The impact of training based on the Baby-Friendly Hospital Initiative on breastfeeding practices in the Northeast of Brazil

2005 ◽  
Vol 81 (6) ◽  
pp. 471-477 ◽  
Author(s):  
Sonia B. Coutinho ◽  
Marília de C. Lima ◽  
Ann Ashworth ◽  
Pedro I. C. Lira
Keyword(s):  
Baby Friendly Hospital Initiative ◽  
Breastfeeding Practices ◽  
The Impact

The Effect of a 20-Hour Baby-Friendly Hospital Initiative Training Program on Nurses’ Breastfeeding Knowledge, Attitudes and Confidence, in a Tertiary Hospital in Singapore

2020 ◽  
Author(s):  
Doris Fok ◽  
Hsin Fang Chang ◽  
Ling Yan Meng ◽  
Yvonne Peng Mei Ng
Keyword(s):  
Training Program ◽  
Neonatal Intensive Care ◽  
Tertiary Hospital ◽  
University Hospital ◽  
Baby Friendly Hospital Initiative ◽  
Breastfeeding Support ◽  
Training Course ◽  
Breastfeeding Knowledge ◽  
Breastfeeding Practices ◽  
The Impact

Objective The Baby-Friendly Hospital Initiative (BFHI) enables maternity units to be centers of breastfeeding support to increase breastfeeding rates. This study evaluates the impact of the 20-hour BFHI training course on nurses' breastfeeding knowledge, attitude, and confidence in breastfeeding practice in a tertiary hospital in Singapore. Study Design Seventeen sessions of the 20-hour BFHI training course were conducted by lactation consultants from 2010 to 2013 at the National University Hospital, Singapore. An anonymous self-administered survey on knowledge, attitude, and confidence in breastfeeding practices were distributed to nurses before (2009) and after (2014) the training courses to assess effectiveness of training. Results One-hundred forty nurses and one hundred forty-eight nurses participated in the surveys in 2009 and 2014, respectively. Majority were registered nurses who worked in the postnatal wards and the neonatal intensive care unit. After training, there were significant improvements for five of eight items in infant feeding knowledge, including greater awareness of the International Code of Marketing of Breastmilk Substitutes and medical contraindication for breastfeeding. Participants reported more confidence in assisting mothers on breastfeeding, 77.1 to 88.5% (p = 0.019); advising hand expressing breast milk, 75.7 to 86.5% (p = 0.012); and advising attachment to the breast, 75.7 to 89.2% (p = 0.004) in 2014 compared with 2009. However, despite having high levels of confidence, only about half the nurses reported being able to assist mothers in breastfeeding, mainly due to time constraints. Conclusion Implementation of the 20-hour BFHI training program positively influenced nurses' breastfeeding knowledge, attitude, and confidence in breastfeeding practices. Hospital procedures and manpower requirements should be re-examined to overcome nursing constraints in providing breastfeeding help to postpartum mothers. Key Points

Maintaining Safe Breastfeeding Practices During the COVID-19 Pandemic: An Overview of the Evidence to Inform Clinical Guidelines

2021 ◽  
Vol 40 (3) ◽  
pp. 140-145
Author(s):  
Tiffany Gwartney ◽  
Allyson Duffy
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Best Practice ◽  
Newborn Health ◽  
Care Providers ◽  
Postnatal Transmission ◽  
Breastfeeding Practices ◽  
Evidential Support ◽  
Guidelines And Recommendations ◽  
The Impact

The impact of the COVID-19 pandemic upon the health care landscape has prompted many organizations to revise policies in response to ever-changing guidelines and recommendations regarding safe breastfeeding practices. The application of these professional guidelines into clinical practice is fraught with barriers, inconsistencies, and often-minimal evidential support. Key concerns for health care providers and patients include antenatal versus postnatal transmission, milk transmission, and separation care versus rooming-in, including the subsequent impacts upon breastfeeding and bonding. While SARS-CoV-2 is a novel virus, the volume of literature to support best practice for couplet care continues to be developed at a rapid pace. The benefits of breastfeeding are steeped in evidence and outweigh the potential risk of transmission of COVID-19 from mother to newborn. Health care organizations must continue to seek guidance for policy revision within the ever-growing body of evidence for best practice and evaluate current practices for feasibility during and after hospitalization.

scholarly journals Debunking the Misunderstandings of the Baby-Friendly Hospital Initiative and Designation Requirements

2018 ◽  
Vol 9 (4) ◽  
pp. 208-211 ◽  
Author(s):  
Trish MacEnroe
Keyword(s):  
Management Practices ◽  
Effective Means ◽  
Health Benefits ◽  
Level Of Care ◽  
Breastfeeding Initiation ◽  
Baby Friendly Hospital Initiative ◽  
The Public ◽  
The Media ◽  
The Impact ◽  
Significant Health

