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Breastfeeding in Hospitals: Factors Influencing Maternal Choice in Italy

Author

Listed:
  • Rosalia Ragusa

    (Health Technology Assessment Committee, A.O.U. Policlinico V. Emanuele, 95123 Catania, Italy)

  • Gabriele Giorgianni

    (School of Specialization in Hygiene, University of Catania, 95123 Catania, Italy)

  • Marina Marranzano

    (Department of Advanced Medical, Surgical and Advanced Sciences, University of Catania, 95123 Catania, Italy)

  • Salvatore Cacciola

    (Health Education Unit, 95124 Catania, Italy)

  • Valentina Lucia La Rosa

    (Department of Educational Sciences, University of Catania, 95124 Catania, Italy)

  • Alessandra Giarratana

    (School of Specialization in Hygiene, University of Catania, 95123 Catania, Italy)

  • Valentina Altadonna

    (School of Specialization in Hygiene, University of Catania, 95123 Catania, Italy)

  • Vincenzo Guardabasso

    (Research Promotion Office, A.O.U. Policlinico V. Emanuele, 95123 Catania, Italy)

Abstract

Monitoring the prevalence of breastfeeding is one of the actions provided for in Italian National Health System. This study aims to observe the prevalence of breastfeeding in a representative set of birthing hospitals in the province of Catania, in Sicily, Italy, to assess the factors influencing women in their decisions to breastfeed during hospitalization after delivery. We conducted an observational study on 3813 questionnaires administered to mothers of newborns during their hospital stay from the years 2016 to 2018 in eight hospitals of various types. The average maternal age was 31.3 years ± 5.8. Sixty-nine percent of women did not attend a prenatal course. From childbirth to discharge, the percentage of women who breastfed was 88%, of whom 45% did exclusive breastfeeding. Only 35% of women who had a caesarean section adopted exclusive breastfeeding. In our experience, rooming-in was not associated with an increase in breastfeeding. We observed that both attendance to prenatal courses and the mother’s education level played a minor role in influencing the mother’s decision in breastfeeding A fairly high percentage of exclusive breastfeeding, 75%, was attained just in one hospital, where dedicated staff was deployed to encourage breastfeeding. The lowest percentage (12%) of exclusive breastfeeding was observed in a large private accredited health facility. Hospital presence of professionals trained in human lactation is a smart investment for society.

Suggested Citation

  • Rosalia Ragusa & Gabriele Giorgianni & Marina Marranzano & Salvatore Cacciola & Valentina Lucia La Rosa & Alessandra Giarratana & Valentina Altadonna & Vincenzo Guardabasso, 2020. "Breastfeeding in Hospitals: Factors Influencing Maternal Choice in Italy," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3575-:d:360472
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    References listed on IDEAS

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    1. Chin Ang Ng & Jacqueline J Ho & Zcho Huey Lee, 2019. "The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-16, April.
    2. Štefica Mikšić & Boran Uglešić & Jelena Jakab & Dubravka Holik & Andrea Milostić Srb & Dunja Degmečić, 2020. "Positive Effect of Breastfeeding on Child Development, Anxiety, and Postpartum Depression," IJERPH, MDPI, vol. 17(8), pages 1-8, April.
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    Cited by:

    1. Gemma Biviá-Roig & Valentina Lucia La Rosa & María Gómez-Tébar & Lola Serrano-Raya & Juan José Amer-Cuenca & Salvatore Caruso & Elena Commodari & Antonio Barrasa-Shaw & Juan Francisco Lisón, 2020. "Analysis of the Impact of the Confinement Resulting from COVID-19 on the Lifestyle and Psychological Wellbeing of Spanish Pregnant Women: An Internet-Based Cross-Sectional Survey," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    2. Rosalia Ragusa & Marina Marranzano & Valentina Lucia La Rosa & Gabriele Giorgianni & Elena Commodari & Rosalba Quattrocchi & Salvatore Cacciola & Vincenzo Guardabasso, 2021. "Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital," IJERPH, MDPI, vol. 18(9), pages 1-13, April.

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