Maternity Services Template Document for Newborn Feeding
NHS Trust
Maternity Services Template Document for
Newborn Feeding
Version:
Ratified by:
Date ratified:
Name of originator/author:
Name of responsible committee/individual:
Name of executive lead:
Date issued:
Review date:
Target audience:
V.2
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Maternity Services Template Document for Newborn Feeding
Contents
1
Introduction ............................................................................................................. 4
1.1
1.2
1.3
Principles ................................................................................................................................. 4
Aims......................................................................................................................................... 4
In Support of this Policy .......................................................................................................... 4
2
Communicating the Newborn Feeding Policy ......................................................... 5
3
Duties ....................................................................................................................... 5
3.1
3.2
Duties within the Organisation ............................................................................................... 5
Committees and Groups with Overarching Responsibilities .................................................. 5
4
Training Health Care Staff ........................................................................................ 6
5
Care for all Mothers ................................................................................................. 7
5.1
5.2
5.3
6
Informing Pregnant Women of the Benefits and Management of Breastfeeding ................. 7
Skin-to-Skin Contact and Offer of Help with a First Breastfeed ............................................. 7
Rooming In .............................................................................................................................. 7
Care for Breastfeeding Mothers .............................................................................. 8
6.1
6.2
6.3
6.4
6.5
Showing Women How to Breastfeed and How to Maintain Lactation ................................... 8
Supporting Exclusive Breastfeeding ........................................................................................ 8
Baby Led Feeding .................................................................................................................... 9
Use of Artificial Teats, Dummies and Nipple Shields .............................................................. 9
Breastfeeding Support Groups ............................................................................................... 9
7
Care for Mothers who have Chosen to Feed their Newborn with Infant Formula
10
8
Weighing Babies..................................................................................................... 10
9
System for Reporting Babies Readmitted to Hospital with Feeding Problems ..... 10
10
10.1
10.2
11
11.1
12
Monitoring Compliance with the Document ..................................................... 11
Process for Monitoring Compliance ..................................................................................... 11
Standards/Key Performance Indicators ................................................................................ 11
References .......................................................................................................... 11
Guidance from Other Organisations ..................................................................................... 11
Associated Documentation ................................................................................ 13
Appendix A - The Baby Friendly Initiative .................................................................... 14
Appendix B - Ten Steps to Successful Breastfeeding ................................................... 15
Appendix C - Template Maternity Services Document for Newborn Feeding............. 16
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Maternity Services Template Document for Newborn Feeding
Review and Amendment Log
Version No
Type of Change
Date
V.2
Annual review
Mar 2012
V.2
Amendment
Mar 2012
Description of change
Addition of Review and Amendment Log
Please Note the Intention of this Document
This document has been developed in conjunction with the UNICEF UK Baby Friendly Initiative (BFI)
with the aim of providing a model document template which will meet the requirements of both
organisations. However, any document subsequently produced must follow its own rules and
include details of all the requirements set out in sections 1-12 where relevant. The maternity service
may use this template and adapt it to reflect procedures within the organisation or alternatively use
a document already in existence. Whichever approach is used the organisation must ensure it is
compliant with the minimum requirements of the relevant Clinical Negligence Scheme for Trusts
(CNST) Maternity Clinical Risk Management Standards and where appropriate the Sample
Breastfeeding Policy provided by BFI.
To assist the maternity service, areas have been identified in the margins where the section within
the template document relates to either:
a
The minimum requirements for the criterion in the relevant CNST Maternity Clinical Risk
Management Standards.
The BFI Sample Breast Feeding Policy. Where it is indicated that something is required to
achieve Baby Friendly accreditation then this section should be reproduced in its entirety or
the wording used should not alter the meaning of the message. However to achieve
compliance with the CNST Maternity Clinical Risk Management Standards the maternity
service will need to follow the additional guidance within this document.
Maternity services seeking Baby Friendly accreditation must specifically have a feeding policy and so
this document refers to a policy where the NHSLA would ordinarily refer to an approved document.
It is important that the document should follow any pre-existing guidance within the maternity
service in relation to style and format of documentation. Please note that a template document
entitled Organisation-wide Document for the Development and Management of Procedural
Documents can be found on the NHSLA website which may provide the maternity service with
additional guidance.
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Maternity Services Template Document for Newborn Feeding
1
Introduction
1.1
Principles
This maternity service believes that breastfeeding is the healthiest way for a woman
to feed her baby and recognises the important health benefits now known to exist
for both the mother and her child.
All mothers have the right to receive clear and impartial information to enable them
to make a fully informed choice as to how they feed and care for their babies.
Health care staff will not discriminate against any woman in her chosen method of
infant feeding and will fully support her when she has made that choice.
1.2
Aims
To ensure that the health benefits of breastfeeding and the potential health risks of
formula feeding are discussed with all women so that they can make an informed
choice about how they will feed their baby.
To enable health care staff to create an environment where more women choose to
breastfeed their babies, confident in the knowledge that they will be given support
and information to enable them to continue breastfeeding exclusively for six
months, and then as part of their infant's diet to the end of the first year and
beyond.
1.3
V.2
In Support of this Policy

