Transcript Baby Friendly Health Initiative (BFHI) accreditation

Baby Friendly Health
Initiative (BFHI) Accreditation
Protecting, supporting and promoting
breastfeeding in WA hospitals
© 2008. Department of Health, State of Western Australia
Delivering a Healthy WA
Our hospital is applying
for Baby Friendly
Health Initiative (BFHI)
accreditation.
Each of us has a role to
play in implementing the
ten steps to successful
breastfeeding.
Breastfeeding gives babies the
best start in life.
BFHI is a World Health Organisation (WHO)
/ United Nations Children’s Fund (UNICEF)
global strategy
That promotes:
• exclusive breastfeeding for 6 months.
• timely introduction of adequate, safe and
appropriate complementary food.
• breastfeeding for 2 yrs and beyond, as mother
and baby desire.
Everyone
Everywhere
Benefits
The Baby Friendly Health Initiative (BFHI)
• Was launched in 1991 by WHO/UNICEF.
• It aims to give every baby the best start in
life by creating a health care environment
where breastfeeding is the norm.
BFHI goals
• Implement the “Ten steps to
successful breastfeeding”.
• End the practice of
distribution of free and low
cost supplies of infant formula
to hospitals and maternity
wards.
• Compliance with the WHO
International code of breast
milk marketing.
Compliance with the WHO international
code of marketing of breast milk
substitutes means;
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NO advertising.
NO donations.
Of formula
NO free samples.
NO promotion.
NO gifts.
NO pictures idealising formula feeding.
NO use of equipment sponsored or produced by
formula companies.
Our goals
• For all staff to know how they can protect,
promote and support breastfeeding in our
hospital.
• For all staff to be educated on the ten steps to
successful breastfeeding.
Step one:
Have a written breastfeeding
policy that is routinely
communicated to all health
care staff.
The policy should be on display
• The policy is based on the
10 steps.
• Everyone should know
about it – if you don’t know
ask a midwife.
• It gives guidance on the
initiation of breastfeeding.
• It ensures consistent
hospital practices.
Step two:
Train all health care staff in
skills necessary to implement
this policy.
•Everyone should attend some form of training.
•Formal training ensures consistent advice and
management.
•Improves initiation and duration of breastfeeding.
Step three:
Inform all pregnant women about
the benefits and management of
breastfeeding.
• Information given to women about the
benefits of breastfeeding motivates them to
breastfeed.
• Ensures mothers have made an informed
choice.
Step four:
Place babies skin to skin contact with
their mothers immediately following
birth for at least an hour and
encourage mothers to recognise
when their babies are ready to
breastfeed, offering help if needed.
Babies placed skin to skin
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Cry less.
Keep warm.
Use less energy.
Start to develop their
instinctive feeding
behaviours.
Step five:
Show mothers how to breastfeed
and how to maintain their
lactation even if separated from
their infants.
• Expert advice and support improves the
mother’s confidence.
• Information and individual help on
expressing breast milk maintains the milk
supply of a mother if separated from her
baby.
Step six:
Give newborn infants no food or
drink other than breast milk,
unless medically indicated.
Other food or drink
• May interfere with newborn
suckling.
• Reduces the frequency of
breastfeeding.
• Reduces breast stimulation and
therefore milk supply.
• Is known to cause early cessation
of breastfeeding.
• Interferes with baby’s feeding
behaviours.
• May undermine the mother’s
confidence.
Step seven:
Practice rooming-in, allow
mothers and babies to remain
together 24 hours a day.
• Reduces the chances of cross infection.
• Allows the mother to respond to her baby when
they show readiness to feed.
• Helps establish good milk flow and production.
• Improves breastfeeding outcomes.
Step eight:
Encourage breastfeeding on
demand.
• Scheduled feeding leads to breastfeeding
problems and may cause insufficient milk
supply.
• Feeding the baby whenever they are hungry
helps produce and maintain the milk supply.
• Frequency and length of feeds vary between
infants and from day to day.
Step nine:
Give no artificial teats or
dummies to breastfed infants.
• Dummies reduce time spent suckling at the
breast.
• Dummies should not replace a breastfeed.
• Cup or finger feeding is recommended if
feeding at the breast is not possible.
Step ten:
Foster the establishment of
breastfeeding support and refer
mothers on discharge from the
facility.
Continued support after discharge improves
breastfeeding rates.
What’s all the fuss?
Breast milk and breastfeeding baby
benefits
•Colostrum(first milk) is the baby’s first
immunisation.
•Important for the development of the
digestive system.
•Perfect for immature organs.
•Is a living fluid that protects against
infection and allergy.
•Breastfed babies have less stomach,
ear and chest illnesses.
•Higher intelligence and better vision.
•May protect against diabetes and heart
disease in later life.
•Reduces the risk of childhood obesity.
Breastfeeding benefits for mums
• May reduce the risk of
osteoporosis, breast and
ovarian cancers.
• Promotes bonding.
• Helps the uterus return to
normal size.
• Helps the return to prepregnancy weight.
Breastfeeding benefits for the
family
• Requires no special
equipment.
• Reduces health care
costs.
• Protects the
environment.
• Is free.
Who can help?
• Australian Breastfeeding Association. 24hr
helpline, 1800 mum 2 mum= 1800 686 2 686
• Midwives
• Community Child Health Nurses.
• Some hospitals have dedicated breastfeeding
clinics.
• Private Lactation Consultants (fees apply).
• Mother’s groups (playgroups, coffee mornings etc).
• You
How can you help?
Understand how the ‘Ten steps
to successfully breastfeeding’
can affect your practice.
Know how important
breastfeeding is for everyone.
Know what to say
and
ask the midwives for help if a
mother asks your advice.
Produced for WA Health:
Women’s and
Newborns’ Health
Network
Music: Sovereign. Kevin MacLeod (incompetech.com). Licensed under Creative
Commons “Attribution 3.0 http://creativecommons.org/licenses/by/3.0/
Photographs: Families and staff from King Edward Memorial Hospital.
© 2008. Department of Health, State of Western Australia