Compliance with the 'Baby‐friendly Hospital Initiative for Neonatal Wards' in 36 countries

Autor: Maastrup, Ragnhild, Haiek, Laura N., Lubbe, Welma, Meerkin, Deena Yael, Wolff, Leslie, Hatasaki, Kiyoshi, Alsumaie, Mona A., De Leon‐Mendoza, Socorro, Ng, Yvonne P.M., Shorey, Shefaly, Conti, Roxana, Leme, Taynara, Rossetto, Edilaine Giovanini, Acosta, Andrea Aldana, Nuñez, Ana Esther Ortiz, Toala, Esther, Gonzalez, Mirian Elizabeth Ortigoza, Berger, Angelika, Hennequin, Yves, Bosnjak, Anita Pavicic, Niela‐Vilén, Hannakaisa, Laurent, Claire, Rousseau, Sylvaine, Jonsdottir, Rakel, Chapin, Elise M., Smildzere, Amanda, Tamelienėd, Rasa, Žemaitienė, Raminta, Arendt, Maryse, Hansen, Mette Ness, Huitfeldt, Anette Schaumburg, Bernatowicz‐ Łojko, Urszula, Barbieri-Figueiredo, MC, França, Ana Paula, Abolyan, Liubov, Pastbina, Irina, Pallás‐Alonso, Carmen, Moral‐Pumarega, Maria Teresa, Eriksson, Mats, Flacking, Renée, Johnson, Emily, Anderson, Shannon, Berkman, Jola, Boswall, Diane, Brown, Donna, Emberley, Julie, LeDrew, Michelle, Scringer‐Wilkes, Maxine, Semenic, Sonia, Perriman, Nicole, O'Donoghue, Debbie
Rok vydání: 2018
Předmět:
Adult
Male
Postnatal Care
0301 basic medicine
medicine.medical_specialty
Internationality
breastfeeding
Breastfeeding
Mothers
Baby‐friendly Hospital Initiative
lactation
compliance
Compliance (psychology)
neonatal
03 medical and health sciences
0302 clinical medicine
Health Sciences
Humans
Medicine
030212 general & internal medicine
Breastfeeding support
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Infant
Newborn
Public Health
Environmental and Occupational Health
Obstetrics and Gynecology
Original Articles
Baby-friendly Hospital Initiative
Hälsovetenskaper
Sciences bio-médicales et agricoles
Hospitals
monitoring
Breast Feeding
Cross-Sectional Studies
Family medicine
Pediatrics
Perinatology and Child Health
Original Article
Female
Guideline Adherence
preterm
business
Program Evaluation
Zdroj: Maternal and child nutrition, 15 (2
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação
instacron:RCAAP
Maternal & Child Nutrition
ISSN: 1740-8709
1740-8695
Popis: In 2012, the Baby-friendly Hospital Initiative for Neonatal Wards (Neo-BFHI) began providing recommendations to improve breastfeeding support for preterm and ill infants. This cross-sectional survey aimed to measure compliance on a global level with the Neo-BFHI's expanded Ten Steps to successful breastfeeding and three Guiding Principles in neonatal wards. In 2017, the Neo-BFHI Self-Assessment questionnaire was used in 15 languages to collect data from neonatal wards of all levels of care. Answers were summarized into compliance scores ranging from 0 to 100 at the ward, country, and international levels. A total of 917 neonatal wards from 36 low-, middle-, and high-income countries from all continents participated. The median international overall score was 77, and median country overall scores ranged from 52 to 91. Guiding Principle 1 (respect for mothers), Step 5 (breastfeeding initiation and support), and Step 6 (human milk use) had the highest scores, 100, 88, and 88, respectively. Step 3 (antenatal information) and Step 7 (rooming-in) had the lowest scores, 63 and 67, respectively. High-income countries had significantly higher scores for Guiding Principles 2 (family-centered care), Step 4 (skin-to-skin contact), and Step 5. Neonatal wards in hospitals ever-designated Baby-friendly had significantly higher scores than those never designated. Sixty percent of managers stated they would like to obtain Neo-BFHI designation. Currently, Neo-BFHI recommendations are partly implemented in many countries. The high number of participating wards indicates international readiness to expand Baby-friendly standards to neonatal settings. Hospitals and governments should increase their efforts to better support breastfeeding in neonatal wards.
info:eu-repo/semantics/published
Databáze: OpenAIRE
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