In order to avoid conflicting advice it is mandatory that all staff involved with
the care of breastfeeding women adhere to this policy. Any deviation from
the policy must be justified and recorded in the mother’s and baby’s notes.

The policy should be implemented in conjunction with both the
organisation’s infant feeding guidelines* and the mothers’ guide to the
policy*. (* where these exist)

It is the individual midwife's responsibility to liaise with the baby's medical
attendants (paediatrician, general practitioner) should concerns arise about
the baby's health.

No advertising of breastmilk substitutes, feeding bottles, teats or dummies is
permissible in any part of this organisation. The display of manufacturers'
logos on items such as calendars and stationery is also prohibited.

No literature provided by infant formula manufacturers is permitted.
Educational material for distribution to women and their families must be
approved by the senior midwifery manager*. (* amend the post if
appropriate)

Parents who have made a fully informed choice to artificially feed their
babies should be shown how to prepare formula feeds correctly, either
individually or in small groups, in the postnatal period. No routine group
instruction on the preparation of artificial feeds will be given in the antenatal
period as evidence suggests that information given at this time is less well
retained and may serve to undermine confidence in breastfeeding.
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Maternity Services Template Document for Newborn Feeding
2
3
Communicating the Newborn Feeding Policy

This policy is to be communicated to all health care staff who have any contact with
pregnant women and mothers. All staff will have access to a copy of this policy.

All new staff will be orientated to the policy as soon as their employment begins.

The policy will be effectively communicated to all pregnant women with the aim of
ensuring that they understand the standard of information and care expected from
this facility. Where a mothers’ guide is used in place of the full policy, the full
version should be available in each ward area on request. A statement to this effect
will be included on the mothers’ guide. The policy will also be available on audio
tape and in the following languages: (*). (* add language names, amend or delete
this statement according to local needs)
Duties
Give a brief overview of the roles, responsibilities and accountabilities for the
implementation of the organisation’s process. This section should be a brief overview only
and the details of the process for managing this should be incorporated within later sections
of the document. The following list is a guide only and is not exhaustive:
3.1
Duties within the Organisation
Some example responsibilities have been identified below; however, these should
be considered within the context of the individual organisational structure.
Chief Executive
This section should state that the chief executive is ultimately accountable for the
implementation of this organisation-wide process.
Manager(s)
This section could describe the roles and responsibilities of senior and line managers
and their involvement in implementing the newborn feeding policy.
Individual Professional Duties
This section should include the roles and responsibilities of midwives, support staff,
and other staff groups involved in implementing the newborn feeding policy.
All Staff
Roles and responsibilities of all staff to ensure that they take responsibility for
newborn feeding.
3.2
Committees and Groups with Overarching Responsibilities
Trust Board
For effective implementation of the newborn feeding policy there must be active
support from the most senior members of the organisation. Organisations should
detail how the chief executive and the nominated directors are to gain assurance
that this document is being implemented within the organisation. There must be
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Maternity Services Template Document for Newborn Feeding
effective cooperation at all levels of the organisation in order for this process to be
successful.
Committees/Groups
This section should identify the committee/group which will have overall
responsibility for infant feeding. The section should include:

