I remember reading that, after a BFHI implementation, breastfeeding rates depend on the hospital's pre-BFHI rates: The improvement in breastfeeding rates is smaller, the better the ratios were before implementation. Has anyone read anything similar? Do you remember the bibliographic reference?
I think ,it will depend upon each case ,mothers can get help by breast feeding consultant
Int Breastfeed J
doi: 10.1186/1746-4358-4-11, 2009 Oct 29;4:11.
Exploring the impact of the Baby-Friendly Hospital Initiative on trends in exclusive breastfeeding | International Breastfeeding Journal | Full Text (biomedcentral.com)
@Safaa, I agree the breastfeeding rates will differ within and outside countries depending on the factors affecting implementation of BFHI. Hope the above reference helps.
this reads very logic, as the 'potential gain', at least in absolute portion will be much lower when there is already a high pre-BFHI breastfeeding incidence. However, we should not forget that there are also societal and economic circumstances that will in part drive practices... 'life' cannot only be guided by 'hospital practices'
Great question - and I think a very important one. I think the best way to see this is to look closely for studies that used a time-series analysis, as this takes into account rates before and after implementation of a new policy. Happy to explain more if interested!
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