Table 3.

Fixed-effects models evaluating the impact of BFHI accreditation on breast-feeding outcomes; Pregnancy Risk Assessment Monitoring System, 1999–2009, five US states (AK, ME, NE, OH and WA)

	All mothers				Mothers with ≤12 years of education				Mothers with ≥13 years of education
	n	Coefficient*	95% CI	P value	n	Coefficient*	95% CI	P value	n	Coefficient*	95% CI	P value
All facilities
Breast-feeding initiation	25327	0.024	−0.00, 0.05	0.09	10978	0.038	−0.00, 0.08	0.05	13718	0.002	−0.04, 0.05	0.9
Breast-feeding for ≥4 weeks
Any breast-feeding	24776	0.006	−0.01, 0.03	0.6	10749	0.027	−0.02, 0.07	0.3	13418	−0.028	−0.06, 0.00	0.06
Exclusive breast-feeding	24570	0.012	−0.01, 0.03	0.3	10606	0.045	0.01, 0.08	0.02	32273	−0.023	−0.05, 0.01	0.1
Timing of accreditation
BFHI artificially set 6 months prior
Breast-feeding initiation	25327	0.012	−0.01, 0.03	0.2	10978	0.019	−0.02, 0.06	0.3	13718	−0.000	−0.03, 0.03	1.0
BFHI artificially set 24 months prior
Breast-feeding initiation	20846	−0.015	−0.03, −0.00	0.05	9639	−0.028	−0.06, 0.01	0.1	10651	−0.007	−0.02, 0.01	0.4

BFHI, Baby-Friendly Hospital Initiative.

^*All models include a birth facility fixed effect and an interaction between year and whether a birth facility ever received Baby-Friendly accreditation.