how this committee/group links with all the other relevant risk management
committees;

the role this committee/group has with ensuring continuous development of
this policy;

the role the committee/group has in the analysis of infant feeding;

how this committee/group communicates both up to board level, and down
to the local management levels; and

how the committee/group facilitates organisational learning and
improvement as a result of monitoring the provision of staff support
mechanisms.
It would be considered good practice if the maternity service developed terms of
reference for this committee/group including: accountability, responsibility,
authority, membership (including identified co-opted members and deputies),
meeting schedule and quorum, etc. In addition, the terms of reference should be
dated and signed.
e
4
V.2
Training Health Care Staff

Midwives have the primary responsibility for supporting breastfeeding women and
for helping them to overcome related problems.

All professional and support staff who have contact with pregnant women and
mothers will receive training in breastfeeding management at a level appropriate to
their professional group.

Professional and support staff will receive training in the skills needed to assist
mothers who have chosen to formula feed, including in the reconstitution of infant
formula and sterilisation techniques, at a level appropriate to their role and
responsibilities within the maternity service. (Each maternity service will be required
to make an individual decision regarding which grades of staff will be required to
teach mothers how to reconstitute infant formula).

All clerical and ancillary staff will be orientated to the policy and receive training to
enable them to refer breastfeeding queries appropriately.

New staff will receive training within six months of taking up their posts.

The responsibility for providing training lies with the lead professional*, who will
ensure that all staff receive appropriate training. A mechanism should be in place to
ensure that all relevant staff are allocated to attend, records of attendance are
maintained and an effective system is in place for ensuring non-attendees are
followed up and their training needs are met. The lead professional* will also audit
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uptake and efficacy of the training and publish results on an annual basis. (* use the
correct post title here)

5
Care for all Mothers
5.1
5.2
5.3
V.2
The maternity service’s expectations in relation to newborn training must be
included in the training needs analysis for the maternity service.
Informing Pregnant Women of the Benefits and Management of Breastfeeding

Staff involved with the provision of antenatal care should ensure that all
pregnant women are informed of the benefits of breastfeeding and the
potential health risks of formula feeding.

All pregnant women should be given an opportunity to discuss infant feeding
on a one to one basis with a midwife. Such discussion should not solely be
attempted during a group parentcraft class. This should be achieved by 34
completed weeks of pregnancy.

The physiological basis of breastfeeding should be clearly and simply
explained to all pregnant women, together with good management practices
which have been proven to protect breastfeeding and reduce common
problems. The aim should be to give women confidence in their ability to
breastfeed.

Parent Education classes, where they exist, should reinforce the above.
Skin-to-Skin Contact and Offer of Help with a First Breastfeed

All mothers should be encouraged to hold their babies in skin-to-skin contact
as soon as possible after delivery in an unhurried environment, regardless of
their feeding method. Skin-to-skin contact should last for at least one hour
or until after the first breastfeed (whichever is sooner).

Skin-to-skin contact should never be interrupted at staff's instigation to carry
out routine procedures.

If skin-to-skin contact is interrupted for clinical indication or maternal choice
it should be re-instigated as soon as mother and baby are able.

All mothers should be encouraged to offer the first breastfeed when mother
and baby are ready. Help must be available from a midwife if needed.
Rooming In

Mothers will normally assume primary responsibility for the care of their
babies.

Separation of mother and baby will normally only occur where the health of
either mother or baby prevents care being offered in the postnatal areas.

There is no designated nursery space in the postnatal areas.

