Date of Award


Degree Type


Degree Name

Master of Dietetics Administration (MDA)


Nutrition, Dietetics, and Food Sciences


Janette Smith Kudin


The objective of this research was to determine the breastfeeding initiation rate among healthy, term infants at a select hospital, the effect of one-on-one breastfeeding education, in addition to written material on breastfeeding initiation rates in the hospital setting, and if other factors from available data are associated with differences in breastfeeding initiation. This was a quasi-experimental convenience sample study with subjects assigned to a control group (written education) or intervention group (written and one-on-one education). The setting was the obstetrics unit at Siloam Springs Memorial Hospital (Benton County, Arkansas). Subjects were women delivering infants without complication between March and August 2011. 120 charts were reviewed (60 control and 60 experimental). The experimental group n=60 participants were mothers who received one-on-one instruction about breastfeeding iv topics from a certified breastfeeding educator in addition to a written education booklet. The education was completed within 24 hours either before or after delivery in the patient’s hospital room. The control group mothers n=60 received a written education booklet only. Each infant’s logged intake data was recorded from reviewed medical records for ever breastfed, formula fed or both. Other infant and maternal criteria collected in the chart review included demographics, insurance status, smoking status, obstetric physician, as well as infant birth order, birth type, and weight. Logistical regression analysis was used to determine the effect of certain maternal factors on breastfeeding initiation. Statistical significance was determined at a p-value of <0.05. Chi squared tests were used to further verify the significance of these variables. Descriptive statistics were performed on the demographic data for means. 61.7% of infants initiated breastfeeding in the hospital. This study revealed 5 main factors that influenced breastfeeding initiation at the significant level: maternal intention to breast feed, maternal education level, maternal smoking, infant birth order, and in-hospital one-on-one breastfeeding education. One-on-one breastfeeding education along with written education is a promising intervention for increasing breastfeeding initiation in the hospital setting. Partial implementation of the BFHI was successful increasing breastfeeding rates by introducing step 5- showing mothers how to breastfeed and maintain lactation.


This work made publicly available electronically on May 9, 2012.

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