Sensational headlines and messages surrounding breastfeeding in the media are leaving the public confused. There are also myths being circulated about the Baby-Friendly Hospital Initiative (BFHI) that are causing some to question the value and safety of its practices. The most effective means for clarifying the confusion is to dispel the myths and explore the facts. An accurate understanding of the importance of breastfeeding, the BFHI requirements, the impact and interrelationship of each of the Ten Steps to Successful Breastfeeding, as well as good breastfeeding management practices, ensures that every infant is provided the highest level of care and given the best start to life. Breastfeeding confers significant health benefits to both mothers and babies, and the BFHI is associated with an increase in breastfeeding initiation and duration.

scholarly journals The role of midwives in improving breastfeeding practices in protracted crises: The Gaza Strip example

2020 ◽  
Author(s):  
Alessandro Iellamo ◽  
Emily Monaghan ◽  
Samar AL Moghany ◽  
Jonathan Latham ◽  
Nihal Nassereddin
Keyword(s):  
Breast Milk ◽  
Data Collection ◽  
Gaza Strip ◽  
Healthcare Services ◽  
Lessons Learned ◽  
Security Officers ◽  
Breastfeeding Practices ◽  
Service Training ◽  
The Gaza Strip ◽  
The Impact

Abstract Background: The protection, promotion and support of breastfeeding is the most effective intervention to prevent child morbidity and mortality in all contexts. During the Palestine-Israel conflict that started in the middle of the 20th century, healthcare services are understaffed and lack basic resources, with frequent power cuts and stock-outs of essential drugs and equipment. This case study seeks to answer the questions: (1) How does the protracted crisis in Gaza affect the breastfeeding practices of the most vulnerable population; and (2) What is the role that midwives can play in improving breastfeeding practices?A mixed method (qualitative and quantitative) study was used to collect data. A total of 1044 respondents had a child less than 24 months at the time of the study. A total of 62.75 percent practice early initiation of breastfeeding and 42 percent confirmed that their new-borns were given liquids other than breast milk during the first three days of life. Fifty percent of mothers addressed breast milk insufficiency by drinking additional fluids and 40 percent by using infant formula. Discussion:This study confirms the need to a) implement the IYCF-E operational guidance in the Gaza strip and b) review the pre-service and in-service training for midwives. For vulnerable populations in humanitarian contexts, the impact of this cannot be underestimated. Conducting research in humanitarian settings is particularly challenging. Our experience included integration and linkage with international organizations security officers on the ground, co-ordination of activities with authorities and communities, regular supportive supervision during data collection, allocation of buffer days and geographical areas and in-country and remote assistance to data collection teams Conclusions:This research focuses on a protracted emergency in insecure populated areas. The unpredictable security situation meant that the team adopted a flexible approach during data collection. Lessons learned throughout this process include the importance of a) allocating additional research time, to account for potential interruption b) daily coordination with security officers to ensure safe access to localities c) identification of extra sites, in case escalation of conflict d) training of additional enumerators in case conflict escalation e) negotiation with authorities to ensure compliance with requirements.

scholarly journals A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina

2018 ◽  
Vol 35 (1) ◽  
pp. 114-126 ◽  
Author(s):  
Abigail L. Liberty ◽  
Kathryn Wouk ◽  
Ellen Chetwynd ◽  
Tamar Ringel-Kulka
Keyword(s):  
North Carolina ◽  
Rural Areas ◽  
Secondary Analysis ◽  
Birth Certificate ◽  
Breastfeeding Initiation ◽  
Baby Friendly Hospital Initiative ◽  
Breastfeeding Support ◽  
Rural And Urban ◽  
Model Residuals ◽  
The Impact

Background: Significant disparities in breastfeeding support and practice exist in North Carolina. The Baby-Friendly Hospital Initiative is a worldwide intervention that encourages birth facilities to adopt specific practices in support of breastfeeding. Research aim: This study aimed to evaluate the impact of the Baby-Friendly Hospital Initiative on breastfeeding initiation in North Carolina, with special attention to rural areas. Methods: To better understand disparities in breastfeeding initiation across North Carolina, we conducted a secondary analysis of birth certificate data from 2011 to 2014. Univariate and multivariate logistic regression models were used to estimate the association between breastfeeding initiation and (a) birth at a Baby-Friendly hospital and (b) maternal residence in a county with a Baby-Friendly hospital. Model residuals were aggregated by county and analyzed for spatial autocorrelation. Results: Birth at a Baby-Friendly hospital was associated with increased odds of breastfeeding initiation, adjusted odds ratio = 1.7, 95% confidence interval [1.65, 1.89]. Model residuals showed significant clustering by county, with some rural areas’ rates systematically overestimated. Whereas presence of a Baby-Friendly hospital in a mother’s community of residence was not associated with increased initiation, birth at a Baby-Friendly hospital was associated with smaller disparities in initiation between rural and urban births. Conclusion: Birth at a Baby-Friendly hospital is associated with improved breastfeeding initiation and reduced disparities in initiation between rural and urban counties in North Carolina.

