PDF(Pubmed)
Abstract：
BACKGROUND: Experiences during the birth hospitalization affect a family\'s ability to establish and maintain breastfeeding. The Ten Steps to Successful Breastfeeding (Ten Steps) describe evidence-based hospital policies and practices shown to improve breastfeeding outcomes. We aim to describe hospitals\' implementation of the Ten Steps, changes over time, and hospitals\' implementation of a majority (≥ 6) of the Ten Steps by hospital characteristics and state.
METHODS: The biennial Maternity Practices in Infant Nutrition and Care (mPINC) survey assesses all hospitals in the United States (including the District of Columbia and territories) that routinely provide maternity care services. We analyzed data from 2018, 2020, and 2022 survey cycles to describe trends in the prevalence of hospitals implementing maternity care policies and practices that are consistent with the Ten Steps. Differences were calculated using the absolute difference in percentage-points between 2018 and 2022.
RESULTS: Between 2018 and 2022, the percentage of hospitals that implemented Step 2: Staff Competency and Step 5: Support Mothers with Breastfeeding increased 12 and 8 percentage points, respectively. The percentage of hospitals that implemented Step 6: Exclusive Breastfeeding Among Breastfed Infants was 7 percentage points lower in 2022 than 2018. Implementation of the remaining seven steps did not change by more than 5 percentage points in either direction between 2018 and 2022. Nationally, the percentage of hospitals that implemented ≥ 6 of the Ten Steps increased from 44.0% in 2018 to 51.1% in 2022. Differences were seen when comparing implementation of ≥ 6 of the Ten Steps by hospital characteristics including state, hospital size, and highest level of neonatal care offered.
CONCLUSIONS: Nationally, maternity care policies and practices supportive of breastfeeding continued to improve; however, certain practices lost progress. Differences in implementation of the Ten Steps were observed across states and by certain hospital characteristics, suggesting more work is needed to ensure all people receive optimal breastfeeding support during their delivery hospitalization.
METHODS: The biennial Maternity Practices in Infant Nutrition and Care (mPINC) survey assesses all hospitals in the United States (including the District of Columbia and territories) that routinely provide maternity care services. We analyzed data from 2018, 2020, and 2022 survey cycles to describe trends in the prevalence of hospitals implementing maternity care policies and practices that are consistent with the Ten Steps. Differences were calculated using the absolute difference in percentage-points between 2018 and 2022.
RESULTS: Between 2018 and 2022, the percentage of hospitals that implemented Step 2: Staff Competency and Step 5: Support Mothers with Breastfeeding increased 12 and 8 percentage points, respectively. The percentage of hospitals that implemented Step 6: Exclusive Breastfeeding Among Breastfed Infants was 7 percentage points lower in 2022 than 2018. Implementation of the remaining seven steps did not change by more than 5 percentage points in either direction between 2018 and 2022. Nationally, the percentage of hospitals that implemented ≥ 6 of the Ten Steps increased from 44.0% in 2018 to 51.1% in 2022. Differences were seen when comparing implementation of ≥ 6 of the Ten Steps by hospital characteristics including state, hospital size, and highest level of neonatal care offered.
CONCLUSIONS: Nationally, maternity care policies and practices supportive of breastfeeding continued to improve; however, certain practices lost progress. Differences in implementation of the Ten Steps were observed across states and by certain hospital characteristics, suggesting more work is needed to ensure all people receive optimal breastfeeding support during their delivery hospitalization.
摘要：
背景：分娩住院期间的经历会影响家庭建立和维持母乳喂养的能力。成功母乳喂养的十个步骤（十个步骤）描述了基于证据的医院政策和实践，以改善母乳喂养结果。我们的目的是描述医院实施十步，随着时间的推移，根据医院特点和状态，医院实施了“十步”中的大多数(≥6步)。
方法：两年一次的婴儿营养与护理产妇实践（mPINC）调查评估了美国（包括哥伦比亚特区和地区）常规提供产妇护理服务的所有医院。我们分析了2018年，2020年和2022年调查周期的数据，以描述实施与十步一致的产妇护理政策和实践的医院患病率趋势。差异是使用2018年至2022年百分比的绝对差异计算的。
结果：在2018年至2022年之间，实施步骤2：员工能力和步骤5：支持母亲母乳喂养的医院百分比增加了12和8个百分点，分别。2022年实施步骤6：母乳喂养婴儿独家母乳喂养的医院比例比2018年低7个百分点。在2018年至2022年期间，其余七个步骤的实施在任何一个方向上都没有变化超过5个百分点。在全国范围内,实施十步≥6的医院比例从2018年的44.0%上升至2022年的51.1%。根据医院特征，包括州，比较十步中≥6步的实施情况时，发现了差异，医院规模,提供最高水平的新生儿护理。
结论：在全国范围内，支持母乳喂养的产妇保健政策和做法继续改善；然而，某些做法失去了进展。在各州和某些医院特征中观察到十步实施的差异，建议需要更多的工作来确保所有人在分娩住院期间获得最佳的母乳喂养支持.
方法：两年一次的婴儿营养与护理产妇实践（mPINC）调查评估了美国（包括哥伦比亚特区和地区）常规提供产妇护理服务的所有医院。我们分析了2018年，2020年和2022年调查周期的数据，以描述实施与十步一致的产妇护理政策和实践的医院患病率趋势。差异是使用2018年至2022年百分比的绝对差异计算的。
结果：在2018年至2022年之间，实施步骤2：员工能力和步骤5：支持母亲母乳喂养的医院百分比增加了12和8个百分点，分别。2022年实施步骤6：母乳喂养婴儿独家母乳喂养的医院比例比2018年低7个百分点。在2018年至2022年期间，其余七个步骤的实施在任何一个方向上都没有变化超过5个百分点。在全国范围内,实施十步≥6的医院比例从2018年的44.0%上升至2022年的51.1%。根据医院特征，包括州，比较十步中≥6步的实施情况时，发现了差异，医院规模,提供最高水平的新生儿护理。
结论：在全国范围内，支持母乳喂养的产妇保健政策和做法继续改善；然而，某些做法失去了进展。在各州和某些医院特征中观察到十步实施的差异，建议需要更多的工作来确保所有人在分娩住院期间获得最佳的母乳喂养支持.
