Implementation of Step 7 of the Baby-Friendly Hospital Initiative (BFHI) in Finland: Rooming-in according to mothers and maternity-ward staff
Introduction Rooming-in is an evidence-based practice during which postpartum mothers and infants stay together. Rooming-in benefits both the mother and infant, and is especially important for breastfeeding. This study aims to describe rooming-in (Step 7 of the BFHI), according to mothers and matern...
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doaj-1f3eed69b07e4872ba3b77db4087a7042020-11-25T00:05:30ZengEuropean PublishingEuropean Journal of Midwifery2585-29062018-08-012August10.18332/ejm/9377193771Implementation of Step 7 of the Baby-Friendly Hospital Initiative (BFHI) in Finland: Rooming-in according to mothers and maternity-ward staffMervi Hakala0Pirjo Kaakinen1Maria Kääriäinen2Risto Bloigu3Leena Hannula4Satu Elo5Northern Ostrobothnia Hospital District, Oulaskangas Hospital, Oulainen, FinlandResearch Unit of Nursing Science and Health Management, University of Oulu, Oulu, FinlandResearch Unit of Nursing Science and Health Management, University of Oulu, Oulu, FinlandMedical Informatics and Statistics Research Group University of Oulu, Oulu, FinlandMetropolia University of Applied Sciences, Helsinki, FinlandResearch Unit of Nursing Science and Health Management, University of Oulu, Oulu, FinlandIntroduction Rooming-in is an evidence-based practice during which postpartum mothers and infants stay together. Rooming-in benefits both the mother and infant, and is especially important for breastfeeding. This study aims to describe rooming-in (Step 7 of the BFHI), according to mothers and maternity-ward staff in Finnish maternity hospitals, as well as the factors associated with its implementation. Methods The presented research adopted a cross-sectional study approach. Questionnaires were used to collect data from mothers (n=111) who had given birth and the attending maternity-ward staff (f=1554 reported events) at 8 Finnish maternity hospitals. The data were analysed using descriptive statistics, as well as chi-squared, t-test, and Fisher, Mann- Whitney, Kruskal-Wallis tests. Answers to the open-ended questions were analysed using content specifications. Results Rooming-in was utilised to a satisfactory extent, especially after vaginal birth. Most of the mothers regarded it as a very positive experience. Rooming-in was delayed mainly because of a mother’s tiredness and the infant’s condition. Factors such as a staff member’s age, work experience, and completion of breastfeeding counselling training (WHO 20-h), a mother’s parity, need for supplementation, and mode of childbirth, were found to be associated with the decision to implement rooming-in. Conclusions Rooming-in should be used more with infants born by caesarean section and primiparous mothers. The need for supplementation clearly increased when roomingin was not employed. The presented information could be crucial for effectively allocating maternity ward resources and demonstrating the importance of rooming-in to a diverse audience of health care professionals.http://www.journalssystem.com/ejm/Implementation-of-step-seven-of-the-Baby-Friendly-Hospital-Initiative-BFHI-in-Finland,93771,0,2.htmlbreastfeedingpostpartumquantitative researchroominginBaby-Friendly HospitalInitiativeStep 7 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mervi Hakala Pirjo Kaakinen Maria Kääriäinen Risto Bloigu Leena Hannula Satu Elo |
spellingShingle |
Mervi Hakala Pirjo Kaakinen Maria Kääriäinen Risto Bloigu Leena Hannula Satu Elo Implementation of Step 7 of the Baby-Friendly Hospital Initiative (BFHI) in Finland: Rooming-in according to mothers and maternity-ward staff European Journal of Midwifery breastfeeding postpartum quantitative research roomingin Baby-Friendly Hospital Initiative Step 7 |
author_facet |
Mervi Hakala Pirjo Kaakinen Maria Kääriäinen Risto Bloigu Leena Hannula Satu Elo |
author_sort |
Mervi Hakala |
title |
Implementation of Step 7 of the Baby-Friendly Hospital
Initiative (BFHI) in Finland: Rooming-in according to
mothers and maternity-ward staff |
title_short |
Implementation of Step 7 of the Baby-Friendly Hospital
Initiative (BFHI) in Finland: Rooming-in according to
mothers and maternity-ward staff |
title_full |
Implementation of Step 7 of the Baby-Friendly Hospital
Initiative (BFHI) in Finland: Rooming-in according to
mothers and maternity-ward staff |
title_fullStr |
Implementation of Step 7 of the Baby-Friendly Hospital
Initiative (BFHI) in Finland: Rooming-in according to
mothers and maternity-ward staff |
title_full_unstemmed |
Implementation of Step 7 of the Baby-Friendly Hospital
Initiative (BFHI) in Finland: Rooming-in according to
mothers and maternity-ward staff |
title_sort |
implementation of step 7 of the baby-friendly hospital
initiative (bfhi) in finland: rooming-in according to
mothers and maternity-ward staff |
publisher |
European Publishing |
series |
European Journal of Midwifery |
issn |
2585-2906 |
publishDate |
2018-08-01 |
description |
Introduction
Rooming-in is an evidence-based practice during which postpartum
mothers and infants stay together. Rooming-in benefits both the mother and infant, and is
especially important for breastfeeding. This study aims to describe rooming-in (Step 7 of
the BFHI), according to mothers and maternity-ward staff in Finnish maternity hospitals, as
well as the factors associated with its implementation.
Methods
The presented research adopted a cross-sectional study approach. Questionnaires
were used to collect data from mothers (n=111) who had given birth and the attending
maternity-ward staff (f=1554 reported events) at 8 Finnish maternity hospitals. The data
were analysed using descriptive statistics, as well as chi-squared, t-test, and Fisher, Mann-
Whitney, Kruskal-Wallis tests. Answers to the open-ended questions were analysed using
content specifications.
Results
Rooming-in was utilised to a satisfactory extent, especially after vaginal birth.
Most of the mothers regarded it as a very positive experience. Rooming-in was delayed
mainly because of a mother’s tiredness and the infant’s condition. Factors such as a staff
member’s age, work experience, and completion of breastfeeding counselling training
(WHO 20-h), a mother’s parity, need for supplementation, and mode of childbirth, were
found to be associated with the decision to implement rooming-in.
Conclusions
Rooming-in should be used more with infants born by caesarean section
and primiparous mothers. The need for supplementation clearly increased when roomingin
was not employed. The presented information could be crucial for effectively allocating
maternity ward resources and demonstrating the importance of rooming-in to a diverse
audience of health care professionals. |
topic |
breastfeeding postpartum quantitative research roomingin Baby-Friendly Hospital Initiative Step 7 |
url |
http://www.journalssystem.com/ejm/Implementation-of-step-seven-of-the-Baby-Friendly-Hospital-Initiative-BFHI-in-Finland,93771,0,2.html |
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