Achieving Baby-Friendly Designation at a Large Metropolitan CenterFunding None.
10 December 2018
23 January 2019
28 February 2019 (online)
Objective This study aimed to describe the journey of obtaining Baby-Friendly designation as a large metropolitan center in an urban city and review the initial patient-related outcomes.
Study Design Our medical center participated in the New York City Department of Health and Mental Hygiene Breastfeeding Hospital Collaborative from 2012 to 2017. Monthly meetings were held to monitor data, and audits conducted among prenatal sites and maternity units. This hospital collaborative was established to help facilities through the designation process.
Results Breastfeeding education in the prenatal setting was provided consistently at all outpatient sites. By 2017, 89.8% of patients had received appropriate education and support during their prenatal visits. There was a shift in feeding pattern from mostly formula feeding with some breastfeeding to primarily breastfeeding with fewer formula feeds. Baby-Friendly designation was achieved in June 2017 after a formal Baby-Friendly USA assessment.
Conclusion Since embarking on this journey, there has been a consistent increase in antenatal patient education and a paradigm shift from some breastfeeding to mostly breastfeeding among the mother–baby dyads which combination feed. Our hospital center has continued to successfully maintain the workflow changes implemented during the Baby-Friendly process.
- 1 CDC Breastfeeding Report Card, United States 2007. Available at: https://www.cdc.gov/breastfeeding/pdf/2007breastfeedingreportcard.pdf
- 2 Baby-Friendly USA. Available at: www.babyfriendlyusa.org
- 3 CDC Breastfeeding Report Card United States 2018. Available at: https://www.cdc.gov/breastfeeding/pdf/2018breastfeedingreportcard.pdf
- 4 World Health Organization; United Nations Children's Fund. Protecting, Promoting, and Supporting Breastfeeding: The Special Role of Maternity Services. Geneva, Switzerland: World Health Organization; 1989
- 5 Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 2012; 129 (03) e827-e841
- 6 World Health Organization. Evidence for the Ten Steps to Successful Breastfeeding. Geneva, Switzerland: World Health Organization; 1998
- 7 Venancio SI, Saldiva SR, Escuder MM, Giugliani ER. The Baby-Friendly Hospital Initiative shows positive effects on breastfeeding indicators in Brazil. J Epidemiol Community Health 2012; 66 (10) 914-918
- 8 Nobari TZ, Jiang L, Wang MC, Whaley SE. Baby-Friendly Hospital Initiative and breastfeeding among WIC-participating infant in Los Angeles County. J Hum Lact 2017; 33 (04) 677-683
- 9 Merten S, Dratva J, Ackermann-Liebrich U. Do Baby-Friendly hospitals influence breastfeeding duration on a national level?. Pediatrics 2005; 116 (05) e702-e708
- 10 Fallon V, Harrold JA, Chisholm A. The impact of the UK Baby-Friendly Initiative on maternal and infant health outcomes: a mixed methods systematic review. Matern Child Nutr 2019; e12778: e12778
- 11 Zakarija-Grković I, Boban M, Janković S, Ćuže A, Burmaz T. Compliance with WHO/UNICEF BFHI standards in Croatia after implantation of the BFHI. J Hum Lact 2018; 34 (01) 106-115
- 12 Pérez-Escamilla R, Martinez JL, Segura-Pérez S. Impact of the Baby-Friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review. Matern Child Nutr 2016; 12 (03) 402-417