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Baby Friendly Hospital Initiative Through Bestfed Beginnings. Why Pursue Baby Friendly Certification?. The Baby Friendly Hospital Initiative is a global program to encourage and recognize hospitals that offer an optimal level of care for breastfeeding.
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Baby Friendly Hospital Initiative Through Bestfed Beginnings
Why Pursue Baby Friendly Certification? • The Baby Friendly Hospital Initiative is a global program to encourage and recognize hospitals that offer an optimal level of care for breastfeeding. • Scientific evidence overwhelmingly indicates breastfeeding is optimal method of infant feeding • Breastfeeding is single most powerful preventative modality to reduce risk of common causes of infant morbidity • Breastfeeding creates significant savings in health care dollars • Recognition as a Baby Friendly institution has national and international credibility and prestige
Why Pursue Baby Friendly Certification? • Numerous professional organizations actively encourage programs for support and management of breastfeeding • AAP recommends exclusive breastfeeding up to 6 months of age, and continued breastfeeding with complementary foods up to one year • Who recommends breastfeeding up to two years of age and beyond Healthy People 2010 had a goal of 75% early postpartum breastfeeding. This goal is suggested to go to 85%
How Did We Get To This Point • Best Fed Beginnings is a project of the National Initiative for Children’s Healthcare Quality (NICHQ), with support from the Centers for Disease Control and Prevention (CDC) and in close partnership with Baby-Friendly USA • Made aware grant offered to assist hospitals to pursue Baby Friendly designation • 20,000 hospitals accredited world wide but only 200 hospitals accredited in USA • Team was quickly assembled to meet the grant application deadline • The grant was awarded now working towards 2014 accreditation
Baby Friendly Hospital Initiative at St. Vincent • Team includes: • administrative leader • department leader • lactation staff • midwife • peds and OB providers • nursing educator • clinic leadership • staff nurses • mother advocate
How Do We Achieve Baby Friendly Status? • NICHQ - Change managers • Utilize proven techniques to achieve successful healthcare change • Hospital accountable to implement the specific steps with help through • regional learning sessions • webinars • ilab where stats shown • group sharing
The 10 Steps • Written infant feeding policy • Train health care staff in skills to implement policy • Inform pregnant women of benefits/management of breastfeeding • Skin to skin immediately following birth • Assist mothers with breastfeeding even when separated from infant • Exclusive breastfeeding except when medically necessary • Rooming-in 24 hours a day • All babies feeding on cue • No pacifiers or artificial nipples for breastfeeding infants • Refer mothers to breastfeeding support at discharge
The 10 Steps • Use the Guidelines and Evaluation for Baby Friendly Designation • Really 64 steps • Sounds simple but very difficult • Requires change in culture, attitude and work flow • Significant training for nurses and providers • Done in collaboration with Prevea OB Department • Actual survey with 2 nurses over 2 days • Interview nurses and mothers, review records
In Pursuit of Baby Friendly Designation • Questions