Grossniklaus Daurice A, Perrine Cria G, MacGowan Carol, Scanlon Kelley S, Shealy Katherine R, Murphy Paulette, McPherson Marianne E, Homer Charles J, Grummer-Strawn Laurence M
J Perinat Educ. 2017;26(3):136-143. doi: 10.1891/1058-1243.26.3.136.
Care immediately following birth affects breastfeeding outcomes. This analysis compared improvement in maternity care practices from 2011 to 2013 among hospitals participating in a quality improvement collaborative, Best Fed Beginnings (BFB), to hospitals that applied but were not selected (non-Best Fed Beginnings [non-BFB]), and other hospitals, using Centers of Disease Control and Prevention's Maternity Practices in Infant Nutrition and Care (mPINC) survey data to calculate total and subscores for 7 care domains. Analysis of covariance compared change in scores from 2011 to 2013 among BFB, non-BFB, and other hospitals. BFB hospitals had twice the increase in mPINC score compared to non-BFB and a 3-fold increase compared to other hospitals. Learning collaborative participation may have accelerated progress in hospitals implementing breastfeeding-supportive maternity care.
出生后的即时护理会影响母乳喂养的结果。本分析比较了参与质量改进协作项目“最佳喂养开端”（BFB）的医院、申请但未被选中的医院（非最佳喂养开端 [非BFB]）以及其他医院在2011年至2013年期间产科护理实践的改善情况，使用疾病控制与预防中心的《婴儿营养与护理中的产科实践》（mPINC）调查数据来计算7个护理领域的总分和分项得分。协方差分析比较了BFB、非BFB和其他医院在2011年至2013年期间得分的变化。与非BFB医院相比，BFB医院的mPINC得分增长了两倍，与其他医院相比增长了三倍。参与学习协作可能加速了实施支持母乳喂养的产科护理的医院的进展。
