The Baby-Friendly Hospital Initiative in US Hospitals

Hughes, Vergie

doi:10.1177/1941406415592671

Cited by 8 publications

(10 citation statements)

References 37 publications

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“…The data sampling measures may not accurately reflect the EBF rate. Our outpatient data suggest that sustained breastfeeding increased, as other authors in the literature have described, 29 although this outcome was measured only in a subgroup of patients receiving prenatal care in our clinic. In addition, this measure is based on maternal report and does not describe exclusivity.…”

Section: Figuresupporting

confidence: 70%

Improving Exclusive Breastfeeding in an Urban Academic Hospital

Ward

Williamson²,

Burke³

et al. 2017

Pediatrics

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Section: Figuresupporting

confidence: 70%

Improving Exclusive Breastfeeding in an Urban Academic Hospital

Ward

Williamson²,

Burke³

et al. 2017

Pediatrics

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“…Additionally, there is wide variability among high-income countries regarding the implementation of recognized interventions to support breastfeeding after hospital discharge, such as counselling by a nurse, trained lactation counsellor, post-discharge telephone calls and home visits (Rollins et al, 2016;Skouteris et al, 2014). There are also marked differences in maternal schooling levels and family income in breastfeeding indicators within countries of the World Health Organization (WHO) European Region (Baerug et al, 2017;Hughes, 2015;Sarki et al, 2019) and in North America (Hughes, 2015). Another critical issue is paid parental leave, which also differs widely among high-income countries.…”

Section: Introductionmentioning

confidence: 99%

Monitoring breastfeeding indicators in high‐income countries: Levels, trends and challenges

Vaz

Maia

Neves

et al. 2021

Maternal & Child Nutrition

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Monitoring indicators of breastfeeding practices is important to protect and evaluate the progress of breastfeeding promotion efforts. However, high-income countries lack standardized methodology to monitor their indicators. We aimed to update and summarize nationally representative annual estimates of breastfeeding indicators in high-income countries and to describe methodological issues pertaining to the data sources used. A review was conducted through population-based surveys with nationally representative samples or health reports from nationally representative administrative data of electronic surveys or medical records. Methodological aspects and rates of all breastfeeding indicators available were summarized by country. The median and annual growth of breastfeeding in percentage points within countries with time-series data were estimated. Data from 51 out of 82 high-income countries were identified. The data were obtained through surveys (n = 32) or administrative data (n = 19). Seventy-one percent of countries have updated their indicators since 2015. Ever breastfed was the indicator most frequently reported (n = 46), with a median of 91%. By 6 months of age, the median equals 18% for exclusive and 45% for any breastfeeding. At 12 months, the median of continued breastfeeding decreased to 29%. The annual growth rate for ever breastfed, exclusive and any breastfeeding at 6 months and continued at 12 months varied from 1.5 to −2.0, 3.5 to −3.1, 5.0 to −1.0 and 5.0 to −1.9, respectively, with positive changes for most countries. Stronger interventions are needed to promote breastfeeding in highincome countries as a whole, and investments are required to monitor trends with standardized methodologies.

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“…When BFHI practices are in place, newborns are more likely to achieve early and effective exclusive breastfeeding. 6,7,38,39 Our data suggest that the BFHI is an effective primary prevention strategy for reducing rates of neonatal hyperbilirubinemia and phototherapy use in exclusively breastfed newborns. Additional studies are needed to evaluate whether hyperbilirubinemia and phototherapy outcomes improve with greater participation in the BFHI Ten Steps, as previous studies indicate that breastfeeding outcomes improve in a dose-response manner as facilities implement additional Baby-Friendly practices.…”

Section: Discussionmentioning

confidence: 74%

“…One such strategy is the Baby-Friendly Hospital Initiative (BFHI), a global program created by the World Health Organization (WHO) and United Nations Children's Fund (UNICEF) to promote and support exclusive breastfeeding through the first 6 months of life. 6,7 Baby-Friendly USA, the accrediting body for the BFHI in the United States, uses rigorous and data-driven criteria to designate birth facilities as ''Baby-Friendly'' based on their successful implementation of the Ten Steps to Successful Breastfeeding (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

Baby-Friendly Hospital Initiative Is Associated with Lower Rates of Neonatal Hyperbilirubinemia

Hudson

Charron

Maple

et al. 2020

Breastfeeding Medicine

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Background: The Baby-Friendly Hospital Initiative (BFHI) advances practices that support exclusive breastfeeding. BFHI practices are associated with increased breastfeeding rates, however, other patient outcomes are not well described. This study examined the association of BFHI practices with hyperbilirubinemia and phototherapy between groups of newborns born before and after BFHI implementation at an urban, tertiary academic medical center in South Carolina. Materials and Methods: We conducted a retrospective study of healthy, term newborns born between July and September 2011 (n = 956), before BFHI implementation, and newborns born during the same period in 2013 (n = 1,131) after BFHI implementation. Primary outcomes were neonatal hyperbilirubinemia, phototherapy treatment, and hospital readmissions for hyperbilirubinemia within 30 days of discharge. We compared rates of outcomes between the study groups using unadjusted and adjusted odds ratios (OR). Results: Among newborns born before versus after BFHI implementation, 20.3% versus 6.98% were diagnosed with hyperbilirubinemia ( p < 0.001), 5.75% versus 1.95% received phototherapy ( p < 0.001), and 0.31% versus 0.35% were readmitted to the hospital for hyperbilirubinemia within 30 days ( p = 0.88). In adjusted analyses, newborns born after BFHI implementation were significantly less likely to develop neonatal hyperbilirubinemia (OR 0.28 [95% confidence intervals; CI 0.20-0.37]) and receive phototherapy treatment (OR 0.27 [95% CI 0.15-0.49]) than newborns born before BFHI implementation. Conclusions: Implementation of BFHI practices is associated with significant decreases in neonatal hyperbilirubinemia and phototherapy without affecting readmission rates. Exclusive breastfeeding has traditionally been considered a risk factor for the development of neonatal jaundice. This study demonstrates that BFHI practices may mitigate that risk.

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The Baby-Friendly Hospital Initiative in US Hospitals

Cited by 8 publications

References 37 publications

Improving Exclusive Breastfeeding in an Urban Academic Hospital

Improving Exclusive Breastfeeding in an Urban Academic Hospital

Monitoring breastfeeding indicators in high‐income countries: Levels, trends and challenges

Baby-Friendly Hospital Initiative Is Associated with Lower Rates of Neonatal Hyperbilirubinemia

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