Affiliation:
1. National Cheng Kung University
2. Medical University of South Carolina
3. National Cheng Kung University, National Cheng Kung University Hospital, National Cheng Kung University
Abstract
AbstractBackground 24-hour rooming-in is a crucial policy in BFHI for promoting breastfeeding. However, Taiwan’s BFHI certification included prenatal shared decision-making (SDM) for rooming-in until 2018. Prior to this update, maternal rooming-in intentions, related factors to the prenatal SDM decision, and the impact of prenatal SDM implementation on postpartum exclusive breastfeeding were unknown. Methods A retrospective medical review study was conducted. Describe statistics, nonparametric tests, and generalized-estimating equation (GEE) were used. Results Women's comprehension of rooming-in was inadequate compared to breastfeeding. Women who were older, worked full-time, had a graduate degree, and believed that rooming-in interrupted their rest weakened their prenatal rooming-in intention. In GEE, only age (OR = 0.92, 95% CI: [0.89 − 0.97],p = 0.001), primiparity (OR = 0.50. 95% CI: [0.32, 0.78],p = 0.002), vaginal delivery (OR = 1.52, 95% CI: [1.001, 2.33],p = 0.049), and prenatal exclusive breastfeeding intention (OR = 3.33, 95% CI: [2.08, 5.33],p < .001) were related to postpartum exclusive breastfeeding, not prenatal rooming-in intention. Conclusion Prenatal SDM ensures autonomy for women and their families with respect to
Publisher
Research Square Platform LLC
Reference39 articles.
1. Breastfeeding and maternal health outcomes: a systematic review and meta-analysis;Chowdhury R;Acta Paediatr,2015
2. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect;Victora CG;Lancet,2016
3. Health Promotion Administration. 2018 Health Promotion Administration Annual Report. https://www.hpa.gov.tw/EngPages/Detail.aspx?nodeid=1070&pid=12811. Accessed October 22, 2022.
4. Health Promotion Administration. 2021 Health Promotion Administration Annual Report. https://www.hpa.gov.tw/EngPages/Detail.aspx?nodeid=1070&pid=16384. Accessed November 22, 2022.
5. WHO & United Nations Children's Fund (UNICEF). Global breastfeeding scorecard., 2019: Increasing commitment to breastfeeding through funding and improved policies and programmes. https://apps.who.int/iris/handle/10665/326049. Accessed August 14, 2021.