Published date: Mar 15 2021

Journal Title: KnE Life Sciences

Issue title: The 4th International Virtual Conference on Nursing

Pages: 881-896

DOI: 10.18502/kls.v6i1.8766

Nuraini Fauziahnur.ainifauziah02@gmail.comFaculty of Public Health, University of Indonesia, Depok, West Java, Indonesia

Pandu RionoFaculty of Public Health, University of Indonesia, Depok, West Java, Indonesia

طThe Baby−Friendly Hospital Initiative (BFHI) launched by WHO / UNICEF has proven to be a powerful tool for raising breastfeeding rates. Breastfeeding is a protective factor for health, and breastfeeding promotion continues to be an important measure to improve child and maternal health in both developed and developing countries. A systematic review of the effect of BFHI worldwide found that the BFHI was the most effective intervention for improving breastfeeding rates at health system level and adherence to the Ten Steps positively affected short-, medium-, and long-term breastfeeding outcomes. This study therefore examines the impact of baby-friendly hospital initiatives for improving exclusive breastfeeding. This study used systematic review which performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The published literature was identified using relevant keywords. The initial screening was conducted by year of publication (8 years) and free full text, then reading the titles and abstracts. Nine articles were included in this review. The studies showed there were positive impacts in enhancement of exclusive breastfeeding after applied baby-friendly hospital initiative program. Rates of exclusive breastfeeding were demonstrably improved by applying BFHI with Ten Steps to Successful Breastfeeding at health care facilities to all mothers from pregnancy until postpartum.

Keywords: Baby-Friendly Hospital Initiative, breastfeeding, exclusive breastfeeding, Ten Steps, Ten Steps to Successful Breastfeeding

[1] Saleha, S. (2009). Asuhan Kebidanan Pada Masa Nifas. Jakarta: Salemba Medika.


[2] Labbok, M. H. (2012). Global Baby-Friendly Hosital Initiative Monitoring Data: Update and Discussion. Breastfeeding Medicine, vol. 7, issue 4, pp. 210-22.


[3] Fikawati, S. and Syafiq, A. (2012). Status Gizi Ibu dan Persepsi Ketidakcukupan Air Susu Ibu (Maternal Nutritional Status and Breast Milk Insufficiency Perception). Journal Kesmas, issue 450, pp. 249-254.


[4] Sinha, B., et al. (2015). Interventions to Improve Breastfeeding Outcomes: A Systematic Review and Meta-Analysis. Acta Pediatrica, issue 104, pp. 114-134.


[5] Perez-Escamilla, R., Martinez, J. L. and Segura-Perez, S. (2016). Impact of the Baby-Friendly Hospital Initiative on Breastfeeding and Child Health Outcomes: A Systematic Review. Maternal and Child Nutrition, issue 12, pp. 402-417.


[6] World Health Organization. (2018). Ten Steps to Successful Breastfeeding. Retrieved from www. tensteps.org.


[7] BFUSA. (2012). The Ten Steps to Successful Breastfeeding. Retrieved from www.babyfriendlyusa.org/ about-us/baby-friendly-hospital-initiative/the-ten-steps.


[8] Khan, M. and Akram, D. S. (2013). Effects of Baby-Friendly Hospital Initiative on Breastfeeding Practices in Sindh. Journal Of Pakistan Medical Association., vol. 63, pp. 756-759.


[9] Taylor, E. C., et al. (2012). Implementing the Ten Steps for Successful Breastfeeding in Hospitals Serving Low-Wealth Patients. American Journal of Public Health, vol. 102, pp. 2262-2268.


[10] Susiloretni, K. A., et al. (2015). What Works to Improve Duration of Exclusive Breastfeeding: Lessons from the Exclusive Breastfeeding Promotion Program in Rural Indonesia. Maternal Child Health Journals, issue 19, pp. 1515-1525.


[11] Baerug, A., et al. (2016). Effectiveness of Baby-Friendly Community Health Services on Exclusive Breastfeeding and Maternal Satisfaction: A Pragmatic Trial. Maternal and Child Nutrition, vol. 12, pp. 428-439, https://doi.org/10.1111/mcn.12273.


[12] Hawkins, S. S., et al. (2014). Evaluating the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Rates: A Multi-State Analysis. Public Health Nutrition, issue 18, pp. 189–197, https: //doi.org/10.1017/s1368980014000238.


[13] Carvalho, M. L., et al. (2016). The Baby-Friendly Hospital Initiative and Breastfeeding at Birth in Brazil: A Cross Sectional Study. Reproductive Health, vol. 13, issue 3, pp. 207-215, https://doi.org/10.1186/ s12978-016-0234-9.


[14] Spaeth, A. (2017). Baby-Friendly Hospital Designation Has a Sustained Impact on Continued Breastfeeding. Maternal and Child Nutrition, issue 14, p. 12497.


[15] Dratva, J., et al. (2014). SWIFS–Swiss Infant Feeding Study. A National Study on Infant Feeding and Health in the Child’s First Year Executive Summary. Retrieved from https://www.swisstph.ch/ swifswebsite.


