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Compliance with the “Baby‐friendly Hospital Initiative for Neonatal Wards” in 36 countries

dc.contributor.authorMaastrup, Ragnhild
dc.contributor.authorHaiek, Laura N.
dc.contributor.authorLubbe, Welma
dc.contributor.authorMeerkin, Deena Yael
dc.contributor.authorWolff, Leslie
dc.contributor.authorHatasaki, Kiyoshi
dc.contributor.authorAlsumaie, Mona A.
dc.contributor.authorDe Leon‐Mendoza, Socorro
dc.contributor.authorNg, Yvonne P.M.
dc.contributor.authorShorey, Shefaly
dc.contributor.authorConti, Roxana
dc.contributor.authorLeme, Taynara
dc.contributor.authorRossetto, Edilaine Giovanini
dc.contributor.authorAcosta, Andrea Aldana
dc.contributor.authorNuñez, Ana Esther Ortiz
dc.contributor.authorToala, Esther
dc.contributor.authorGonzalez, Mirian Elizabeth Ortigoza
dc.contributor.authorBerger, Angelika
dc.contributor.authorHennequin, Yves
dc.contributor.authorBosnjak, Anita Pavicic
dc.contributor.authorNiela‐Vilén, Hannakaisa
dc.contributor.authorLaurent, Claire
dc.contributor.authorRousseau, Sylvaine
dc.contributor.authorJonsdottir, Rakel
dc.contributor.authorChapin, Elise M.
dc.contributor.authorSmildzere, Amanda
dc.contributor.authorTamelienėd, Rasa
dc.contributor.authorŽemaitienė, Raminta
dc.contributor.authorArendt, Maryse
dc.contributor.authorHansen, Mette Ness
dc.contributor.authorHuitfeldt, Anette Schaumburg
dc.contributor.authorBernatowicz‐ Łojko, Urszula
dc.contributor.authorBarbieri-Figueiredo, MC
dc.contributor.authorFrança, Ana Paula
dc.contributor.authorAbolyan, Liubov
dc.contributor.authorPastbina, Irina
dc.contributor.authorPallás‐Alonso, Carmen
dc.contributor.authorMoral‐Pumarega, Maria Teresa
dc.contributor.authorEriksson, Mats
dc.contributor.authorFlacking, Renée
dc.contributor.authorJohnson, Emily
dc.contributor.authorAnderson, Shannon
dc.contributor.authorBerkman, Jola
dc.contributor.authorBoswall, Diane
dc.contributor.authorBrown, Donna
dc.contributor.authorEmberley, Julie
dc.contributor.authorLeDrew, Michelle
dc.contributor.authorScringer‐Wilkes, Maxine
dc.contributor.authorSemenic, Sonia
dc.contributor.authorPerriman, Nicole
dc.contributor.authorO'Donoghue, Debbie
dc.date.accessioned2020-10-08T13:38:46Z
dc.date.available2020-10-08T13:38:46Z
dc.date.issued2018
dc.description.abstractIn 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMatern Child Nutr. 2019;15:e12690.pt_PT
dc.identifier.doi10.1111/mcn.12690pt_PT
dc.identifier.eissn1740-8709
dc.identifier.urihttp://hdl.handle.net/10400.26/33499
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley online Librarypt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/mcn.12690pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectAdultpt_PT
dc.subjectBreast Feedingpt_PT
dc.subjectCross-Sectional Studiespt_PT
dc.subjectFemalept_PT
dc.subjectGuideline Adherencept_PT
dc.subjectHospitalspt_PT
dc.subjectHumanspt_PT
dc.subjectInfant, Newbornpt_PT
dc.subjectInternationalitypt_PT
dc.subjectMalept_PT
dc.subjectMotherspt_PT
dc.subjectPostnatal Carept_PT
dc.subjectProgram Evaluationpt_PT
dc.titleCompliance with the “Baby‐friendly Hospital Initiative for Neonatal Wards” in 36 countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue2pt_PT
oaire.citation.startPagee12690pt_PT
oaire.citation.titleMaternal & Child Nutritionpt_PT
oaire.citation.volume15pt_PT
person.familyNameBarbieri-Figueiredo
person.familyNameFrança
person.givenNameMC
person.givenNameAna Paula
person.identifier.ciencia-id7212-3EC5-34CE
person.identifier.ciencia-idFA1E-F1F9-23CE
person.identifier.orcid0000-0003-0329-0325
person.identifier.orcid0000-0002-9252-5917
person.identifier.ridF-4264-2015
person.identifier.scopus-author-id39361079000
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationce37f804-c848-4341-88c9-928ddbcab1d1
relation.isAuthorOfPublicationcd7c0208-2783-4874-842b-7ee096666046
relation.isAuthorOfPublication.latestForDiscoverycd7c0208-2783-4874-842b-7ee096666046

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