BABY FRIENDLY HOSPITAL INITIATE DR. ASIF BAGWAN 1 ST Yr. PEDIATRIC RESIDENT
INTRODUCTION The Baby Friendly Hospital Initiative (BFHI) was launched in 1991 By UNICEF and WHO. It was adopted by India in 1993. It has served as a motivating force and maternity facilities all around the world to implement policies and practices that support breastfeeding.
The baby friendly hospital initiative (BFHI) seeks to provide mothers and babies with a good start for breastfeeding, increasing the likelihood that babies will be breastfed exclusively for six month and then given appropriate foods while breastfeeding continues for two years or beyond.
Every year, the ‘World Breastfeeding Week' (WBW) is celebrated from 1st to 7st of August. Breastfeeding is now accepted as a human right, a right of the baby as well as the mother.
Goals of BFHI 1. To transform hospitals and pediatric facilities to BFH through implementation of TEN STEPS. 2. To end the practice of distribution of free and low cost supplies of breast milk substitutes to hospitals, medical colleges.
The Baby Friendly Hospital are required to adopt breast feeding policy and follow the "TEN STEPS OF SUCCESSFUL BREASTFEEDING" as recommended by code of practice by WHO and UNICEF
a. It should be in local language understandable to patient, relatives and our staff b. It should be easily available to staff caring for mother as well as babies c. It should be displayed in obstetric and pediatric ward where most of mother and babies cared 1. To Have a written breastfeeding policy that is routinely communicated to all health care staff.
The health care staff should get practical training to implement theses 10 steps of successful breastfeeding. They should be taught the skill needed to assist the nursing mothers for expression of breast milk, correct positioning for breast feeding. 2. Train all health care staff in skills necessary to implement this policy.
During Antenatal period mother should be informed and educated about benefits of breastfeeding, early initiation , importance of rooming in, feeding on demand, exclusive breastfeeding and risk of artificial feeding and use bottle fed pacifiers. Antenatal education should not include group education on formula preparation. 3.Inform all pregnant women about the benefits and management of breastfeeding.
Encourage mother baby bonding soon after delivery and encourage all the mothers to initiate breastfeeding within an hour after birth 4. Help mothers initiate breastfeeding within an hour of birth
Mothers should be taught the art of breastfeeding including position and technique of breastfeeding. Helping the mothers with common breastfeeding problems and should be taught with correct technique of breastfeeding 5.Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants.
Newborn always be breastfed but there are rare exceptions during which the infant may require other fluids in addition to, or in place of Brest milk. The feeding program in these babies should be determined by Qualified Health Professionals on individual basis. 6. Give newborn infants no food or drink other than breast milk, unless medically indicated.
A hospital should make arrangements that mother and baby stay in the same room day and night allowing unlimited contact between mother and staff 7. Practise rooming-in and allow mothers and infants to remain together 24 hours a day
Breastfeeding the baby when mother and or child wants 8.Encourage breastfeeding on demand.
Pacifier should not be given to babies due to risk of infection and non nutritive sucking. Expressed breast milk should be administered through bowl and spoon but not feeding bottles 9. Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.