[16] Baby-Friendly USA. (2010). Implementing the UNICEF-WHO Baby Friendly Hospital Initiative (BFHI) in the United States. Retrieved from http://www.babyfriendlyusa.org/eng/10steps.html.


[17] Forrester-Knauss, C., et al. (2013). The Baby-Friendly Hospital Initiative in Switzerland: Trends Over A 9-Year Period. Journal of Human Lactation, vol. 29, issue 4, pp. 510-516.


[18] Brodribb, W., Kruske, S. and Miller, Y. D. (2013). Baby-Friendly Hospital Accreditation, in Hospital Care Practices, and Breastfeeding. Pediatrics, vol. 131, issue 4, pp. 685–692, https://doi.org/10.1542/peds. 2012-2556.


[19] Callendret, M., et al. (2015). Hospital Practices and Breastfeeding Cessation Risk Within 6 Months of Delivery. Archives de Pédiatrie, vol. 22, issue 9, pp. 924–931.


[20] Chien, L. Y., et al. (2007). The Number of Baby Friendly Hospital Practices Experienced by Mothers is Positively Associated with Breastfeeding: A Questionnaire Survey. International Journal of Nursing Studies, vol. 44, issue 7, pp. 1138–1146, https://doi.org/10.1016/j.ijnurstu.2006.05.015.


[21] Dulon, M., Kersting, M. and Bender, R. (2003). Breastfeeding Promotion in Non-UNICEF-Certified Hospitals and Long-Term Breastfeeding Success in Germany. Acta Paediatrica, vol. 92, issue 6, pp. 653–658.


[22] Murray, E. K., Ricketts, S. and Dellaport, J. (2007). Hospital Practices that Increase Breastfeeding Duration: Results from a Population-Based Study. Birth, vol. 34, issue 3, pp. 202–211, https://doi.org/10. 1111/j.1523-536X.2007.00172.x.


[23] Baghurst, P., et al. (2007). Breastfeeding Self-Efficacy and other Determinants of the Duration of Breast Feeding in A Cohort of First-Time Mothers in Adelaide, Australia. Midwifery, vol. 23, issue 4, pp. 382– 391, https://doi.org/10.1016/j.midw.2006.05.004.


[24] Scott, J. A., Shaker, I. and Reid, M. (2004). Parental Attitudes toward Breastfeeding: their Association with Feeding Outcome at Hospital. https://doi.org/10.1111/j.0730-7659.2004.00290.x


[25] Hawkins, S. S., et al. (2014). Compliance with the Baby-Friendly Hospital Initiative and Impact on Breastfeeding Rates. Archives of Dissease in Childhood Fetal and Neonatal Edition, issue 99, pp. 138-143.


[26] Munn, A. C., et al. (2016). The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes. Breastfeeding Medicine, vol. 11, issue 5, https: //doi.org/10.1089/bfm.2015.0135.


[27] BFUSA. (2012). Get Started. Retrieved from www.babyfriendlyusa.org.


[28] Nyqvist, K. H., et al. (2013). Expansion of the Baby-Friendly Hospital Initiative Ten Steps to Successful Breastfeeding into Neonatal Intensive Care: Expert Group Recommendations. Journal of Human Lactation, vol. 29, pp. 300–309.


[29] American Public Health Association (APHA). A Call to Action on Breastfeeding: A Fundamental Public Health Issue. Retrieved from www.apha.org.


[30] World Health Organization [WHO]. (1998). Evidence for the Ten Steps to Successful Breastfeeding. Geneva: World Health Organization.


[31] Merewood, A., et al. (2005). Breastfeeding Rates in US Baby-Friendly Hospitals: Results of a National Survey. Pediatrics, issue 116, pp. 628–634.


[32] Vasquez, M. J. and Berg, O. R. (2012). The Baby-Friendly Journey in a US Public Hospital. The Journal of Perinatal Neonatal Nursing, vol. 26, pp. 37–46.


[33] Philipp, B. L., et al. (2001). Baby-Friendly Hospital Initiative Improves Breastfeeding Initiation Rates in a US Hospital Setting. Pediatrics, issue 108, pp. 677–681.


[34] Parker, M., et al. (2013). 10 Years After Baby Friendly Designation: Breastfeeding Rates Continue to Increase in a US Neonatal Intensive Care Unit. Journal of Human Lactation, issue 29, pp. 354–358


[35] Perrine, C. G., et al. (2012). Baby-Friendly Hospital Practices and Meeting Exclusive Breastfeeding Intention. Pediatrics, vol. 130, issue 1, pp. 54–60, https://doi.org/10.1542/peds.2011-3633.


[36] Schwarzer, R. (2008). Modeling Health Behavior Change: How to Predict and Modified Option and Maintenance of Health Behaviors. Applied Psychology: An International Review, vol. 57, issue 1, pp. 1–29.


[37] Venancio, S. I., et al. (2012). The Baby-Friendly Hospital Initiative Shows Positive Effects on Breastfeeding Indicators in Brazil. Journal of Epidemiology & Community Health, vol. 66, issue 10, pp. 914–8.