Babies should not be routinely separated from their mothers at night. This
applies to babies who are being bottle-fed as well as those being breastfed.
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Mothers recovering from caesarean section should be given appropriate
care, but the policy of keeping mothers and babies together should normally
apply.
6
Care for Breastfeeding Mothers
a
c
6.1
6.2
Showing Women How to Breastfeed and How to Maintain Lactation

All breastfeeding mothers should be offered further help with breastfeeding
within six hours of delivery. A midwife should be available to assist a mother
at all breastfeeds during her hospital stay.

Midwives should ensure that mothers are offered the support necessary to
acquire the skills of positioning and attachment. They should be able to
explain the necessary techniques to a mother, thereby helping her to acquire
this skill for herself.

All breastfeeding mothers should be shown how to hand express their milk.
A leaflet should be provided for women to use for reference.

Prior to transfer home, all breastfeeding mothers will receive information,
both verbal and in writing about how to recognize effective feeding to
include:
the signs which indicate that their baby is receiving sufficient milk,
and what to do if they suspect this is not the case; and

how to recognise signs that breastfeeding is not progressing
normally (for example, sore nipples, breast inflammation).

An assessment of breastfeeding will be carried out at around day 5 to
determine whether effective milk transfer is taking place and whether
further support with breastfeeding is required.

When a mother and her baby are separated for medical reasons, it is the
responsibility of all health professionals caring for both mother and baby to
ensure that the mother is given help and encouragement to express her milk
and maintain her lactation during periods of separation.

Mothers who are separated from their babies should be encouraged to begin
expressing as soon as possible after delivery as early initiation has long-term
benefits for milk production.

Mothers who are separated from their babies should be encouraged to
express milk at least eight times in a 24 hour period. They should be shown
how to express breast milk both by hand and by pump.
Supporting Exclusive Breastfeeding

V.2

No water or infant formula should be given to a breastfed baby except in
cases of clinical indication or fully informed parental choice. The decision to
offer supplementary feeds for clinical reasons should be made by an
appropriately trained midwife or paediatrician.
Reasons for
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supplementation should be fully discussed with parents and recorded in the
baby's notes.
6.3

Prior to introducing infant formula to breastfed babies, every effort should
be made to encourage the mother to express breastmilk to be given to the
baby via cup or syringe. This proactive approach will reduce the need to
offer artificial feeds.

Parents who request supplementation should be made aware of the possible
health implications and the harmful impact such action may have on
breastfeeding to enable them to make a fully informed choice. A full record
of this discussion should be made in the baby's notes.
Baby Led Feeding

6.4
6.5
Demand feeding should be encouraged for all babies unless clinically
indicated. Hospital procedures should not interfere with this principle. Staff
will ensure that mothers understand the nature of feeding cues and the
importance of responding to them and that they have an awareness of
normal feeding patterns, including cluster feeding and ‘growth spurts’.
Mothers should be informed that it is acceptable to wake their baby for
feeding if their breasts become overfull. The importance of night-time
feeding for milk production should be explained.
Use of Artificial Teats, Dummies and Nipple Shields

Health care staff should not recommend the use of artificial teats and
dummies during the establishment of breastfeeding. Parents wishing to use
them should be advised of the possible detrimental effects such use may
have on breastfeeding to enable them to make a fully informed choice. A
record of the discussion and parents' decision should be recorded in the
baby's notes.

Nipple shields will not be recommended except in extreme circumstances
and then only for as short a time as possible. Any mother considering the
use of a nipple shield must have the disadvantages fully explained to her
prior to commencing use. She should remain under the care of a skilled
practitioner whilst using the shield and should be helped to discontinue its
use as soon as possible.
Breastfeeding Support Groups

This organisation supports cooperation between health care professionals
and voluntary support groups whilst recognising that health care facilities
have their own responsibility to promote breastfeeding.

Sources of national and local support should be identified and mothers given
verbal and written information about these prior to transfer home from
hospital, to include:

V.2
telephone numbers of midwives, infant feeding advisors* and other
professional support; and
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Maternity Services Template Document for Newborn Feeding


b
d
7
8
contact details for voluntary breastfeeding counsellors* and support
groups*, and national breastfeeding helpline numbers. (* amend or
delete according to local availability).
Breastfeeding support groups will be invited to contribute to further
development of the policy as it relates to breastfeeding through involvement
in appropriate meetings.
Care for Mothers who have Chosen to Feed their Newborn with Infant
Formula

Staff should ensure that all mothers who have chosen to feed their newborn with
infant formula are able to correctly sterilise equipment and make up a bottle of
infant formula during the early postnatal period and before discharge from hospital.

