The Baby Friendly Hospital Initiative in Latin America and the Caribbean: .. the BFHI into hospital quality control standards and accreditation processes could . sponse relationship existed between implementation of the Ten Steps and. The Baby Friendly Hospital Initiative (BFHI), also known as Baby Friendly Initiative (BFI), is a The criteria for a hospital's Baby Friendly accreditation include: facilities but with no external assessment process, and the designation level where there is Studies have also shown a positive correlation of breastfeeding with. To achieve BFHI accreditation, health facilities must demonstrate a rate of at least 75% exclusive breastfeeding among mothers at discharge, adherence to the.
Give no artificial teats or pacifiers also called dummies or soothers to breastfeeding infants.
Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic. The program also restricts use by the hospital of free formula or other infant care aids provided by formula companies and recommends that when formula is medically needed, it should be given in a small cup or spoon, rather than a bottle and should only be used to supplement breastfeeding.Baby Friendly Initiative - Call to Action
Since the program's inception, approximately 15, facilities in more than countries have been inspected and accredited as "Baby-Friendly.
All public health units in Ontario have been required to work towards having BFI designation since It is the largest hospital in Canada to receive the designation. In the six years following the initiation of the BFHI program, the rate of exclusive breastfeeding at four months almost tripled - from 25 per cent in to 72 per cent in They offer two levels - a participation or membership level in which maternity facilities are encouraged to implement the standards and network with other maternity facilities but with no external assessment process, and the designation level where there is external assessment and on-going monitoring to ensure the standards are met and sustained.
THE GLOBAL CRITERIA FOR THE BFHI - Baby-Friendly Hospital Initiative - NCBI Bookshelf
Between andthe increase in certified hospitals was from 38 to The Baby Friendly Initiative accredits health-care facilities that adopt internationally recognised best practice standards for breastfeeding.
Inits principles were extended to cover the work of community health-care services with the Seven Point Plan for the Promotion, Protection and Support of Breastfeeding in Community Health Care Settings. This ensures that newly qualified midwives and health visitors are equipped with the basic knowledge and skills they need to support breastfeeding effectively. The orientation that is provided is sufficient. A copy of the curricula or course session outlines for training in breastfeeding promotion and support for various types of staff is available for review, and a training schedule for new employees is available.
It is likely that at least 20 hours of targeted training will be needed to develop the knowledge and skills necessary to adequately support mothers. At least three hours of supervised clinical experience are required. Documentation of training also indicates that non-clinical staff members have received training that is adequate, given their roles, to provide them with the skills and knowledge needed to support mothers in successfully feeding their infants.
Baby Friendly Hospital Initiative - Wikipedia
Training on how to provide support for non-breastfeeding mothers is also provided to staff. A copy of the course session outlines for training on supporting non-breastfeeding mothers is also available for review. The training covers key topics such as: Inform all pregnant women about the benefits and management of breastfeeding Global Criteria - Step Three If the hospital has an affiliated antenatal clinic or an in-patient antenatal ward: A written description of the minimum content of the breastfeeding information and any printed materials provided to all pregnant women is available.
The antenatal discussion covers the importance of breastfeeding, the importance of immediate and sustained skin-to-skin contact, early initiation of breastfeeding, rooming-in on a 24 hour basis, feeding on cue or baby-led feeding, frequent feeding to help assure enough milk, good positioning and attachment, exclusive breastfeeding for the first 6 months, the risks of giving formula or other breast-milk substitutes, and the fact that breastfeeding continues to be important after 6 months when other foods are given.
Out of the randomly selected pregnant women in their third trimester who have come for at least two antenatal visits: Help mothers initiate breastfeeding within a half-hour of birth This Step is now interpreted as: Place babies in skin-to-skin contact with their mothers immediately following birth for at least an hour. Encourage mothers to recognize when their babies are ready to breastfeed and offer help if needed.
