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Updated: Mar 17, 2026

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Trends in Baby-Friendly® Care in the United States: Historical Influences on Contemporary Care

Jean Salera-Vieira1, Cynthia T Zembo

  • 1Education Department, Kent Hospital, Warwick, Rhode Island (Ms Salera-Vieira); and Lactation Department, Women and Infants Hospital of Rhode Island, Providence (Ms Zembo).

The Journal of Perinatal & Neonatal Nursing
|July 29, 2016
PubMed

The protection that breast-feeding affords both mother and infant against acute and chronic illness is well documented. The grassroots, public health, and governmental supports for breast-feeding have influenced changes in maternal and newborn care. History indicates that the additional influence has come in the form of governmental workshops and initiatives, professional organizations, as well as The Joint Commission. This includes the influence that the Baby-Friendly® Hospital Initiative and the Ten Steps to Successful Breastfeeding have had on infant care throughout the years. The requirements that hospitals must follow to implement all, or some, of the Ten Steps lead to change in care that not only increases breast-feeding rates but also leads to health improvements. This article reviews how an upward trend in the adoption of Baby-Friendly practices to support breast-feeding impacts infant care.

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