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Schaffar A.,Reseau de sante en perinatalite de Lille Metropole | Carpentier S.,Reseau de sante en perinatalite de Lille Metropole | Ego A.,Reseau de sante en perinatalite de Lille Metropole | Levasseur M.,Center Hospitalier Of Douai | And 5 more authors.
Revue de Medecine Perinatale | Year: 2010

Background: The Nord-Pas-de-Calais region's breastfeeding rates are one of the lowest in France. Recent involvement in the implementation of the Baby Friendly Hospital Initiative (BFHI) has grown in several maternity hospitals and is supported by the four local perinatal networks. The aim of this study is to assess the breastfeeding support practices in this region in regards to the BFHI's ten steps and to visualise how health professionals perceive the BFHI program. Methods: A descriptive survey of practices was conducted during May 2009 in 35 maternity hospitals in the region. The questionnaire, established from the self appraisal questionnaire developed by WHO / UNICEF, was sent to staff leaders of different maternity hospitals. Results: Thirty-four of the 35 maternity hospitals have answered. The breastfeeding rates are heterogeneous and range from 36% to 75% at birth and 24% to 72% at discharge. At discharge, only 12 maternity hospitals have a breastfeeding rate higher than 50%. This heterogeneity is noticed in several other practices like: the mother-baby welcome, the information and support for breastfeeding. Steps 4 (skin-to-skin contact), 5 and 8 (support for breastfeeding mothers) are implemented in more than 23 maternity hospitals. Thirteen maternity hospitals name step 9 and ten maternity hospitals name step 6 as the most difficult steps to implement (these two steps are about the use of food other than breast milk and the use of bottles or artificials teats). In 13 maternity hospitals, more than 80% of the medical staff (excluding physicians) have received training. The clinical practices from these maternity hospitals are more suited to the BFHI method, and the relative breastfeeding rate reduction between birth and discharge is also significantly lower than that of the other hospitals (-6.5% versus -13. 4%,P = 0.04). Finally, 19 maternity hospitals are involved with the BFHI or wish to be so. Conclusion: The lack of synchronization practices and early weaning seem to be reduced through extensive medical staff training. This local survey shows the great interest of the perinatal professionals in the BFHI program. © 2010 Springer. Source

Schaffar A.,Reseau de sante en perinatalite de Lille Metropole | Huyghe A.-S.,Faculte des science pharmaceutiques et biologiques de Lille | Bomy H.,Reseau de sante en perinatalite de Lille Metropole | Duriez P.,Faculte des science pharmaceutiques et biologiques de Lille | And 2 more authors.
Archives de Pediatrie | Year: 2012

Background: Because of the French delay regarding breastfeeding compared to other Europeans countries, its promotion was one of the 9 specific nutritional goals of the 2001, 2006, and 2011 National Nutritional Health Program. The objective of this study was to establish the opinion and knowledge of pharmacists from a selected semi-urban territory of the Lille metropolitan area on breastfeeding. Method: The 33 pharmacies around the city of Villeneuve-d'Ascq were contacted. First, the goal and the principles of the study were presented to the pharmacists and they were invited to participate in a survey. This survey was divided into 6 topics with 26 questions. The topics were: advice on breastfeeding, pain and inflammation during breastfeeding, use of a breast pump, preservation and reheating of breast milk, breastfeeding and medication, breastfeeding and contraception, and breastfeeding promotion. The survey also evaluated their willingness to promote breastfeeding and the assistance needed for undertaking this promotion. By counting the right answers from 13 of the 26 questions, a global grade was calculated reflecting the knowledge of the participants. The maximum grade was 20 because many questions had several correct answers. Results: Twenty-nine pharmacies agreed to participate (participation rate, 88%). The mean grade was 13.4 (95% CI: 12.7-14.0). Professional and personal experience had no influence on the grades. In the opinion of the pharmacists, the 3 topics most frequently raised by women were cracked nipples, mastitis, and painful breast (quoted by 83% of the pharmacists), the infant formula to use as a complete or partial substitute for breastfeeding (66%), and breastfeeding and medication (59%). Fifty-five percent of the participants were aware of the WHO recommendations on exclusive breastfeeding up to 6 months of age. The desire to promote breastfeeding was strong (68%). Thus, all pharmacists favored the distribution of a leaflet giving information on breastfeeding. Conclusion: This study shows a strong desire to promote breastfeeding among the pharmacists surveyed. It allows focusing on the themes that could be the target for continuing education, based on mothers' needs. © 2012 Elsevier Masson SAS. Source

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