Implementation in Hong Kong

Since 1992, we conduct survey on local hospitals’ practices of the “Ten Steps to Successful Breastfeeding” every year. Below is the result of the latest survey (2018) based on the self-appraisal by 18 local hospitals with maternity units.

Ten Steps to Successful Breastfeeding (BF)

(Self-Appraisal by Hospitals)

 

Hospital %

Survey year

2018

2017

 

Public

Private

All

All

1.  Written BF Policy routinely communicated to all health care staff 

1.1) With explicit written notice

100

80

89

89

1.2) BF policy displayed publicly

100

70

83

89

2.  Train all health care staff 

2.1) Acquainted with BF policy

100

90

94

89

2.2) 20-hr training given to staff within six month of their arrival 

   2.2a) % of O&G nursing staff

99

83

90

86

   2.2b) % of Paediatric nursing staff

84

44(H:7)

65(H:15)

60(H:15)

2.3) 8-hr training given to staff within six month of their arrival 

   2.3a) % of O&G doctors

49

10(H:6)

32(H:14)

42(H:11)

   2.3b) % of Paediatric doctors

68

7(H:6)

42(H:14)

62(H:11)

3. Inform all pregnant women about the benefits & management of BF 

3.1) % of pregnant clients informed

97

95

96

96

3.2) Give group instruction on artificial feeding

0

30

17

22

4. Help mothers initiate BF within half an hour of birth

4.1) Vaginal or Caesarean deliveries without general anaesthesia (skin-to-skin)

– % of mothers who had skin-to-skin contact within 5 minutes and >1 hour

48

33

40

39

4.2) Caesarean deliveries with general anaesthesia (skin to skin when   mother responsive)

– % of mothers

23(H:7)

31(H:9)

27(H:16)

34

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

100

100

100

100

5.2) Help mothers of babies in special care maintain lactation

100

100

100

100

6. Give newborn only breast-milk, unless medically indicated

6.1) Given newborn infants no food or drink other than breast-milk 

75

60

67

72

6.2) No free or low-cost supplies of breast-milk substitutes accepted

100

100

100

100

6.3) No promotion of infant foods or drinks other than breast-milk

100

100

100

94

7. Practise rooming-in – allow mothers and infants to remain together 24  hours a day

7.1) Mothers and babies with normal vaginal delivery are rooming-in from birth

100

40

67

67

7.2) All mothers and babies stayed in the same room day and night 

100

30

61

56

7.3) % of mothers and babies separated for medical reasons

28

17

22

24(H:16)

7.4) There is a nursery in postnatal ward for healthy infants

13

100

61

61

8. Encourage responsive (or demand) breastfeeding

100

30

61

61

9. Give no artificial teats or pacifiers to BF infants

88

70

78

78

10. Foster the establishment of BF support groups 

10.1) Refer BF mothers to BF support groups

100

100

100

89

10.2) Facilitate the formation of mother support groups and other community services

 88

 80

84

83

10.3) Provide BF counseling in its maternity services by trained mother support group counsellors

25

50

39

 39

 

 

Remarks:

Public hospitals with maternity unit: 8

Private hospitals with maternity unit: 10

All hospitals gave a response unless “H”, no. of hospitals providing information stated.