Effect on rates of breast feeding of training for the Baby Friendly Hospital Initiative
Cattaneo A, Buzzetti R.
BMJ. 2001 Dec 8;323(7325):1358-62.
PROBLEM: Breastfeeding rates and related hospital practices need improvement in Italy and elsewhere. Training of staff is necessary, but its effectiveness needs assessment.
CONTEXT: Eight hospitals in different regions of Italy.
DESIGN: Controlled, non-randomised study. Data collected in three phases. Training after the first phase in group 1 hospitals and after the second phase in group 2.
STRATEGIES FOR CHANGE: Training of trainers and subsequent training of health workers with a slightly adapted version of the 18 hour Unicef course on breastfeeding management and promotion.
KEY MEASURES FOR IMPROVEMENT: Hospital practices, knowledge of 571 health workers, and breastfeeding rates at discharge, three, and six months in 2669 mother and baby pairs.
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