LAUSR

OBJECTIVE To examine the differences in women's perceptions of hospital-based breastfeeding care and the association of these perceptions with exclusive breastfeeding. DESIGN Observational, mixed-methods study. SETTING/LOCAL PROBLEM A 932-bed, Baby-Friendly Hospital Initiative-designated, university hospital with approximately 2,000 births per year, where 50% of women who wanted to breastfeed were supplementing with formula before hospital discharge. PARTICIPANTS Thirty-four women who gave birth to a term, singleton newborn and had a desire to breastfeed exclusively. MEASUREMENTS Women's perceptions were assessed using a modified version of the Questionnaire for the Breastfeeding Mother. RESULTS Women's perceptions of breastfeeding care were positively associated with exclusive breastfeeding (p = .049). In addition, the influence of how a woman's own mother fed her as an infant was shown, because women who themselves were breastfed as infants were more likely to exclusively breastfeed their own newborns. Content analysis showed that women appreciated the care received in the hospital from lactation consultants and access to a hospital-administered breastfeeding clinic after discharge. CONCLUSION Creating a hospital environment supportive of breastfeeding could yield positive breastfeeding outcomes for women and newborns.