Staff should ensure that mothers are aware of effective techniques for formula
feeding their baby.

Community midwives should check and reinforce learning following the mothers
transfer home.

All information given should follow guidance from the Department of Health.
Information should be reinforced by offering the Department of Health Bottle
Feeding leaflet (or local equivalent).

Mothers should be given contact details of health professional support available for
feeding issues once they have left hospital.
Weighing Babies
In this section the maternity service should consider when babies will be weighed, both in
hospital or the community, and how this will be recorded. As a minimum the maternity
service is expected to follow NICE guidance in relation to the weighing of babies.
It should also include a description of the use and calibration of weighing scales.
In addition the service should consider what should be done if a problem with feeding is
identified.
If there is already a document in existence that specifically deals with weighing babies then
reference to this document should be made here.
f
9
System for Reporting Babies Readmitted to Hospital with Feeding Problems
In this section the maternity service should describe the system for reporting newborns
readmitted with feeding problems in the first 28 days of life. The maternity service should
consider who is responsible for reporting these incidents, when an incident should be
reported and the system for reviewing the data.
This should include newborn who are readmitted to the paediatric wards in addition to the
maternity wards.
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Maternity Services Template Document for Newborn Feeding
g
10
Monitoring Compliance with the Document
10.1
Process for Monitoring Compliance
This section could include how the organisation plans to monitor the
implementation of the Maternity Service Document for Newborn Feeding. This
should include any auditable standards and/or key performance indicators (KPIs)
stated within the document that can be monitored. As a minimum it should include
the review/monitoring of all the minimum requirements within the CNST Maternity
Standards. There should be an explicit process described as to:

Who will perform the monitoring?

When will the monitoring be performed?

How are you going to monitor?

What will happen if any shortfalls are identified?

Where will the results of the monitoring be reported?

How will the resulting action plan be progressed and monitored?

How will learning take place?
For example:
10.2

Audit of compliance with the document will be carried out at least annually.

Any deficiencies should be identified and an action plan developed to enable
care to be improved and brought in line with requirements.

Evaluation, including further audit, will be carried out to ensure that the
actions implemented have met the requirements.

Specific audit of supplementation rate and readmission rates in babies up to
28 days with feeding problems and the indications for these to be carried
out.
Standards/Key Performance Indicators
This section could contain auditable standards and/or key performance indicators
(KPIs) which may assist the organisation in the process for monitoring compliance.
11
References
This section should contain the details of any reference materials reviewed in the
development of the procedural document.
Listed below are some useful sources of reference material:
V.2
11.1
Guidance from Other Organisations

Bartington S, Griffiths L, Tate A, Dezateux C and the Millennium Cohort Study Child
Health Group (2006) ‘Are breastfeeding rates higher among mothers delivering in
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Maternity Services Template Document for Newborn Feeding
Baby Friendly accredited maternity units in the UK?’ International Journal of
Epidemiology
V.2

Broadfoot M, Britten J, Tappin DM and MackKenzie JM (2005) ‘The Baby Friendly
Initiative and breastfeeding rates in Scotland’ Archives of Disease in Childhood Fetal
Neonatal Edition, 90:F114-F116

Dyson L, Renfrew M, McFadden A, McCormack F, Herbert G, Thomas J (2006)
Promotion of breastfeeding initiation and duration: Evidence into practice briefing
NICE

Kramer M, Chalmers B, Hodnett E, Sevkovskaya E, Dzihovich I, Shapiro S, et al (2001)
‘The Promotion of Breastfeeding Intervention Trial (PROBIT): a randomized trial in
the republic of Belarus’ The Journal of the American Medical Association 285:413-20

