Implementation of the Ten Steps to Successful Breastfeeding Saves Lives

Meek, Joan Younger; Noble, Lawrence

doi:10.1001/jamapediatrics.2016.2015

Cited by 18 publications

(13 citation statements)

References 6 publications

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“…11 The ten steps to successful breastfeeding are the basis of Baby friendly hospital initiative (BFHI) which is approved by Americanacademy of paediatrics (AAP).…”

Section: Discussionmentioning

confidence: 99%

“…14,18 According to our study more than half of mothers (51.2 %) were neither practicing nor aware of rooming in but 94.6% Pakistani mothers and 72% Saudi mothers practiced the methods. 11,18 This is due to the fact that newborns are taken care of by other family members after feeding time which was revealed by the mothers during interview in our study.…”

mentioning

confidence: 81%

“…2 Initiation of breastfeeding occurring in maternity facility care needs a supportive environment to facilitate breastfeeding rate among postpartum mothers. 11 So all the health care staffs in hospital are required to be trained and become skillful to make a conducive environment for favorable breastfeeding practices and a written policy mentioning "ten steps to successful breastfeeding'' is essential for certified a hospital as baby friendly hospital. All post-partum mothers require motivation and continuous support from health professionals as well as from family members for successful breastfeeding.…”

Section: Steps Of Successful Breastfeedingmentioning

confidence: 99%

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Assessment of WHO ten steps towards successful breastfeeding among postpartum mothers in Karaikal: A hospital based cross-sectional study

2018

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INTRODUCTIONBreastfeeding is a natural event; this performance is an accomplished practice that requires continuous effective support to make it successful. Breastmilk is the most superior feed for the infant to fulfil the nutritional need for proper growth and development of the infant. 1Breastfeeding has both short term benefits like protection from respiratory infections and diarrheaas well as long term benefits on blood sugar level, Intelligence and obesity. 2,3Breastfeeding practiceshave a positive impact on the infant mortality rate in the developing countries like India. 4As per latest Lancet Breastfeeding Series, exclusive breastfeeding can prevent 32% of all respiratory infections, 54% of all cases of diarrhea and 87% of deaths of infants less than 6 months of age. Background: Breastfeeding is the most essential, dynamic and profitable method of giving infants the perfect start in life. The Recent Rapid Survey on Children in India shows that 44.6% infants are now being breastfed within an hour of birth and 64.9 % of 0-6months old infants were exclusively breastfed. Aims and Objectives: To estimate the proportion of mothers who successfully breastfeed their children according to the WHO ten steps towards successful breastfeeding. Materials and Methods: A Cross-sectional study was conducted in Postpartum ward of JIPMER, Karaikal from 1 st August to 31 st September. Mothers aged 18-49 years; given birth to healthy, singleton baby and stayed in hospital for minimum 24 hours after delivery were included in the study. The questions about breastfeeding practices based on "WHO ten steps of successful breastfeeding" were asked. Mothers knew seven steps or more(score ≥ 7) were considered as having successful breastfeeding. Results: Out of 205 only 32 (15.60%) mothers breastfeed their child successfully.There is significant difference between multiparous and primiparous mothers in Breastfeeding initiation within one hour of delivery(p=0.04) and Prelacteal feeding Practice (p = 0.003). The successful breastfeeding rate was higher among multiparous compared to primiparous mothers which is statistically significant (p=0.032). Conclusion: There is existence offaulty practice in breastfeeding process among post-partum mothers.The role of health professionals in encouraging optimal breastfeeding are remarkably low. Compulsory Implementation of BFHI in every hospitalby a Breastfeeding Committee, can be planned to increasing the breastfeeding rate.

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“…11 The ten steps to successful breastfeeding are the basis of Baby friendly hospital initiative (BFHI) which is approved by Americanacademy of paediatrics (AAP).…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 81%

Section: Steps Of Successful Breastfeedingmentioning

confidence: 99%

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Assessment of WHO ten steps towards successful breastfeeding among postpartum mothers in Karaikal: A hospital based cross-sectional study

2018

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“…. The majority of the cases occur in early skin‐to‐skin care, without observance of the child, or when sleeping with accidentally covered respiratory tract . A review of Sudden Unexpected Early Neonatal Deaths (SUENDs) in Sweden shows that a higher incidence of SUENDs was reported before the practice of early skin‐to‐skin contact was introduced .…”

