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Baby Friendly
Baby Friendly Hospital Initiative

This essay will look at the literature on Baby Friendly Hospital Initiative (BFHI) understand the current developments in healthcare and how these relate to healthcare. Besides that, I will also explore the different theories of models of care and link it to practice. Finally, I will value the advancement in healthcare and precariously analyze the influence upon healthcare practice.

Around one million babies globally die yearly because they are not breastfed and given supplementary food before time. Others live in deprived health, contract preventable disease and suffer from malnutrition (Baby Friendly USA 2010). Lacks in breastfeeding during the first stages of a newborns life are the important factors for infant morbidity and mortality. BFHI is a worldwide effort initiated by WHO and UNICEF to apply practices that protect, promote and support breastfeeding. The BFHI was launched in 1991 by World Health Organization (WHO) and UNICEF as a worldwide effort to guarantee infants are breastfed for the best start in life. Since then it been 19 years and this initiative has made a great improvement (Saadeh & Casanovas 2009) .To help encourage this initiative different effort has been taken such as materials were supplied, lessons and seminar for maternity staff was held to improve the quality ok knowledge. (UNICEF 2002) .A hospital can be accredited a Baby Friendly Hospital (BFH) when it does not approve any substitutes for breast milk and has also implemented The Ten Steps for Successful Breastfeeding.

The ten steps for successful breastfeeding as listed are:-
• Keep up a written breastfeeding plan which is regularly corresponds to all health care staff.
• Prepare all the staff in expertise necessary to apply this principles
• Notify all mothers on the advantage and care of breastfeeding
• Assist mothers to start breastfeeding in between one hour of birth.
• Demonstrate how to breastfeed and how to care of lactation, even



References: (accessed on 30 November 2010) ▪ Anderson J W, Johnstone B M, Remley D T (1999) Breast-feeding and cognitive development: a meta-analysis, American Journal of Clinical Nutrition, 70 (4):525-535 http://www.ajcn.org/content/70/4/525.full (accessed 1 December 2010) ▪ Armstrong J, Reilly J J, and the Child Health Information Team (2002), Breastfeeding and lowering the risk of childhood obesity, The Lancet, 359(2002) :2003-04 ▪ Baby Friendly USA (2010) Implementing the UNICEF / WHO Baby Friendly Hospital Initiative in the U.S. , UNICEF http://www.babyfriendlyusa.org/eng/01.html (accessed on 20 November 2010) ▪ Britton C, McCormick FM, Renfrew MJ, Wade A, King SE (2009) Support for breastfeeding mothers, JohnWiley & Sons Ltd, 4(2009):1-79 http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD001141/pdf_fs.html (accessed on 30 November 2010) ▪ Broadfoot M , Britten J, Tappin DM, Mac Kenzie JM (2005) The Baby Friendly Hospital Initiative and breast feeding rates in Scotland, ADC Fetal and Neonatal Edition, 90 (2):114-116 http://fn.bmj.com/content/90/2/F114.full.pdf (accessed on 24 November 2010) ▪ DOWNHAM M A P S, SCOTT R, SIMS D G et al(1976) Breastfeeding protects against respiratory syncytial virus infection, British Medical Journal, 1976(2):274-276 http://www.bmj.com/content/2/6030/274.full.pdf+html (accessed on 5 December 2010) ▪ Jacobson S W, Chiodo L M and Jacobson J L(1999) Breastfeeding Effects on Intelligence Quotient in 4- and 11-Year-Old Children, American Academy of Pediatrics, 103(5):1-6 http://pediatrics.aappublications.org/cgi/reprint/103/5/e71 (accessed on 11 December 2010) ▪ Jones G, Steketee R W, Black RE et al (2003) How many child deaths can we prevent this year? THE LANCET, 362(2003):65-71 http://www.who.int/child_adolescent_health/documents/pdfs/lancet_child_survival_prevent_deaths.pdf (accessed 1 December 2010) (accessed on 1 December 2010) ▪ KwaZulu-Natal Department of Health (2001) History of the Baby Friendly Hospital Initiative, Department of Health KwaZulu-Natal http://www.kznhealth.gov.za/babyfriendly.htm (accessed on 20 November 2010) ▪ Malik A NJ and Cutting W AM (1998) Breastfeeding the baby friendly initiative, British Medical Journal , 316( 7144):316 http://www.bmj.com/content/316/7144/1548.full#xref-ref-8-1 (accessed on 24 November 2010) ▪ Mcinnes RJ and Tappin DM (1996) Value of milk tokens for breast feeding mothers should be increased, British Medical Journal ,313(7070):313 http://www.bmj.com/content/313/7070/1484.4.full (accessed on 24 November 2010) ▪ Pearson A , Vaughan B, Fitzgerald M (1996) Nursing Models For Pratice, Oxford: Butterworth-Heinemann. (accessed on 26 November 2010 ▪ Saadeh R and Casanovas C ( 2009) Implementing and revitalizing the Baby-Friendly Hospital Initiative, Food and Nutrition Bulletin, 30(2):227-229 http://worldbreastfeedingweek.org/pdf/wbw2010-ur-implementing-bfhi.pdf (accessed on 20 November 2010)

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