in Maternity Hospitals

https://doi.org/10.31550/1727-2378-2024-23-2-19-26

Abstract

Aim. To evaluate the implementation of the modern breastfeeding support principles into the practice of the maternity hospitals in Moscow.

Design. Observational cohort study.

Materials and methods. The study was conducted on the basis of two maternity hospitals in Moscow. With the help of a questionnaire specially developed by us, an anonymous survey of maternity patients was conducted at the time of discharge. A total of 614 mothers were interviewed from October 2020 to July 2021.

Results. In general, the clinical practice of breastfeeding support in the maternity hospitals has demonstrated its stability and compliance with the criteria recommended by WHO for monitoring the main clinical practices. The rate of exclusive breastfeeding at the time of discharge from the hospital was 83.9%. The majority of mothers were satisfied with the breastfeeding support provided to them (90.9%). Mothers highly appreciated the work of lactation consultants introduced into the staffing of hospitals. Nevertheless, shortcomings were also identified in the implemented practice of breastfeeding support that requires improvement.

Conclusion. The introduction of modern practice of breastfeeding support in maternity hospitals contributes to an increase in the level of breastfeeding among maternity hospitals, including exclusively breastfeeding from birth. To achieve the sustainability of this practice, it is necessary administration support, training of the medical staff, including lactation consultants, and monitoring of the breastfeeding practice.

About the Authors

L. V. Abolyan
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

8/2 Trubetskaya Str., Moscow, 119991.



O. D. Rudneva
People’ Friendship University of Russia named after Patrice Lumumba; N.E. Bauman Moscow City Clinical Hospital N 29
Russian Federation

6, Mikluho-Maklaya Str., Moscow, 117198;

2, Hospital Square, Moscow, 111020.



A. A. Markova
A.K. Eramishantsev Moscow City Clinical Hospital
Russian Federation

15 Lenskaya Str., Moscow, 129327.



A. S. Anikeev
People’ Friendship University of Russia named after Patrice Lumumba
Russian Federation

6, Mikluho-Maklaya Str., Moscow, 1171981.



References

1. Всемирная организация здравоохранения. Глобальная стратегия по кормлению детей грудного и раннего возраста. Женева; 2003. 34 с.= World Health Organization. Global strategy for infant and young child feeding. Geneva; 2003. 34 p.

2. Всемирная организация здравоохранения. Защита, содействие и поддержка грудного вскармливания в медицинских учреждениях, обслуживающих матерей и новорожденных — пересмотренная Инициатива по созданию в больницах благоприятных условий для грудного вскармливания. Руководство по осуществлению, 2018 год. Женева; 2019. 78 p.= World Health Organization. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: implementing the revised Baby-friendly Hospital Initiative 2018. Geneva; 2019. 64 p.

3. World Health Organization. Standards for improving quality of maternal and newborn care in health facilities. Geneva; 2016. 73 p.

4. World Health Organization. Appendix: Indicators for monitoring. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-friendly Hospital Initiative. Geneva; 2018. 7 p.

5. Abolyan L.V., Haiek L.N., Pastbina I.M., Maastrup R. Compliance with the "Baby-Friendly Hospital Initiative for Neonatal Wards" in Russian hospitals. J. Hum. Lact. 2021;37(3):521–531. DOI: 10.1177/08903344211002754

6. Рюмина И.И., Нароган М.В., Орловская И.В. и др. Организация грудного вскармливания новорожденных в перинатальном центре (клинические рекомендации). Неонатология: новости, мнения, обучение. 2017;18(4):149–160. [Ryumina I.I., Narogan M.V., Orlovskaya I.V. et al. Organization of breastfeeding of infants in perinatal center (clinical practice guidelines). Neonatology: news, opinions, training. 2017;18(4):149–160. (in Russian)]. DOI: 10.24411/2308-2402-2017-00050

7. Пастбина И.М., Игнатова О.А., Меньшикова Л.И. Организационные аспекты исключительно грудного вскармливания здоровых новорожденных. Социальные аспекты здоровья населения. 2018;62(4):7. [Pastbina I.M., Ignatova O.A., Menshikova L.I. Original context of exclusive breastfeeding of healthy newborns. Social'nye aspekty zdorov'a naselenia.2018; 62(4):7. (in Russian)]. DOI: 10.21045/2071-5021-2018-62-4-7

