ESEP - Artigos e Conference Proceedings
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Browsing ESEP - Artigos e Conference Proceedings by Author "Abolyan, Liubov"
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- Compliance with the “Baby‐friendly Hospital Initiative for Neonatal Wards” in 36 countriesPublication . Maastrup, Ragnhild; Haiek, Laura N.; Lubbe, Welma; Meerkin, Deena Yael; Wolff, Leslie; Hatasaki, Kiyoshi; Alsumaie, Mona A.; De Leon‐Mendoza, Socorro; Ng, Yvonne P.M.; Shorey, Shefaly; Conti, Roxana; Leme, Taynara; Rossetto, Edilaine Giovanini; Acosta, Andrea Aldana; Nuñez, Ana Esther Ortiz; Toala, Esther; Gonzalez, Mirian Elizabeth Ortigoza; Berger, Angelika; Hennequin, Yves; Bosnjak, Anita Pavicic; Niela‐Vilén, Hannakaisa; Laurent, Claire; Rousseau, Sylvaine; Jonsdottir, Rakel; Chapin, Elise M.; Smildzere, Amanda; Tamelienėd, Rasa; Žemaitienė, Raminta; Arendt, Maryse; Hansen, Mette Ness; Huitfeldt, Anette Schaumburg; Bernatowicz‐ Łojko, Urszula; Barbieri-Figueiredo, MC; França, Ana Paula; Abolyan, Liubov; Pastbina, Irina; Pallás‐Alonso, Carmen; Moral‐Pumarega, Maria Teresa; Eriksson, Mats; Flacking, Renée; Johnson, Emily; Anderson, Shannon; Berkman, Jola; Boswall, Diane; Brown, Donna; Emberley, Julie; LeDrew, Michelle; Scringer‐Wilkes, Maxine; Semenic, Sonia; Perriman, Nicole; O'Donoghue, DebbieIn 2012, the Baby-friendly Hospital Initiative for Neonatal Wards (Neo-BFHI) began providing recommendations to improve breastfeeding support for preterm and ill infants. This cross-sectional survey aimed to measure compliance on a global level with the Neo-BFHI's expanded Ten Steps to successful breastfeeding and three Guiding Principles in neonatal wards. In 2017, the Neo-BFHI Self-Assessment questionnaire was used in 15 languages to collect data from neonatal wards of all levels of care. Answers were summarized into compliance scores ranging from 0 to 100 at the ward, country, and international levels. A total of 917 neonatal wards from 36 low-, middle-, and high-income countries from all continents participated. The median international overall score was 77, and median country overall scores ranged from 52 to 91. Guiding Principle 1 (respect for mothers), Step 5 (breastfeeding initiation and support), and Step 6 (human milk use) had the highest scores, 100, 88, and 88, respectively. Step 3 (antenatal information) and Step 7 (rooming-in) had the lowest scores, 63 and 67, respectively. High-income countries had significantly higher scores for Guiding Principles 2 (family-centered care), Step 4 (skin-to-skin contact), and Step 5. Neonatal wards in hospitals ever-designated Baby-friendly had significantly higher scores than those never designated. Sixty percent of managers stated they would like to obtain Neo-BFHI designation. Currently, Neo-BFHI recommendations are partly implemented in many countries. The high number of participating wards indicates international readiness to expand Baby-friendly standards to neonatal settings. Hospitals and governments should increase their efforts to better support breastfeeding in neonatal wards.