scholarly journals Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review

2020 ◽  
Vol 17 (2) ◽  
pp. 413 ◽  
Author(s):  
Felix Ogbo ◽  
Blessing Akombi ◽  
Kedir Ahmed ◽  
Abdon Rwabilimbo ◽  
Akorede Ogbo ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Partner Support ◽  
Breastfeeding Duration ◽  
Bibliographic Databases ◽  
Breastfeeding Initiation ◽  
Inclusion Criteria ◽  
New Mothers ◽  
Breastfeeding Practices ◽  
Verbal Encouragement ◽  
The Impact

Support from partners/fathers and families can play a significant role in a mother’s decision to initiate, continue or cease breastfeeding postnatally. This study systematically reviewed published studies to determine the impact of specific types of partner support on breastfeeding initiation, duration and exclusivity. We used the 2015 Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines for the review. Seven computerized bibliographic databases (Embase, ProQuest Central, Scopus, PsycINFO, Web of Science, MEDLINE/PubMed and CINAHL) were searched. Of a total of 695 articles retrieved from the databases, seven studies met the inclusion criteria and reported on breastfeeding initiation, duration and exclusivity. Four of the seven studies found that partner support in the form of verbal encouragement to new mothers increased breastfeeding duration and exclusivity. Other types of partner supportive actions that led to improved breastfeeding behavior included sensitivity of the partner to the nursing mother’s needs, assistance in preventing and managing breastfeeding difficulties, and helping with household and child care duties. This review showed that specific supportive actions of partners/fathers in the community positively improved breastfeeding practices. To maximise the impact of breastfeeding policies and interventions among new mothers, breastfeeding programmes should consider the involvement of partners/fathers and their specific roles.

scholarly journals The Baby-Friendly Hospital Initiative: increasing breastfeeding and decreasing infant mortality in Brazil

2018 ◽  
Vol 18 (3) ◽  
pp. 481-489 ◽  
Author(s):  
Osvaldinete Lopes de Oliveira Silva ◽  
Marina Ferreira Rea ◽  
Sonia Isoyama Venâncio ◽  
Gabriela dos Santos Buccini
Keyword(s):  
Infant Mortality ◽  
Child Survival ◽  
Population Attributable Fraction ◽  
Secondary Data ◽  
Attributable Fraction ◽  
Baby Friendly Hospital Initiative ◽  
Prevalence Survey ◽  
Neonatal Deaths ◽  
Reduction Of Mortality ◽  
The Impact

Abstract Objectives: to estimate the population attributable fraction of preventable infant mortality rates due to changes in breastfeeding (BF) indicators attributable to the Baby Friendly Hospital Initiative (BFHI). Methods: an estimate on the impact of BFHI in reducing infant mortality with an inferential level of plausibility, using secondary data from the II Breastfeeding Prevalence Survey of 2008. Initially, the effect of BFHI on breastfeeding in the first hour of life, exclusive breastfeeding, and any breastfeeding based on the prevalence of the outcomes among infants born in BFHI or non-BFHI was calculated. Second, the population attributable fraction of nonbreastfeeding was estimated for late neonatal mortality, mortality by all causes and infant mortality by infections, for BFHI and non-BFHI, and the number of potentially avoidable deaths if all children were born in BFH. Results: reduction of 4.2% of late neonatal deaths due to the increase in BF prevalence in the first hour, as provided by BFHI. BFHI potentially contributed with 3.5% of all-cause deaths and 4.2% of deaths from infection by BF promotion in infants below 6 months. Conclusions: the reduction of mortality in children between 7 and 180 days in 2008 potentially attributable to BFHI through the promotion of BF indicators reinforces the importance of strengthening and expanding this initiative in Brazil to ultimately enhance child survival.

scholarly journals The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes

2016 ◽  
Vol 11 (5) ◽  
pp. 222-230 ◽  
Author(s):  
Allison C. Munn ◽  
Susan D. Newman ◽  
Martina Mueller ◽  
Shannon M. Phillips ◽  
Sarah N. Taylor
Keyword(s):  
United States ◽  
Infant Health ◽  
The United States ◽  
Baby Friendly Hospital Initiative ◽  
Early Infant ◽  
The Impact

The impact of the Baby Friendly Hospital Initiative on neonatal hypoglycemia

2020 ◽  
Vol 40 (12) ◽  
pp. 1828-1833
Author(s):  
Marina S. Oren ◽  
Whittney D. Barkhuff ◽  
Andrei Stefanescu ◽  
Beatrice M. Stefanescu ◽  
Tara L. DuPont
Keyword(s):  
Baby Friendly Hospital Initiative ◽  
Neonatal Hypoglycemia ◽  
The Impact
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