Ten
Steps to Successful
Breastfeeding |
2005 |
2004 |
1. Written
Breastfeeding (BF) Policy routinely communicated
to all health care staff
1.1) With explicit written
notice
1.2) BF policy displayed
publicly |
100%
81% |
94%
75% |
2. Train all health
care staff
2.1) Acquainted with BF
policy
2.2) 18-hr training given to
staff within six month of their arrival
2.2.1) % of all staff including
nurses and doctors
2.2.1a) % of
O&G nursing staff
2.2.1b) % of
O&G doctors
2.2.2a) % of Paed.
nursing staff
2.2.2b) % of
Paed. doctors |
100%
---
---
89%
2%
64%
10% |
100%
50%
74%
---
---
---
--- |
3. Inform all pregnant
women about the advantages of BF
3.1) % of pregnant clients
informed
3.2) Give group instruction on
artificial feeding |
63%
38% |
72%
44% |
4. Help mothers initiate
BF within half an hour of birth
4.1) Normal deliveries (baby
skin to skin contact)
4.2) Caesarean deliveries (given
their babies to hold) |
60%
56% |
55%
45% |
5. Show mothers how to
breastfeed and how to maintain
lactation even if they
should be separated from their
infant
5.1) Offer breastfeeding
assistance within six hours of delivery
5.2) Help mothers of babies in
special care maintain lactation |
94%
100% |
94%
100% |
6. Give newborn only
breastmilk, unless medically
indicated
6.1) Given newborn infants no
food or drink other than breastmilk
6.2) No free or low-cost
supplies of breastmilk substitutes
accepted
6.3) No promotion of infant
foods or drinks other than breastmilk |
56%
0%
81% |
63%
0%
81% |
7. Practice rooming-in –
allow mothers and infants to remain together
24hours
7.1) Mothers and babies separated
more than 1hr before starting rooming-in
7.2) Mothers and babies stayed in the
same room day and night
7.3) % of mothers and babies
separated for medical reasons
7.4) There is a nursery in postnatal
ward for healthy infants |
75%
38%
22%
88% |
73%
50%
20%
88% |
8. Encourage
breastfeeding on demand |
100% |
94% |
9. Give no artificial
teats or pacifiers to BF
infants |
81% |
88% |
10. Foster the
establishment of BF support
groups
10.1) Refer BF mothers to BF
support groups
10.2) Facilitate the formation of
mother-to-mother or
healthcare worker-to-mother support
groups
10.3) Provide BF counseling in
its maternity services |
88%
56%
56% |
88%
63%
50% |