8. Абольян Л.В., Пастбина И.М., Полянская С.А., Монахова А.Н. Современные подходы к оценке практики поддержки грудного вскармливания в неонатологических стационарах. Вопросы детской диетологии. 2019;17(4):5–13. [Abolyan L.V., Pastbina I.M., Polyanskaya S.A., Monakhova A.A. Modern approaches to assessment of breastfeeding support practices in neonatal units. Pediatric Nutrition. 2019;17(4):5–13. (in Russian)]. DOI: 10.20953/1727-5784-2019-4-5-13

9. Лукоянова О.Л., Самсонова, Боровик Т.Э. и др. Оценка влияния функционирования банка грудного молока на распространенность исключительно грудного вскармливания в неонатальном стационаре: ретроспективное исследование. Педиатрия им. Г.Н. Сперанского. 2023;102(2):71–77. [Lukoyanova O.L., Samsonova A.N., Borovik T.E. et al. Assessment of the impact of breast milk banking on the prevalence of exclusive breastfeeding in the neonatal hospital: a retrospective study. Pediatria named after G.N. Speransky. 2023;102(2):71–77. (in Russian)]. DOI: 10.24110/0031-403X-2023-102-2-71-77

10. Garner C.D., Ratcliff S.L., Thornburg L.L. et al. Discontinuity of breastfeeding care: “There’s No Captain of the Ship”. Breastfeed Med. 2016;11(1):32–39. DOI: 10.1089/bfm.2015.0142

11. Patel S., Patel Sh. The effectiveness of lactation consultants and lactation counselors on breastfeeding outcomes. J. Hum. Lact. 2016;32(3):530–541. DOI: 10.1177/0890334415618668

12. Boss M., Saxby N., Pritchard D. et al. Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis. Matern. Child Nutr. 2021;17(3):e13160. DOI: 10.1111/mcn.13160

13. Поощрение и поддержка грудного вскармливания в больницах, доброжелательных к ребенку: 20-часовой курс для персонала акушерских стационаров. M.; 2009. [Baby-friendly hospital initiative: revised, updated and expanded for integrated care. Section 3, Breastfeeding promotion and support in a baby-friendly hospital: a 20-hour course for maternity staff. Moscow; 2009.]

14. World Health Organization and the United Nations Children’s Fund (UNICEF). Protecting, promoting and supporting breastfeeding: the Baby-friendly Hospital Initiative for small, sick and preterm newborns. Geneva; 2020. 42 p.

15. World Health Organization and the United Nations Children’s Fund (UNICEF). Competency verification toolkit: ensuring competency of direct care providers to implement the Baby-friendly Hospital Initiative. Geneva; 2020. 29 p.

16. World Health Organization and the United Nations Children’s Fund (UNICEF). Baby-Baby-friendly Hospital Initiative training course for maternity staff: participant's manual; 2020. 222 p.

17. Абольян Л.В., Мамедов Ад.А., Гараева А.С. и др. Грудное вскармливание — глобальная проблема общественного здоровья. Роль сектора здравоохранения в охране и поддержке грудного вскармливания. М.; 2022. 112 с. [Abolyan L.V., Mamedov Ad.A., Garaeva A.S. et al. Breastfeeding is a global public health issue. The role of the health sector in protecting and supporting breastfeeding. Moscow; 2022. 112 p. (in Russian)]

18. Радзинский В.Е. (ред.) Руководство для акушерок фельдшерско-акушерского пункта. M.; 2021. 496 с. [Radzinskij V.E. (ed.) Guidelines for midwives at a paramedic-midwife station. Moscow; 2021. 496 p. (in Russian)]

19. Радзинский В.Е. (ред.) Акушерство: учебник. M.; 2022. 912 с.[ Radzinskij V.E. (ed.) Obstetrics: textbook. Moscow; 2022. 912 p. (in Russian)]

20. Пустотина О.А. (ред.). Грудное вскармливание: учебное пособие. СПб.; 2023. 372 с.[ Pustotina O.A. (ed.) Breastfeeding: textbook. Sankt-Petersburg; 2023. 372 p. (in Russian)]


Review

For citations:


Abolyan L.V., Rudneva O.D., Markova A.A., Anikeev A.S. Breastfeeding Support in Maternity Hospitals. Title. 2024;23(2):19-26. (In Russ.) https://doi.org/10.31550/1727-2378-2024-23-2-19-26

Views: 17


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1727-2378 (Print)
ISSN 2713-2994 (Online)