Global Criteria - Step Four Out of the randomly selected mothers with vaginal births or caesarean sections without general anaesthesia in the maternity wards: It is preferable that babies be left even longer than an hour, if feasible, as they may take longer than 60 minutes to breastfeed.
The baby should not be forced to breastfeed but, rather, supported to do so when ready. If desired, the staff can assist the mother with placing her baby so it can move to her breast and latch when ready. Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants Global Criteria - Step Five The head of maternity services reports that mothers who have never breastfed or who have previously encountered problems with breastfeeding receive special attention and support both in the antenatal and postpartum periods.
Out of the randomly selected clinical staff members: Out of the randomly selected mothers including caesarean: Out of the randomly selected mothers with babies in special care: Review of all clinical protocols or standards related to breastfeeding and infant feeding used by the maternity services indicates that they are in line with BFHI standards and current evidence-based guidelines. No materials that recommend feeding breast milk substitutes, scheduled feeds or other inappropriate practices are distributed to mothers.
Encourage breastfeeding on demand Global Criteria - Step Eight Out of the randomly selected breastfeeding mothers: Out of the randomly selected breastfeeding mothers: The staff encourages mothers and their babies to be seen soon after discharge preferably 2—4 days after birth and again the second week at the facility or in the community by a skilled breastfeeding support person who can assess feeding and give any support needed and can describe an appropriate referral system and adequate timing for the visits.
A review of documents indicates that printed information is distributed to mothers before discharge, if appropriate, on how and where mothers can find help on feeding their infants after returning home and includes information on at least one type of help available.
No employees of manufacturers or distributors of breast-milk substitutes, bottles, teats or pacifiers have any direct or indirect contact with pregnant women or mothers.
The hospital does not receive free gifts, non-scientific literature, materials or equipment, money, or support for in-service education or events from manufacturers or distributors of breast-milk substitutes, bottles, teats or pacifiers.
A review of the breastfeeding or infant feeding policy indicates that it uphold the Code and subsequent WHA resolutions by prohibiting: The display of posters or other materials provided by manufacturers or distributors of breast-milk substitutes, bottles, teats and dummies or any other materials that promote the use of these products.
Any direct or indirect contact between employees of these manufacturers or distributors and pregnant women or mothers in the facility. Distribution of samples or gift packs with breast-milk substitutes, bottles or teats or of marketing materials for these products to pregnant women or mothers or members of their families. Acceptance of free gifts including foodliterature, materials or equipment, money or support for in-service education or events from these manufacturers or distributors by the hospital.
Demonstrations of preparation of infant formula for anyone that does not need them.
Acceptance of free or low cost breast-milk substitutes or supplies. A review of records and receipts indicates that any breast-milk substitutes, including special formulas and other supplies, are purchased by the health care facility for the wholesale price or more. Observations in the antenatal and maternity services and other areas where nutritionists and dieticians work indicate that no materials that promote breast-milk substitutes, bottles, teats or dummies, or other designated products as per national laws, are displayed or distributed to mothers, pregnant women, or staff.
Observations indicate that the hospital keeps infant formula cans and pre-prepared bottles of formula out of view unless in use.
Baby Friendly Hospital Initiative
Mother-friendly care Global Criteria — Mother-friendly care Note: These criteria should be required only after health facilities have trained their staff on policies and practices related to mother-friendly care. A review of the hospital policies indicates that they require mother-friendly labour and birthing practices and procedures including: Allowing women to drink and eat light foods during labour, as desired.
Encouraging women to consider the use of non-drug methods of pain relief unless analgesic or anaesthetic drugs are necessary because of complications, respecting the personal preferences of the women. Encouraging women to walk and move about during labour, if desired, and assume positions of their choice while giving birth, unless a restriction is specifically required for a complication and the reason is explained to the mother.
Care that does not involve invasive procedures such as rupture of the membranes, episiotomies, acceleration or induction of labour, instrumental deliveries, or caesarean sections unless specifically required for a complication and the reason is explained to the mother.
HIV and infant feeding optional Note: