{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:15:28Z","timestamp":1767852928698,"version":"3.49.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007179","name":"University of New Mexico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007179","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Few studies have evaluated the impact of Baby Friendly Hospital Initiative (BFHI) implementation on underserved populations in the United States. We undertook this study in New Mexico, a large southwestern state with a diverse population and limited health care access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A quasi\u2010experimental, retrospective cohort design was used to compare short\u2010term breastfeeding duration between a pre\u2010BFHI and a post\u2010BFHI cohort. Among the post\u2010BFHI cohort, logistic regression models were fitted to predict short\u2010term breastfeeding duration from both individual and cumulative exposure to inpatient maternity care practices (Steps 4 to 9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Implementation of the BFHI and cumulative exposure to the Ten Steps increased short\u2010term duration of any breastfeeding and exclusive breastfeeding at 2\u20106\u00a0weeks postpartum. Exposure to all six of the inpatient Ten Steps increased the odds of any breastfeeding by 34 times and exclusive breastfeeding by 24 times. Exposure to Step 9 (\u201cGive no pacifiers or artificial nipples\u201d) uniquely increased the likelihood of any breastfeeding at 2\u20106\u00a0weeks postpartum by 5.7 times, whereas Step 6 (\u201cGive infants no food or drink other than breastmilk\u201d) increased the rate of exclusive breastfeeding by 4.4 times at 2\u20106\u00a0weeks postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings demonstrate that the Baby Friendly Hospital Initiative can have a positive impact on breastfeeding among underserved populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12468","type":"journal-article","created":{"date-parts":[[2019,12,2]],"date-time":"2019-12-02T19:32:01Z","timestamp":1575315121000},"page":"135-143","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Improved breastfeeding duration with Baby Friendly Hospital Initiative implementation in a diverse and underserved population"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5531-1330","authenticated-orcid":false,"given":"Katie T.","family":"Kivlighan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of New Mexico Health Sciences Center Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5488-1080","authenticated-orcid":false,"given":"Cristina","family":"Murray\u2010Krezan","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Biostatistics, and Preventive Medicine Department of Internal Medicine University of New Mexico Health Sciences Center Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thais","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Institute for Social Research University of New Mexico Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoff","family":"Shuster","sequence":"additional","affiliation":[{"name":"College of Nursing University of New Mexico Health Sciences Center Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7978-4172","authenticated-orcid":false,"given":"Kim","family":"Cox","sequence":"additional","affiliation":[{"name":"College of Nursing University of New Mexico Health Sciences Center Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"e_1_2_6_3_1","unstructured":"Baby Friendly USA.The Baby Friendly Hospital Initiative.https:\/\/www.babyfriendlyusa.org\/about\/. 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