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Archives of Disease in Childhood - Fetal and Neonatal Edition 2006;91:F145-F149; doi:10.1136/adc.2005.074443
Copyright © 2006 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health
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REVIEW

Baby-Friendly: snappy slogan or standard of care?

B L Philipp1, A Radford2

1 Boston University School of Medicine, The Breastfeeding Center, Boston Medical Center, Boston, MA, USA
2 UNICEF UK Baby-Friendly Initiative, Africa House, 64–78 Kingsway, London, WC2B 6NB, UK

Correspondence to:
Correspondence to:
Dr Barbara L Philipp
Division of General Pediatrics, Maternity Building, 4th Floor, 91 East Concord Street, Boston, MA 02118, USA; bobbi.philipp{at}bmc.org


ABSTRACT
Breastfeeding offers significant protection against illness for the infant and numerous health benefits for the mother, including a decreased risk of breast cancer. In 1991, UNICEF and WHO launched the Baby-Friendly Hospital Initiative with the aim of increasing rates of breastfeeding. "Baby-Friendly" is a designation a maternity site can receive by demonstrating to external assessors compliance with the Ten Steps to Successful Breastfeeding. The Ten Steps are a series of best practice standards describing a pattern of care where commonly found practices harmful to breastfeeding are replaced with evidence based practices proven to increase breastfeeding outcome. Currently, approximately 19 250 hospitals worldwide have achieved Baby-Friendly status, less than 500 of which are found in industrialised nations. The Baby-Friendly initiative has increased breastfeeding rates, reduced complications, and improved mothers’ health care experiences.

Abbreviations: AAP, American Academy of Pediatrics; BFHI, Baby-Friendly Hospital Initiative; BMC, Boston Medical Center

Keywords: Baby-Friendly; breastfeeding; UNICEF






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