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      Parent Reports of Exclusive Breastfeeding After Attending a Combined Midwifery and Chiropractic Feeding Clinic in the United Kingdom : A Cross-Sectional Service Evaluation

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          Abstract

          This service evaluation investigated an interdisciplinary allied professional health care strategy to address the problem of suboptimal breastfeeding. A clinic of midwives and chiropractors was developed in a university-affiliated clinic in the United Kingdom to care for suboptimal feeding through a multidisciplinary approach. No studies have previously investigated the effect of such an approach. The aim was to assess any impact to the breastfeeding dyad and maternal satisfaction after attending the multidisciplinary clinic through a service evaluation. Eighty-five initial questionnaires were completed and 72 (85%) follow-up questionnaires were returned. On follow-up, 93% of mothers reported an improvement in feeding as well as satisfaction with the care provided. Prior to treatment, 26% of the infants were exclusively breastfed. At the follow-up survey, 86% of mothers reported exclusive breastfeeding. The relative risk ratio for exclusive breastfeeding after attending the multidisciplinary clinic was 3.6 (95% confidence interval = 2.4-5.4).

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          Breastfeeding and the use of human milk.

          Lawrence Gartner, Jane I. Morton, Ruth Lawrence … (2005)
          Considerable advances have occurred in recent years in the scientific knowledge of the benefits of breastfeeding, the mechanisms underlying these benefits, and in the clinical management of breastfeeding. This policy statement on breastfeeding replaces the 1997 policy statement of the American Academy of Pediatrics and reflects this newer knowledge and the supporting publications. The benefits of breastfeeding for the infant, the mother, and the community are summarized, and recommendations to guide the pediatrician and other health care professionals in assisting mothers in the initiation and maintenance of breastfeeding for healthy term infants and high-risk infants are presented. The policy statement delineates various ways in which pediatricians can promote, protect, and support breastfeeding not only in their individual practices but also in the hospital, medical school, community, and nation.
          Article 0 comments Cited 532 times – based on 0 reviews     Review now
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            Patient satisfaction: a review of issues and concepts.

            J Sitzia, N. Wood (1997)
            This review presents issues arising from an analysis of over 100 papers published in the field of patient satisfaction. The published output appearing in the medical and nursing literature which incorporated the term "patient satisfaction" rose to a peak of over 1000 papers annually in 1994, reflecting changes in service management especially in the U.K. and U.S.A. over the past decade. An introductory section discusses the setting and measurement of patient satisfaction within this wider context of changes in service delivery. Various models are examined that have attempted to define and interpret the idea of determining individual perceptions of the quality of health care delivered. Determinants of satisfaction are examined in relation to the literature on expectations, and demographic and psychosocial variables. These are distinguished from the multidimensional components of satisfaction as aspects of the delivery of care, identified by many authors. The review highlights the complexity and breadth of the literature in this field, the existence of which is often not acknowledged by researchers presenting the findings of studies.
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              The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis.

              Melissa Bartick, A. K. Reinhold (2010)
              A 2001 study revealed that $3.6 billion could be saved if breastfeeding rates were increased to levels of the Healthy People objectives. It studied 3 diseases and totaled direct and indirect costs and cost of premature death. The 2001 study can be updated by using current breastfeeding rates and adding additional diseases analyzed in the 2007 breastfeeding report from the Agency for Healthcare Research and Quality. Using methods similar to those in the 2001 study, we computed current costs and compared them to the projected costs if 80% and 90% of US families could comply with the recommendation to exclusively breastfeed for 6 months. Excluding type 2 diabetes (because of insufficient data), we conducted a cost analysis for all pediatric diseases for which the Agency for Healthcare Research and Quality reported risk ratios that favored breastfeeding: necrotizing enterocolitis, otitis media, gastroenteritis, hospitalization for lower respiratory tract infections, atopic dermatitis, sudden infant death syndrome, childhood asthma, childhood leukemia, type 1 diabetes mellitus, and childhood obesity. We used 2005 Centers for Disease Control and Prevention breastfeeding rates and 2007 dollars. If 90% of US families could comply with medical recommendations to breastfeed exclusively for 6 months, the United States would save $13 billion per year and prevent an excess 911 deaths, nearly all of which would be in infants ($10.5 billion and 741 deaths at 80% compliance). Current US breastfeeding rates are suboptimal and result in significant excess costs and preventable infant deaths. Investment in strategies to promote longer breastfeeding duration and exclusivity may be cost-effective.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Evid Based Complementary Altern Med
                Journal ID (iso-abbrev): J Evid Based Complementary Altern Med
                Journal ID (publisher-id): CHP
                Journal ID (hwp): spchp
                Title: Journal of Evidence-Based Complementary & Alternative Medicine
                Publisher: SAGE Publications (Sage CA: Los Angeles, CA )
                ISSN (Print): 2156-5872
                ISSN (Electronic): 2156-5899
                Publication date (Electronic): 13 January 2016
                Publication date (Print): March 2016
                Volume: 21
                Issue: 2 , Special Issue: Evidence Based Chiropractic Research
                Pages: 85-91
                Affiliations
                [1 ]Anglo-European College of Chiropractic, Bournemouth, UK
                [2 ]Bournemouth University, Bournemouth, UK
                Author notes
                [*]Joyce Miller, BS, DC, PhD, Anglo-European College of Chiropractic, 13-15 Parkwood Road, Bournemouth BH5 2DF, United Kingdom. Email: jmiller@ 123456aecc.ac.uk
                Article
                Publisher ID: 10.1177_2156587215625399
                DOI: 10.1177/2156587215625399
                PMC ID: 4768400
                PubMed ID: 26763046
                SO-VID: cf23f1c2-2554-4cf9-918d-8c8b14b4ac75
                Copyright © © The Author(s) 2016
                License:

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License ( http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Date received : 3 August 2015
                Date revision received : 1 December 2015
                Date accepted : 3 December 2015
                Categories
                Subject: Special Issue Articles

                Keywords: children,complementary and alternative medicine
                Data availability:
                Keywords: children, complementary and alternative medicine

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