BABY FRIENDLY HOSPITAL INITIATIVE Overview Getting Started September 29, 2014 MN Breastfeeding Coalition MotherBaby 10 Workshop Pamela Heggie, MD, IBCLC, FAAP Co-Chair, Baby Friendly Task Force University of Minnesota Children’s Hospital Director, Breastfeeding Medicine Clinic Fairview Children’s Clinic
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BABY FRIENDLY HOSPITAL INITIATIVE · 9/29/2014 · What is Baby Friendly? 2 major Components 1. The Ten Steps to Successful Breastfeeding 2. Compliance with the International Code
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BABY FRIENDLY HOSPITAL INITIATIVE Overview
Getting Started
September 29, 2014 MN Breastfeeding Coalition MotherBaby 10 Workshop Pamela Heggie, MD, IBCLC, FAAP Co-Chair, Baby Friendly Task Force University of Minnesota Children’s Hospital Director, Breastfeeding Medicine Clinic Fairview Children’s Clinic
What Is the Baby Friendly Hospital Initiative?
• International award for Birth Hospitals /Centers
• Best Practice maternity care and infant feeding
• Clinical excellence in breastfeeding support
• Developed by UNICEF and WHO in 1991 – Reduce infant mortality – "centers of breastfeeding
support” – “Baby and Friend”
What is Baby Friendly?
• “10 Steps to Successful Breastfeeding”
• Hospital practices (evidence based) known to improve breastfeeding rates
• Certification process includes an on-site visit to document compliance with the “10 Steps”
• “10 Steps” endorsed by
AAP, AAFP, AWHONN, AAN,
CDC, US Surgeon General
and more
The Ten Steps
1. Written Breastfeeding Policy
2. Train all Healthcare Staff
3. Inform all Pregnant Women of
Benefits
4. Help Mothers Initiate BF within
One Hour
5. Show Mothers How to BF and
Maintain Lactation
6. Give Newborn Infants Only Breastmilk
7. Practice
Rooming In
8. Encourage BF on Demand
9. Give No Pacifiers or Artificial Nipples
to Breastfeeding Infants
10. Foster the Establishment of BF
Support Groups
What is Baby Friendly?
2 major Components
1. The Ten Steps to Successful Breastfeeding
2. Compliance with the International Code of Marketing of Breast Milk Substitutes
• No free formula / feeding supplies
• Hospital pays fair market value for formula/supplies
• No free discharge diaper bags with formula/coupons
Baby Friendly: Global and Local
• 20,000 hospitals in 150 countries worldwide are designated Baby Friendly (9/2013)
• 8.4 % of US birth hospitals are certified Baby Friendly – 199/ 2420 birth hospitals in the U.S
– 2.9% in 2007
• In Minnesota 5/92 birth hospitals are Baby Friendly certified
• Mayo Austin Medical Center (2011)
• U of M Children’s Hospital (2012)
• Health East System (3 hospitals 2014)
• Soon to be others……
Racial Disparity in Breastfeeding Rates
Reduced at Baby Friendly Hospitals
• Disparity in BF rates in low income and
women of color – many years
• Biased view that there is a “cultural” reason • “that’s their culture, they always supplement”
• “they don’t breastfeed”
• The Research says otherwise….
• Babies born in Baby Friendly Hospitals have higher BF rates across all income and ethnicities
Merewood, et al J Hum Lact 2007 May; 23(2) and Merewood, et al Pediatrics 2005 Sep;116(3)