Imperial College London
Alternate

Dr Robert Boyle

Faculty of Medicine, National Heart & Lung Institute

Reader in Paediatric Allergy
 
 
 
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Contact

 

+44 (0)20 3312 7892r.boyle Website

 
 
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Location

 

Paediatric Research UnitQueen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Biggs:2018:10.3390/nu10050608,
author = {Biggs, K and Hurrell, K and Matthews, E and Khaleva, E and Munblit, D and Boyle, R},
doi = {10.3390/nu10050608},
journal = {Nutrients},
title = {Formula milk supplementation on the postnatal ward: a cross-sectional analytical study},
url = {http://dx.doi.org/10.3390/nu10050608},
volume = {10},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Breastfeeding rates are low in the UK, where approximately one quarter of infants receive a breastmilk substitute (BMS) in the first week of life. We investigated the reasons for early BMS use in two large maternity units in the UK, in order to understand the reasons for the high rate of early BMS use in this setting. Data were collected through infant feeding records, as well as maternal and midwife surveys in 2016. During 2016, 28% of infants received a BMS supplement prior to discharge from the hospital maternity units with only 10% supplementation being clinically indicated. There was wide variation in BMS initiation rates between different midwives, which was associated with ward environment and midwife educational level. Specific management factors associated with non-clinically indicated initiation of BMS were the absence of skin-to-skin contact within an hour of delivery (p = 0.01), and no attendance at an antenatal breastfeeding discussion (p = 0.01). These findings suggest that risk of initiating a BMS during postnatal hospital stay is largely modifiable. Concordance with UNICEF Baby Friendly 10 steps, attention to specific features of the postnatal ward working environment, and the targeting of midwives and mothers with poor educational status may all lead to improved exclusive breastfeeding rates at hospital discharge.
AU  - Biggs,K
AU  - Hurrell,K
AU  - Matthews,E
AU  - Khaleva,E
AU  - Munblit,D
AU  - Boyle,R
DO  - 10.3390/nu10050608
PY  - 2018///
SN  - 2072-6643
TI  - Formula milk supplementation on the postnatal ward: a cross-sectional analytical study
T2  - Nutrients
UR  - http://dx.doi.org/10.3390/nu10050608
UR  - http://hdl.handle.net/10044/1/59943
VL  - 10
ER  -
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