Baby Friendly Hospital Initiative
Through Bestfed Beginnings
Why Pursue Baby Friendly Certification?
✤ The Baby Friendly Hospital Initiative is a global program to encourage and
recognize hospitals that offer an optimal level of care for breastfeeding.
✤ Scientific evidence overwhelmingly indicates breastfeeding is optimal method of
infant feeding
✤ Breastfeeding is single most powerful preventative modality to reduce risk of
common causes of infant morbidity
✤ Breastfeeding creates significant savings in health care dollars
✤ Recognition as a Baby Friendly institution has national and international
credibility and prestige
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Why Pursue Baby Friendly Certification?
• Numerous professional organizations actively encourage
programs for support and management of breastfeeding
– AAP recommends exclusive breastfeeding up to 6 months of age, and
continued breastfeeding with complementary foods up to one year
– Who recommends breastfeeding up to two years of age and beyond
Healthy People 2010 had a goal of 75%
early postpartum breastfeeding.
This goal is suggested to go to 85%
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How Did We Get To This Point
• Best Fed Beginnings is a project of the National Initiative for Children’s
Healthcare Quality (NICHQ), with support from the Centers for Disease
Control and Prevention (CDC) and in close partnership with BabyFriendly USA
• Made aware grant offered to assist hospitals to pursue Baby Friendly
designation
•
• 20,000 hospitals accredited world wide but only 200 hospitals accredited
in USA
• Team was quickly assembled to meet the grant application deadline
• The grant was awarded now working towards 2014 accreditation
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Baby Friendly Hospital Initiative at St. Vincent
Team includes:
administrative leader
department leader
lactation staff
midwife
peds and OB providers
nursing educator
clinic leadership
staff nurses
mother advocate
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How Do We Achieve Baby Friendly Status?
NICHQ - Change managers
•
Utilize proven techniques to achieve successful
healthcare change
Hospital accountable to implement the specific steps
with help through
regional learning sessions
webinars
ilab where stats shown
group sharing
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The 10 Steps
1.Written infant feeding policy
2.Train health care staff in skills to implement policy
3.Inform pregnant women of benefits/management of breastfeeding
4.Skin to skin immediately following birth
5.Assist mothers with breastfeeding even when separated from infant
6.Exclusive breastfeeding except when medically necessary
7.Rooming-in 24 hours a day
8.All babies feeding on cue
9.No pacifiers or artificial nipples for breastfeeding infants
10.Refer mothers to breastfeeding support at discharge
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The 10 Steps
• Use the Guidelines and Evaluation for Baby Friendly Designation
– Really 64 steps
– Sounds simple but very difficult
» Requires change in culture, attitude and work flow
» Significant training for nurses and providers
– Done in collaboration with Prevea OB Department
– Actual survey with 2 nurses over 2 days
» Interview nurses and mothers, review records
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Training Tools
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In Pursuit of Baby Friendly Designation
• Questions
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