1. Compliance with the 'Baby‐friendly Hospital Initiative for Neonatal Wards' in 36 countries
- Author
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Maastrup, Ragnhild, Haiek, Laura N., Lubbe, Welma, Meerkin, Deena Yael, Wolff, Leslie, Hatasaki, Kiyoshi, Alsumaie, Mona A., De Leon‐Mendoza, Socorro, Ng, Yvonne P.M., Shorey, Shefaly, Conti, Roxana, Leme, Taynara, Rossetto, Edilaine Giovanini, Acosta, Andrea Aldana, Nuñez, Ana Esther Ortiz, Toala, Esther, Gonzalez, Mirian Elizabeth Ortigoza, Berger, Angelika, Hennequin, Yves, Bosnjak, Anita Pavicic, Niela‐Vilén, Hannakaisa, Laurent, Claire, Rousseau, Sylvaine, Jonsdottir, Rakel, Chapin, Elise M., Smildzere, Amanda, Tamelienėd, Rasa, Žemaitienė, Raminta, Arendt, Maryse, Hansen, Mette Ness, Huitfeldt, Anette Schaumburg, Bernatowicz‐ Łojko, Urszula, Barbieri-Figueiredo, MC, França, Ana Paula, Abolyan, Liubov, Pastbina, Irina, Pallás‐Alonso, Carmen, Moral‐Pumarega, Maria Teresa, Eriksson, Mats, Flacking, Renée, Johnson, Emily, Anderson, Shannon, Berkman, Jola, Boswall, Diane, Brown, Donna, Emberley, Julie, LeDrew, Michelle, Scringer‐Wilkes, Maxine, Semenic, Sonia, Perriman, Nicole, and O'Donoghue, Debbie
- Subjects
Adult ,Male ,Postnatal Care ,0301 basic medicine ,medicine.medical_specialty ,Internationality ,breastfeeding ,Breastfeeding ,Mothers ,Baby‐friendly Hospital Initiative ,lactation ,compliance ,Compliance (psychology) ,neonatal ,03 medical and health sciences ,0302 clinical medicine ,Health Sciences ,Humans ,Medicine ,030212 general & internal medicine ,Breastfeeding support ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Infant, Newborn ,Public Health, Environmental and Occupational Health ,Obstetrics and Gynecology ,Original Articles ,Baby-friendly Hospital Initiative ,Hälsovetenskaper ,Sciences bio-médicales et agricoles ,Hospitals ,monitoring ,Breast Feeding ,Cross-Sectional Studies ,Family medicine ,Pediatrics, Perinatology and Child Health ,Original Article ,Female ,Guideline Adherence ,preterm ,business ,Program Evaluation - Abstract
In 2012, the Baby-friendly Hospital Initiative for Neonatal Wards (Neo-BFHI) began providing recommendations to improve breastfeeding support for preterm and ill infants. This cross-sectional survey aimed to measure compliance on a global level with the Neo-BFHI's expanded Ten Steps to successful breastfeeding and three Guiding Principles in neonatal wards. In 2017, the Neo-BFHI Self-Assessment questionnaire was used in 15 languages to collect data from neonatal wards of all levels of care. Answers were summarized into compliance scores ranging from 0 to 100 at the ward, country, and international levels. A total of 917 neonatal wards from 36 low-, middle-, and high-income countries from all continents participated. The median international overall score was 77, and median country overall scores ranged from 52 to 91. Guiding Principle 1 (respect for mothers), Step 5 (breastfeeding initiation and support), and Step 6 (human milk use) had the highest scores, 100, 88, and 88, respectively. Step 3 (antenatal information) and Step 7 (rooming-in) had the lowest scores, 63 and 67, respectively. High-income countries had significantly higher scores for Guiding Principles 2 (family-centered care), Step 4 (skin-to-skin contact), and Step 5. Neonatal wards in hospitals ever-designated Baby-friendly had significantly higher scores than those never designated. Sixty percent of managers stated they would like to obtain Neo-BFHI designation. Currently, Neo-BFHI recommendations are partly implemented in many countries. The high number of participating wards indicates international readiness to expand Baby-friendly standards to neonatal settings. Hospitals and governments should increase their efforts to better support breastfeeding in neonatal wards., info:eu-repo/semantics/published
- Published
- 2018