Does maternal baby-friendly satisfaction affect breastfeeding intention？ Hierarchical logistic modeling approach

• Main Authors: Chun-Ming Kang, 康峻銘
• Other Authors: Mei-Hsueh Yang
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/84372815671096191211

碩士 === 嘉南藥理科技大學 === 醫療資訊管理研究所 === 96 === Background: Baby- Friendly Hospital Initiative (BFHI) is known to have a profound improvement on breastfeeding rate. Relatively few studies, however, have examined the relationship between maternal satisfaction toward BFHI and breastfeeding intention. Patients were nested with hospitals. Objectives: To investigate how maternal breastfeeding intention with BFHI satisfaction relates to either the individual characteristics of mothers or the characteristics of hospitals in which they deliver the baby. Methods: Cross-sectional study of mothers from 27 hospitals that voluntarily consent to join the study. Random sample of 25 mothers delivering normal neonate were from each hospital during. A total of 673 mothers responded to the questionnaire effectively. Patient satisfaction and breastfeeding intention were measured by a validated questionnaire. Principal components analysis was used to determine the dimensions. Primary logistic regression analyzed the mother’s breastfeeding intention affecters from the individual aspect. Then a random intercept logistic model was used as the analyzing technique or analyzing the influence of individual, hospital-level characteristics on a mother''s breastfeeding intention. Results: Multilevel analysis revealed that breastfeeding rate was different among hospitals. Mother’s satisfaction with rooming-in, no artificial pacifiers and breastfeeding on demand practices by hospitals were play important roles in breastfeeding intention among mothers. Further, mother’s satisfaction with breastfeeding on demand practices aggregated to hospital level was significantly associated with breastfeeding intention of mothers. Greater the interaction of aggregated mother’s satisfaction with breastfeeding on demand and rooming-in was associated with more positive mother’s breastfeeding rate. Conclusions: These findings suggest that hospital should be aware of patients’ perception of the practices for rooming-in, no pacifier and breastfeeding on demand, especially should be carefully considered on the breastfeeding on demand that interact with rooming-in positively at hospital level