Becoming baby‐friendly in Spain: a quality‐improvement process

García-de-León-González, Ricardo; Oliver‐Roig, Antonio; Hernández-Martínez, Mónica; Mercader-Rodríguez, Beatriz; Muñoz-Soler, Verónica; Maestre-Martínez, Maria Isabel; Monreal-Tomás, Ana Belén

doi:10.1111/j.1651-2227.2010.02061.x

Cited by 25 publications

(38 citation statements)

References 16 publications

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“…A medical records study conducted in one Turkish hospital covering the first 24 months pp found that BFHI implementation was associated with a 1.5 times increase in breastfeeding duration, but there was no association with EBF across time pp (Duyan Camurdan et al, ). In agreement with this study, a maternity records study conducted in one hospital in Spain found that the median breastfeeding duration increased progressively across time after BFHI programme implementation (Garcia‐de‐Leon‐Gonzalez et al, ).…”

Section: Resultssupporting

confidence: 86%

Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Pérez‐Escamilla

Martinez

Segura‐Pérez

2016

Maternal & Child Nutrition

396

386

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The Baby-friendly Hospital Initiative (BFHI) is a key component of the World Health Organization/United Nations Children's Fund Global Strategy for Infant and Young Child Feeding. The primary aim of this narrative systematic review was to examine the impact of BFHI implementation on breastfeeding and child health outcomes worldwide and in the United States. Experimental, quasi-experimental and observational studies were considered eligible for this review if they assessed breastfeeding outcomes and/or infant health outcomes for healthy, term infants born in a hospital or birthing center with full or partial implementation of BFHI steps. Of the 58 reports included in the systematic review, nine of them were published based on three randomized controlled trials, 19 followed quasiexperimental designs, 11 were prospective and 19 were cross-sectional or retrospective. Studies were conducted in 19 different countries located in South America, North America, Western Europe, Eastern Europe, South Asia, Eurasia and Sub-Saharan Africa. Adherence to the BFHI Ten Steps has a positive impact on short-term, mediumterm and long-term breastfeeding (BF) outcomes. There is a dose-response relationship between the number of BFHI steps women are exposed to and the likelihood of improved BF outcomes (early BF initiation, exclusive breastfeeding (EBF) at hospital discharge, any BF and EBF duration). Community support (step 10) appears to be essential for sustaining breastfeeding impacts of BFHI in the longer term.

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Section: Resultssupporting

confidence: 86%

Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Pérez‐Escamilla

Martinez

Segura‐Pérez

2016

Maternal & Child Nutrition

396

386

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“…Another gap in the literature is the typical length of time it takes to fully implement the Ten Steps. Only 8 of the articles reviewed 29,62,63,68,70,76,79,84 documented timelines for achieving Baby-Friendly accreditation, which ranged from 1 to 6 years. …”

Section: Discussionmentioning

confidence: 99%

Barriers, Facilitators, and Recommendations Related to Implementing the Baby-Friendly Initiative (BFI)

et al. 2012

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Despite growing evidence for the positive impact of the Baby-Friendly Initiative (BFI) on breastfeeding outcomes, few studies have investigated the barriers and facilitators to the implementation of Baby-Friendly practices that can be used to improve uptake of the BFI at the local or country levels. This integrative review aimed to identify and synthesize information on the barriers, facilitators, and recommendations related to the BFI from the international, peer-reviewed literature. Thirteen databases were searched using the keywords Baby Friendly, Baby-Friendly Hospital Initiative, BFI, BFHI, Ten Steps, implementation, adoption, barriers, facilitators, and their combinations. A total of 45 English-language articles from 16 different countries met the inclusion criteria for the review. Data analysis was guided by Cooper's five stages of integrative research review. Using a multiple intervention program framework, findings were categorized into sociopolitical, organizational-level, and individual-level barriers and facilitators to implementing the BFI, as well as intra-, inter-, and extraorganizational recommendations for strengthening BFI implementation. A wide variety of obstacles and potential solutions to BFI implementation were identified. Findings suggest some priority issues to address when pursuing Baby-Friendly designation, including the endorsements of both local administrators and governmental policy makers, effective leadership of the practice change process, health care worker training, the marketing influence of formula companies, and integrating hospital and community health services. Framing the BFI as a complex, multilevel, evidence-based change process and using context-focused research implementation models to guide BFI implementation efforts may help identify effective strategies for promoting wider adoption of the BFI in health services.

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“…On the other hand, skilled professional and lay interventions provided in the hospital and in community settings during the first days of life have a strong positive influence on both initiation and duration of breastfeeding. 6,7 Improved promotion and support of breastfeeding in maternity facilities and the implementation of the Baby-Friendly Hospital Initiative (BFHI) can therefore be effective interventions. 8 Helping mothers breastfeed also entails assessing the latchon to the breast because this aspect is strongly related to the success of breastfeeding.…”

Section: Introductionmentioning

confidence: 99%

Does the LATCH Score Assessed in the First 24 Hours After Delivery Predict Non-Exclusive Breastfeeding at Hospital Discharge?

Tornese

Ronfani

Pavan³

et al. 2012

Breastfeeding Medicine

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Becoming baby‐friendly in Spain: a quality‐improvement process

Abstract: Quality-improvement interventions based on participation, training, audit and feedback of information, and provision of resources are useful for the implementation of the BFHI, which is associated with a significant increase in breastfeeding rates.

Cited by 25 publications

References 16 publications

Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review

Barriers, Facilitators, and Recommendations Related to Implementing the Baby-Friendly Initiative (BFI)

Does the LATCH Score Assessed in the First 24 Hours After Delivery Predict Non-Exclusive Breastfeeding at Hospital Discharge?

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