National Institute for Health and Clinical Excellence (NICE) (2006) NICE clinical
guideline 37 Routine postnatal care of women and their babies London: NICE

National Institute for Health and Clinical Excellence (NICE) (2008) NICE Public health
guidance 11 Improving the nutrition of pregnant and breastfeeding mothers and
children in low-income households London: NICE

National Institute for Health and Clinical Excellence (NICE) (2010 [2008]) NICE Clinical
guideline 62 Antenatal care: Routine care for the healthy pregnant woman London:
NICE

Quigley M.A., Kelly Y.J., Sacker A.S. (2007) ‘Breastfeeding and Hospitalization for
Diarrheal and Respiratory Infection in the United Kingdom Millennium Cohort Study’
Pediatrics, 119: e837- e842

Tufts-New England Medical Center Evidence-Based Practice Center, Boston,
Massachusetts (2007) Breastfeeding and Maternal Health Outcomes in Developed
Countries AHRQ Publication No. 07-E007 Rockville, MD: Agency for Healthcare
Research and Quality. U.S. Department of Health and Human Services

UNICEF UK Baby Friendly Initiative (2008) Implementation Guidance London: UNICEF
UK Baby Friendly Initiative

World Health Organisation (WHO) (1981) International Code of Marketing of
Breastmilk Substitutes Geneva, Switzerland: WHO

World Health Organisation (WHO) (2007) Evidence on the long-term effects of
breastfeeding Geneva, Switzerland: WHO

World Health Organisation (WHO), UNICEF (1989) Protecting, promoting and
Supporting Breastfeeding. The Special Role of the Maternity Services A joint
WHO/UNICEF Statement Geneva, Switzerland: WHO
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12
Associated Documentation
This section should provide a cross reference to any other related organisational procedural
document(s).
V.2

