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1 TS Baby-Friendly Hospital Initiative The Ten Steps of the WHO/UNICEF Baby-Friendly Hospital Initiative Launched in 1991, by UNICEF and the World Health.

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Presentation on theme: "1 TS Baby-Friendly Hospital Initiative The Ten Steps of the WHO/UNICEF Baby-Friendly Hospital Initiative Launched in 1991, by UNICEF and the World Health."— Presentation transcript:

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2 1 TS Baby-Friendly Hospital Initiative The Ten Steps of the WHO/UNICEF Baby-Friendly Hospital Initiative Launched in 1991, by UNICEF and the World Health Organization To ensure that all hospitals, maternity facilities and communities become Centers of Breastfeeding Support

3 2 The Baby Friendly - 10 Steps Have a written breastfeeding policy that is routinely communicated to all health care staff. Have a written breastfeeding policy that is routinely communicated to all health care staff. Train all health care staff in skills necessary to implement this policy. Train all health care staff in skills necessary to implement this policy. Inform all pregnant women about the benefits and management of breastfeeding. Inform all pregnant women about the benefits and management of breastfeeding. Help mothers initiate breastfeeding within one half-hour of birth. Help mothers initiate breastfeeding within one half-hour of birth. Show mothers how to breastfeed and maintain lactation, even if they should be separated from their infants. Show mothers how to breastfeed and maintain lactation, even if they should be separated from their infants.

4 3 The Baby Friendly - 10 Steps Give newborn infants no food or drink other than breastmilk, unless medically indicated. Give newborn infants no food or drink other than breastmilk, unless medically indicated. Practice rooming in - that is, allow mothers and infants to remain together 24 hours a day. Practice rooming in - that is, allow mothers and infants to remain together 24 hours a day. Encourage breastfeeding on demand. Encourage breastfeeding on demand. Give no artificial nipples or pacifiers (soothers) to breastfeeding infants. Give no artificial nipples or pacifiers (soothers) to breastfeeding infants. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.

5 4 BFHI 10-Steps based on Research If every baby were exclusively breastfed from Birth for 6 months, an estimated 1.5 million lives world-wide would be saved each year. Babies and Mothers lives would be enhanced with implementing the 10-Steps because:

6 5 Mother/Child Immediate postpartum breastfeeding helps Mother/Child bonding Baby Breastmilk Alone is the perfect food for Babys first 6-months Nutrients, antibodies, Hormones, Antioxidants, other factors Stimulates immune system – response to diseases & vaccination Protects from diarrhea and acute respiratory infections Mother Health and emotional benefits for Mother Sense of empowerment and satisfaction Decreased blood loss postpartum Delayed return to fertility Decreased risk of breast and ovarian cancer Family Provides social/economic benefits to the Family Environment Environment Benefits BFHI 10-Steps based on Research Why Breastfeed? an abbreviated list

7 6 WHY The BFHI Initiative? Hospital, Maternity Units, Birthing Centers Set a Powerful Example for New Mothers (and Fathers) Can provide a Good Start to Breastfeeding basics First Influence of the benefits of Breastfeeding Can instill Confidence and Empowerment to Mothers (and Fathers) to continue Breastfeeding

8 7 In L&D provide information on how medical intervention and labour interventions can affect newborns ability to breastfeed Facilitate breastfeeding as soon as possible after birth Provide continuous skin-to-skin contact for at least the first 2 hours after birth or until after the first breastfeeding before routine tests – weighing & measuring allow some medical tests to be performed while on the breast Confirm that parents know to respond to early feeding readiness cues Help mother choose a comfortable position How Facilities can Support Exclusive Breastfeeding Promoting BFHI

9 8 Facilitate unrestricted breastfeeding 8-12 times per 24 hours Ensure breastfeeding culture is sustained Refuse to accept, market, distribute or promote breastmilk substitutes, bottles and artificial nipples Empower (educate) women to breastfeed their children exclusively for six months and to continue breastfeeding with complementary food, well into the second year and beyond Some of the 24 Recommendations of the International Lactation Consultant Assn document Evidence-based guidelines for breastfeeding management during the first fourteen days. How Facilities can Support Exclusive Breastfeeding Promoting BFHI Correct positioning (infant) Signs of correct latch-on (infant) Signs (in Mother and Infant) of milk transfer Observe:

10 9 Baby-Friendly designation is an International Standard Baby-Friendly maternity services have passed external assessment according to the Global BFHI Criteria. Is not appropriately applied to other medical services, community activities, workplaces or commercial products. 'breastfeeding-friendly', 'mother-child friendly' or 'pro-breastfeeding' may be used for any other complementary efforts to help mothers to breastfeed. Baby-Friendly Defined

11 10 Breastfeeding Committee for Canada (BCC) is the National Authority for implementing the WHO/UNICEF Baby-Friendly Hospital Initiative (BFHI) in Canada WHO/UNICEF BFHI in Canada

12 11 How a Hospital, Maternity Facility, Birthing Center Becomes WHO/UNICEF Baby-Friendly: WHO/UNICEF BFHI in Canada 1.Self-Appraisal process Form multidisciplinary committee Complete BFHI Self-Appraisal Tool Decision: Doesnt Meet or Meets 2. Recognizes need to improve Plan strategies to address weakness areas May contact Provincial/Territorial Committee for advice 4. Recognizes need to improve Plan actions to improve weak areas When standards met, submit request to P/T Committee 3.BFHI Pre-Assessment P/T Committee Reviews (the Approved ) Tool and breastfeeding handouts 5.External Assessment Using BFHI Global Criteria Breastfeeding Committee for Canada to arrange External Assessment by 2-4 BFHI Assessors (takes 2 – 4 days) 6. Submit Action Plan & timetable to meet criteria A Certificate of Commitment is issued P/T Committee (or BCC) provides advice up to 4 years Meets Baby-Friendly Hospital Certificate Awarded By BCC and the P/T Committee 7.Re-Assessment Every 5 years to Retain Baby-Friendly Criteria

13 12 References UNICEF Global Action BREASTFEEDING AND THE BABY-FRIENDLY INITIATIVE CURRENT STATUS OF BABY-FRIENDLY HOSPITAL INITIATIVE List of Baby-Friendly Hospitals Annex 1, Evaluating adequacy of Support for breast-feeding in maternity hospitals, wards and clinics, Infant Feeding The Physiological Basis, Supplement to Volume 67, 1989 of the Bulleting of the WHO BREASTFEEDING COMMITTEE FOR CANADA Breastfeeding Position Statement, How a Hospital, Maternity Facility, Birthing Center Becomes WHO/UNICEF Baby-Friendly: The Mother-friendly Childbirth Initiative, 10 questions to Ask, CIMS (Coalition for Improving Maternity Services) Take an interactive quiz

14 13 How we can contribute Support World Breastfeeding Week is celebrated every year, on the anniversary of the Innocenti Declaration. ( Aug 1- 7 ) UNICEF supports World Breastfeeding Week World Breastfeeding WeekUNICEF supports World Breastfeeding Week Help facilities work towards a BFHI designation Canadas only Baby-Friendly Hospital is Brome- Missisquoi-Perkins Hospital in Cowansville, Quebec. Designated in July 1 st, 1999 ( as of March 2002 ) Thank you for listening! Kairan Athwal and Sylvia te Boekhorst


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