你是否支持母乳喂养？美国产科医护人员知识匮乏。
Are you Baby-Friendly? Knowledge deficit among US maternity staff.
机构信息
Thomas Jefferson University, Philadelphia, PA, USA.
出版信息
J Hum Lact. 2012 Aug;28(3):359-62. doi: 10.1177/0890334412437039. Epub 2012 May 14.
BACKGROUND
The Baby-Friendly Hospital Initiative began in 1991. In 2010, approximately 3% of United States (US) hospitals were Baby-Friendly certified. When collecting data for related studies, we noted that many maternity staff erroneously claimed their hospital was Baby-Friendly.™
OBJECTIVE
To determine whether maternity staff in US hospitals could accurately describe their institution's status with regard to Baby-Friendly certification.
METHODS
In 2010-2011, we called all maternity hospitals in the US and asked to be connected to the maternity service. We then asked the person answering the maternity service phone: "Is your hospital a Baby-Friendly hospital?" and recorded the position of the respondent.
RESULTS
We called 2974 hospitals, and received answers on Baby-Friendly status from 2851. According to the Baby-Friendly USA Website (http://www.babyfriendlyusa.org), 3% (75/2851) of these hospitals were Baby-Friendly. However, staff at 62% (1780/2851) stated their hospital was Baby-Friendly. Staff at 15% (424/2851) did not know what the caller meant by "Baby-Friendly hospital." Accuracy of knowledge varied dependent on the respondent's job title (P < .001). International Board Certified Lactation Consultants were most likely to be accurate, with 89% answering correctly. There was a strong positive correlation between the proportion of Baby-Friendly hospitals and the proportion of correct responses by state (r = 0.62, P < .001).
CONCLUSION
Although the Baby-Friendly Hospital Initiative was established over 20 years ago, most US maternity staff responding to a telephone survey either incorrectly believed their hospital to be Baby-Friendly certified or were unaware of the meaning of "Baby-Friendly hospital."
背景
婴儿友好医院倡议始于 1991 年。2010 年，约有 3%的美国（US）医院获得婴儿友好认证。在收集相关研究数据时，我们注意到许多产科工作人员错误地声称他们的医院是婴儿友好型的。
目的
确定美国医院的产科工作人员是否能够准确描述其机构在婴儿友好认证方面的状况。
方法
2010-2011 年，我们致电美国所有的产科医院，并要求与产科服务部门联系。然后我们问接电话的人：“你们医院是婴儿友好型医院吗？”并记录了回答者的职位。
结果
我们共致电了 2974 家医院，其中 2851 家医院接听了关于婴儿友好型医院的电话。根据婴儿友好美国网站（http://www.babyfriendlyusa.org），其中 3%（75/2851）的医院是婴儿友好型的。然而，62%（1780/2851）的工作人员表示他们的医院是婴儿友好型的。15%（424/2851）的工作人员不知道来电者所说的“婴儿友好型医院”是什么意思。知识的准确性取决于回答者的职称（P<0.001）。国际认证哺乳顾问最有可能准确回答，正确回答的比例为 89%。婴儿友好型医院的比例与各州正确回答的比例之间存在强烈的正相关关系（r=0.62，P<0.001）。
结论
尽管婴儿友好医院倡议已经成立了 20 多年，但大多数接听电话调查的美国产科工作人员要么错误地认为他们的医院获得了婴儿友好认证，要么不知道“婴儿友好型医院”的含义。
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