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Hospital Distribution of Formula Sample Packs Along the Eastern Seaboard

Anne Merewood, MPH, IBCLC; Reginald Fonrose, BS; Marcella Singleton, RD, MS, IBCLC; Xena Grossman, RD, MS; Tina Navidi, BS; John T. Cook, PhD; Tony Pomales, BA

Arch Pediatr Adolesc Med. 2008;162(9):823-827.

Objectives  To determine the proportion of hospitals distributing free infant formula sample packs in 21 eastern states and the District of Columbia, to investigate any regional trends or timelines associated with discontinuation of formula pack distribution, and to catalog in 2 states the take-home items given to new mothers in addition to, or instead of, formula sample packs.

Design  Data were collected between October 1, 2006, and March 31, 2007, over the telephone by research assistants using a prepared script. We determined whether hospitals distributed a "formula company–sponsored diaper discharge bag" to new mothers.

Setting  Our sample comprised all mainland states in the US Department of Health and Human Services Health Resources and Services Administration regions 1 through 4.

Participants  We contacted 1295 hospitals in 21 eastern states and the District of Columbia.

Intervention  Hospital distribution of an infant formula sample pack.

Main Outcome Measure  The proportion of hospitals that distributed formula sample packs.

Results  Ninety-four percent of hospitals distributed formula sample packs. Regional trends were evident. The proportion of distributing hospitals ranged from 70.4% (New Hampshire) to 100.0% (4 states—New Jersey, Maryland, Mississippi, and West Virginia—and Washington, DC). The proportion of hospitals that do not distribute sample packs has risen significantly between 1979 and 2006 (P < .01).

Conclusion  Most eastern US hospitals distributed formula sample packs to new mothers at hospital discharge, contrary to recommendations from the major medical organizations, but the practice is changing significantly.

Author Affiliations: Division of General Pediatrics, Boston University School of Medicine (Ms Merewood and Dr Cook), and The Breastfeeding Center, Boston Medical Center (Messrs Fonrose and Pomales and Mss Grossman and Navidi), Boston, Massachusetts; and Knox County Health Department, Knoxville, Tennessee (Ms Singleton).

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