Section: The 9 Stages – a Breastfeeding Start Led By The Newborn Infantmentioning

confidence: 99%

Skin‐to‐skin contact the first hour after birth, underlying implications and clinical practice

Brimdyr²,

et al. 2019

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Aim This paper integrates clinical expertise to earlier research about the behaviours of the healthy, alert, full‐term infant placed skin‐to‐skin with the mother during the first hour after birth following a noninstrumental vaginal birth. Method This state‐of‐the‐art article forms a link within the knowledge‐to‐action cycle, integrating clinical observations and practice with evidence‐based findings to guide clinicians in their work to implement safe uninterrupted skin‐to‐skin contact the first hours after birth. Results Strong scientific research exists about the importance of skin‐to‐skin in the first hour after birth. This unique time for both mother and infant, individually and in relation to each other, provides vital advantages to short‐ and long‐term health, regulation and bonding. However, worldwide, clinical practice lags. A deeper understanding of the implications for clinical practice, through review of the scientific research, has been integrated with enhanced understanding of the infant's instinctive behaviour and maternal responses while in skin‐to‐skin contact. Conclusion The first hour after birth is a sensitive period for both the infant and the mother. Through an enhanced understanding of the newborn infant's instinctive behaviour, practical, evidence‐informed suggestions strive to overcome barriers and facilitate enablers of knowledge translation. This time must be protected by evidence‐based routines of staff.

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“…At present, given the breastfeeding failure of premature infants, the health and medical departments have issued many relevant supporting policies, including the 10 steps to successful breastfeeding implemented by the World Health Organization [7], the international sales principles of breast milk substitutes [8],vigorously promote the bene ts of breastfeeding and encourage maternal breastfeeding behavior. However, the global breastfeeding situation of preterm infants is not optimistic.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Post NICU Discharge Exclusive Breastfeeding Duration Amongst First Time Mothers of Preterm Infants In Shanghai: A Longitudinal Cohort Study

Jiang¹,

Jiang

2021

Preprint

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BackgroundBreastfeeding is crucial to the preterm infants. Breast milk is not only food but also medicine. Few studies focused on the longitudinal association with exclusive breastfeeding duration of preterm infants separated from their mothers after discharge, especially in Shanghai. We aimed to examine the exclusive breastfeeding duration amongst first time mothers of preterm infants after discharge and their determinants.MethodsAnalyses were based on 500 preterm infants separated from their mothers in a territory maternity and infant special hospital in Shanghai from September 2018 to September 2019.The self administered questionnaire, breastfeeding knowledge questionnaire, breastfeeding self-efficacy short form scale, Edinburgh postpartum depression scale and breastfeeding family support scale were used for the investigation, and the breastfeeding rate of premature infants was followed up 1 month, 3 months and 6 months after discharge. The changing trend of breastfeeding knowledge, breastfeeding self-efficacy, postpartum depression and family support were measured by ANOVA in different stages.The Kaplan Meier survival curve and Cox regression model were used to analyze the determinants of exclusive breastfeeding duration of premature infants after discharge. ResultsThrough the Cox regression model, we found that the maternal planned pregnancy (RR=0.68, 95%CI=0.53~0.87), delivering breast milk during hospitalization (RR=0.80, 95%CI=1.41~2.29),NICU feeding mode (RR=1.22, 95%CI=0.13~0.38) during hospitalization and family support (RR=0.56,95%CI=1.00~2.43) were the independent factors influencing the exclusive breastfeeding duration after discharge. ConclusionsThe exclusive breastfeeding duration of premature infants was affected by many factors, so we should focus on three levels of individual, family and society, and give targeted intervention measures to increase exclusive breastfeeding rate and prolong exclusive breastfeeding duration.Trial registration: Not applicable

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Implementation of the Ten Steps to Successful Breastfeeding Saves Lives

Cited by 18 publications

References 6 publications

Assessment of WHO ten steps towards successful breastfeeding among postpartum mothers in Karaikal: A hospital based cross-sectional study

Assessment of WHO ten steps towards successful breastfeeding among postpartum mothers in Karaikal: A hospital based cross-sectional study

Skin‐to‐skin contact the first hour after birth, underlying implications and clinical practice

Factors Associated With Post NICU Discharge Exclusive Breastfeeding Duration Amongst First Time Mothers of Preterm Infants In Shanghai: A Longitudinal Cohort Study

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