Baby-Friendly Hospital Initiative

Quality of Life

• Families save between $1200 & $1500 in formula alone in the first year

• Fewer missed days of work due to sick babies• Babies have higher IQs • If 90% of U.S. families followed guidelines to

exclusively breastfeed for 6 months, U.S. would annually save $13 billion

Healthiest Community

Babies are less likely to have ear infections, pneumonia, diarrhea, asthma, obesity, diabetes, Sudden Infant Death Syndrome, NEC and RSV.

Mothers reduce their risk of breast and ovarian cancers.

Breastfeeding

Personal Preference Scientific Value

There are multiple very real here are multiple very real advantages to providing advantages to providing human milk human milk (for both mom and baby)

• Hundreds of scientific papers have been published on this topic

• Human milk is superior to Human milk is superior to formulaformula

• Formula is inferior to human Formula is inferior to human milkmilk

Benefits of Human Milk: MortalityBenefits of Human Milk: MortalityPost-neonatal infant mortality rates in the

United States are reduced by 21% in breastfed infants

Pediatrics. 2005 Feb;115(2):496-506

Benefits of Human Milk: SummaryBenefits of Human Milk: Summary• Human milk is the recommended source of

nutrition for preterm and term newborns• Human milk has a large number of health

benefits for babies, mothers, and society

Human milk is an extremely important Human milk is an extremely important MEDICATION that should be used in MEDICATION that should be used in every newborn!!!every newborn!!!

The Surgeon General’s Call to Action to Support Breastfeeding 2011

“Nearly all births in the United States occur in the hospital, but hospital practices and policies in maternity settings can create barriers to supporting a mother’s decision to breastfeed.”

The Surgeon General’s Solution? Become Baby-Friendly

What are hospitals doing to undermine breastfeeding success?

• Failure to put babies skin to skin with their mothers immediately after birth

• Supplementing full-term, healthy newborns with formula• Providing gift packs from formula companies• Separating mothers and their babies during the postpartum

stay

“…the tragedy is that despite knowledge about the negative effects…these practices continue in many U.S. hospitals.”

–Nancy K. Lowe, Editor, JOGNN 2011

Maternal Infant and Child Health: Goal #24

Increase the proportion of live births that occur at facilities that provide the recommended care for lactating

mothers and their babies

“Recommended care” = Baby-Friendly

“What can be done? Become Baby-Friendly.”

CDC Breastfeeding Report Card 2011

“…less than 5% of U.S. infants are born in Baby-Friendly hospitals. The hospital period is critical for mothers and babies to learn to breastfeed, and hospitals need to do more to support them.”

• PC-01 Elective delivery • PC-02 Cesarean section• PC-03 Antenatal steroids• PC-04 Health care–associated

bloodstream infections in newborns• PC-05 Exclusive breast milk feeding

PC-05 How? Baby-Friendly

Retail cost of formula based on 2010 usage$208,341.88

Estimated wholesale cost estimated between $27,155.58 and $41,973.31

Cost cutting measures• Increase exclusive breastfeeding rates• Decrease gratuitous use of formula• Control access to formula• Track formula usage • Absorb costs through room charge adjustment• Supply usage analysis

Funding

• Health Foundation• Local business grants• American Academy of Pediatrics grants• Center for Disease Control grants• Indiana Perinatal Network

The Beginning!

10 Steps to Baby-Friendly• Have a written breastfeeding policy that is

routinely communicated to all healthcare staff.• Train all health care staff in skills necessary to

implement this policy.• Inform all pregnant women about the benefits

and management of breastfeeding.• Help mothers initiate breastfeeding within one

hour of birth.• Show mothers how to breastfeed and how to

maintain lactation even if they should be separated from their infants.

10 Steps to Baby-Friendly• Give newborn infants no food or drink other than

breastmilk, unless medically indicated.• Practice rooming-in—allow mothers and infants

to remain together 24 hours a day.• Encourage breastfeeding on demand.• Give no artificial nipples or pacifiers to

breastfeeding infants.• Foster the establishment of breastfeeding

support groups and refer mothers to them on discharge from the hospital or clinic.