Training needs analysis

Care of the newborn
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Appendix A - The Baby Friendly Initiative
The Baby Friendly Initiative is a worldwide programme of the World Health Organization and
UNICEF. It was established in 1992 to encourage maternity hospitals to implement the Ten Steps to
Successful Breastfeeding and to practise in accordance with the International Code of Marketing of
Breastmilk Substitutes.
The UNICEF UK Baby Friendly Initiative was launched in the UK in 1994 and, in 1998, its principles
were extended to cover the work of community health-care services in the Seven Point Plan for
Sustaining Breastfeeding in the Community.
The Baby Friendly Initiative works with the health-care system to ensure a high standard of care for
pregnant women and breastfeeding mothers and babies. We provide support for health care
facilities that are seeking to implement best practice, and we offer an assessment and accreditation
process that recognises those that have achieved the required standard
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Appendix B - Ten Steps to Successful Breastfeeding
Step 1 – Have a written breastfeeding policy that is routinely communicated to all health care staff.
Step 2 – Train all staff in the skills necessary to implement the breastfeeding policy
Step 3 – Inform all pregnant women about the benefits and management of breastfeeding.
Step 4 – Help mothers initiate breastfeeding soon after birth.
Step 5 – Show mothers how to breastfeed and how to maintain lactation, even if they should be
separated from their infants.
Step 6 – Give no food or drink other than breastmilk to breastfeeding babies.
Step 7 – All mothers and babies to room-in together while in hospital
Step 8 – Encourage breastfeeding on demand
Step 9 – No teats or dummies to be given to breastfed babies during the establishment of
breastfeeding
Step 10 – Identify sources of national and local support for breastfeeding and ensure that mothers
know how to access these prior to discharge from hospital.
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Appendix C - Template Maternity Services Document for Newborn Feeding
NHS Trust
Maternity Services Template Document for Newborn
Feeding
Version:
Ratified by:
Date ratified:
Name of originator/author:
Name of responsible committee/individual:
Name of executive lead:
Date issued:
Review date:
Target audience:
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Contents
1
Introduction ........................................................................................................... 19
1.1
1.2
1.3
Principles ............................................................................................................................... 19
Aims....................................................................................................................................... 19
In Support of this Policy ........................................................................................................ 19
2
Communicating the Newborn Feeding Policy ....................................................... 19
3
Duties ..................................................................................................................... 19
3.1
Duties within the Organisation ............................................................................................. 19
4
Training Health Care Staff ...................................................................................... 19
5
Care of all Mothers ................................................................................................ 19
5.1
5.2
5.3
6
Informing all Pregnant Women of the Benefits and Management of Breastfeeding........... 19
Skin to Skin Contact and Offer of Help with a First Breastfeed ............................................ 19
Rooming In ............................................................................................................................ 19
Care for Breastfeeding Mothers ............................................................................ 19
6.1
6.2
6.3
6.4
6.5
Showing Mothers How to Breastfeed and How to Maintain Lactation ................................ 19
Supporting Exclusive Breastfeeding ...................................................................................... 19
Baby Led Feeding .................................................................................................................. 20
Use of Artificial Teats, Dummies and Nipple Shields ............................................................ 20
Breastfeeding Support Groups ............................................................................................. 20
7
Care for Women Who Have Chosen to Feed their Newborn with Infant Formula
20
8
Weighing Babies..................................................................................................... 20
9
System for Reporting Babies Readmitted to Hospital with Feeding Problems ..... 20
10
10.1
10.2
11
11.1
12
Monitoring Compliance with the Document ..................................................... 20
Monitoring Compliance ........................................................................................................ 20
Standards/Key Performance Indicators ................................................................................ 20
References .......................................................................................................... 20
Guidance from Other Organisations ..................................................................................... 20
Associated Documentation ................................................................................ 20
Appendix A
Checklist for the Review and Approval of Procedural Documents ...... 20
Appendix B
Version Control Sheet ........................................................................... 20
Appendix C
Plan for Dissemination .......................................................................... 20
Appendix D
Equality Impact Assessment Tool ......................................................... 20
Appendix E
The Baby Friendly Initiative .................................................................. 20
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Appendix F
Ten Steps to Successful Breastfeeding ................................................. 20
Examples of the Checklist for the Review and Approval of Procedural Documents, Version Control
Sheet, Plan for Dissemination and the Equality Impact Assessment can all be found within the
Organisation-wide Document for the Development and Management of Procedural Documents on
the NHSLA website.
Appendix B in the Organisation-wide Document for the Development and Management of Procedural
Documents contains a flowchart to assist with the process for the creation and implementation of
procedural documents.
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Maternity Services Template Document for Newborn Feeding
1
Introduction
1.1
Principles
1.2
Aims
1.3
In Support of this Policy
2
Communicating the Newborn Feeding Policy
3
Duties
3.1
Duties within the Organisation
4
Training Health Care Staff
5
Care of all Mothers
6
V.2
5.1
Informing all Pregnant Women of the Benefits and Management of Breastfeeding
5.2
Skin to Skin Contact and Offer of Help with a First Breastfeed
5.3
Rooming In
Care for Breastfeeding Mothers
6.1
Showing Mothers How to Breastfeed and How to Maintain Lactation
6.2
Supporting Exclusive Breastfeeding
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Maternity Services Template Document for Newborn Feeding
6.3
Baby Led Feeding
6.4
Use of Artificial Teats, Dummies and Nipple Shields
6.5
Breastfeeding Support Groups
7
Care for Women Who Have Chosen to Feed their Newborn with Infant Formula
8
Weighing Babies
9
System for Reporting Babies Readmitted to Hospital with Feeding Problems
10
Monitoring Compliance with the Document
11
10.1
Monitoring Compliance
10.2
Standards/Key Performance Indicators
References
11.1
12
V.2
Guidance from Other Organisations
Associated Documentation
Appendix A
Checklist for the Review and Approval of Procedural Documents
Appendix B
Version Control Sheet
Appendix C
Plan for Dissemination
Appendix D
Equality Impact Assessment Tool
Appendix E
The Baby Friendly Initiative
Appendix F
Ten Steps to Successful Breastfeeding
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