Evaluating Implementation of a Baby Friendly Hospital Initiative

VanDevanter, Nancy; Gennaro, Susan; Budin, Wendy C.; Calalang-Javiera, Helene; Nguyen, Minh Nguyet

doi:10.1097/nmc.0000000000000046

Cited by 10 publications

(20 citation statements)

References 6 publications

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“…Grossman et al 24 After 36 VanDevanter et al 30 Perceptions of HCPs were that busy environments limited time for maternal education Physicians reported a lack of self-efficacy with maternal breastfeeding education Philipp et al 50 IBCLCs have a valuable role as maternal educators and support service providers for breastfeeding mothers IBCLCs not required for BF designation but are included in the assessment process III. Hospital organizational factors (organizational level)…”

Section: Integrative Review Methodsmentioning

confidence: 99%

“…The SEM guides health promotion interventions through a theoretical understanding of the relationship of multiple factors at the intrapersonal, interpersonal, organizational, and policy levels and their influence on health and health behavior. 30,31 Examination of the interaction of multiple factors within the social environment, beyond the influence of a single level factor, provides deeper understanding of a phenomenon and offers insights to create effective and innovative solutions. 32 Baby-Friendly practices include multidimensional and multilevel factors that affect mothers' social and environmental experiences.…”

Section: Social Ecological Modelmentioning

confidence: 99%

“…26,30,36,37 Finally, policy/systems factors include the availability of breastfeeding information, and standardized breastfeeding definitions, charting, and tracking mechanisms. 26,27,30,37,38 Baby-Friendly Practices Defined Baby-Friendly USA is responsible for the initiative's implementation in the United States. 17 The 4D pathway to Baby-Friendly designation requires facilities to commit time, staff training expenses, and designation fee expenses.…”

Section: Social Ecological Modelmentioning

confidence: 99%

“…34,35 Staff education and training, as well as adequate time and staffing resources to properly implement the ''Ten Steps'' are interpersonal provider level considerations. 26,30,36 Organizational hospital factors involve establishing a written hospital policy to support breastfeeding mothers, consistent organizational implementation of the ''Ten Steps,'' and provision of structural, social, and health provider support throughout all stages of pregnancy. 26,30,36,37 Finally, policy/systems factors include the availability of breastfeeding information, and standardized breastfeeding definitions, charting, and tracking mechanisms.…”

Section: Social Ecological Modelmentioning

confidence: 99%

“…26,30,36 Organizational hospital factors involve establishing a written hospital policy to support breastfeeding mothers, consistent organizational implementation of the ''Ten Steps,'' and provision of structural, social, and health provider support throughout all stages of pregnancy. 26,30,36,37 Finally, policy/systems factors include the availability of breastfeeding information, and standardized breastfeeding definitions, charting, and tracking mechanisms. 26,27,30,37,38 Baby-Friendly Practices Defined Baby-Friendly USA is responsible for the initiative's implementation in the United States.…”

Section: Social Ecological Modelmentioning

confidence: 99%

See 4 more Smart Citations

The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

Munn

Newman

Mueller

et al. 2016

Breastfeeding Medicine

141

116

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Using the Social Ecological Model as a guiding theoretical framework, results were categorized into four interrelated multilevel factors: (1) maternal/infant dyad factors, (2) provider factors, (3) hospital organizational factors, and (4) policy/systems factors. Results from the review support the BFHI's success in facilitating successful breastfeeding initiation and exclusivity. Breastfeeding duration also appears to increase when mothers have increased exposure to Baby-Friendly practices, but deficiencies in breastfeeding tracking mechanisms have limited reliable breastfeeding duration data. Of the 10 steps of the BFHI, step 3, prenatal education and step 10, postnatal breastfeeding support are the most difficult steps to implement; however, those steps have the potential to significantly impact maternal breastfeeding decisions. The underlying mechanisms by which Baby-Friendly practices contribute to maternal breastfeeding decisions remain unclear; thus, studies are needed to examine mothers' experiences and perceptions of Baby-Friendly practices. Additionally, studies are needed to investigate the impact of the BFHI for women living in rural areas and in southeastern regions of the United States. Finally, studies are needed to examine early infant health outcomes related to the BFHI, especially for late premature infants (34-36 weeks) who are most vulnerable to poor outcomes and are in need of specialized breastfeeding support. Results from future qualitative and quantitative explorations could clarify how the delivery of Baby-Friendly practices leads to successful breastfeeding and infant health outcomes.

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Section: Integrative Review Methodsmentioning

confidence: 99%

Section: Social Ecological Modelmentioning

confidence: 99%

Section: Social Ecological Modelmentioning

confidence: 99%

Section: Social Ecological Modelmentioning

confidence: 99%

Section: Social Ecological Modelmentioning

confidence: 99%

See 3 more Smart Citations

The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

Munn

Newman

Mueller

et al. 2016

Breastfeeding Medicine

141

116

View full text Add to dashboard Cite

show abstract

Exclusive Breastfeeding, 24-Hour Rooming-In, and the Importance of Women’s Informed Choices

McRae¹

2019

Nursing for Women's Health

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Barriers to exclusive breast-feeding in Indonesian hospitals: a qualitative study of early infant feeding practices

Flaherman¹,

Chan²,

Desai³

et al. 2018

Public Health Nutr.

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Our study identified important barriers to early exclusive breast-feeding in Indonesian hospitals, finding that participants consistently reported multifaceted barriers to early exclusive breast-feeding. Future research should examine whether system-level interventions such the Baby-Friendly Hospital Initiative might improve rates of exclusive breast-feeding by improving breast-feeding education, reducing manufacturer influence, modifying existing infrastructure and providing tools needed for protocols and counselling.

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Evaluating Implementation of a Baby Friendly Hospital Initiative

Abstract: Evaluation of program implementation at multiple levels of the organization in collaboration with providers is critical to understanding program outcomes.

Cited by 10 publications

References 6 publications

The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

Exclusive Breastfeeding, 24-Hour Rooming-In, and the Importance of Women’s Informed Choices

Barriers to exclusive breast-feeding in Indonesian hospitals: a qualitative study of early infant feeding practices

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