AuthorsTitus, Hamer M.
Diamond, Michael P.
Allen, Jennifer T.
MetadataShow full item record
AbstractOBJECTIVE: To evaluate whether the rooming-in model of postpartum care has improved breastfeeding rates at Augusta University Medical Center. METHODS: In this retrospective cohort study, we reviewed the medical records of 302 mother-baby pairs before exclusively rooming in (BERI) and 305 pairs after exclusively rooming in (AERI) to determine rooming-in’s effect on breastfeeding rates. The primary outcome was inpatient breastfeeding rates, while the secondary outcome was breastfeeding rates at six weeks postpartum. RESULTS: The data shows a significant decrease in inpatient breastfeeding rates from 59.6% BERI to 48.9% AERI (p=0.028), but a significant increase in six-week exclusive breastfeeding rates from 17.0% BERI to 32.4% AERI (p=0.017). Black mothers and single mothers show a decrease in inpatient breastfeeding rates (39.8% to 31.7% and 36.7% to 34.4%, respectively), but an increase in 6-week breastfeeding rates (8.2% to 13.6% and 5.4% to 16.6%, respectively) from BERI to AERI. White mothers and married mothers show little difference in inpatient breastfeeding rates (75.6% to 73.3% and 73.5% to 72.3%, respectively), but a significant increase in 6-week breastfeeding rates (37.0% to 51.7% and 38.2% to 53.9%, respectively) from BERI to AERI. CONCLUSION: This study shows that overall, exclusively rooming-in did not improve immediate breastfeeding rates postpartum, but did improve six-week postpartum breastfeeding rates. Stratification by race and marital status shows that these are two variable that have an effect modification on breastfeeding rates with regards to rooming-in.
AffiliationDepartment of Obstetrics and Gynecology
DescriptionAntepartum maternal breastfeeding intentions are impacted by cultural practices, past personal experiences, and influences from family, friends, and medical providers. These intentions can be altered by the birth experience, financial hardships, and psychosocial burdens, just to name a few. Our study sought to determine whether the physical location of the mother and infant during postpartum hospitalization could also be a modifiable factor that would lead to improved breastfeeding rates as several other studies have shown.
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