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Updated: Mar 14, 2026

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Successful breastfeeding: a global intervention for a physiological process.

M F Corona1, P Cataldi, G Zaccagnini

  • 1Hospital-to-Districts Neonatology Unit, Mother and Child Department, E.L.H., La Spezia, Italy. neonatologia.sp@gmail.com.

Acta Bio-Medica : Atenei Parmensis
|September 21, 2016
PubMed
Summary
This summary is machine-generated.

The Baby Friendly Hospital Initiative achieved high exclusive breastfeeding rates at hospital discharge (85.3%). However, rates declined significantly by 6 months, necessitating further investigation into breastfeeding support strategies.

Keywords:
Baby Friendly Hospital Initiativebreastfeedinginfant

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Area of Science:

  • Perinatal care
  • Public health
  • Infant nutrition

Background:

  • The Baby Friendly Hospital Initiative (BFHI) promotes optimal infant feeding practices.
  • Evaluating BFHI implementation is crucial for improving breastfeeding support.
  • Sustaining breastfeeding beyond hospital discharge presents a significant challenge.

Purpose of the Study:

  • To assess the effectiveness of the WHO/UNICEF ten steps for the Baby Friendly Hospital Initiative.
  • To determine exclusive breastfeeding (EBF) and complementary breastfeeding (CBF) rates at hospital discharge (HD) and at 3 and 6 months postpartum.
  • To evaluate customer satisfaction with infant feeding support provided.

Main Methods:

  • Implementation of the ten steps of the WHO/UNICEF Baby Friendly Hospital Initiative in a perinatal unit.
  • Prospective evaluation of feeding status (EBF, CBF, formula fed) in healthy full-term infants (HFI) at HD, 3 months, and 6 months.
  • Administration of a customer satisfaction questionnaire to mothers at HD.

Main Results:

  • Exclusive breastfeeding (EBF) at hospital discharge (HD) was high at 85.3%.
  • EBF rates decreased to 59-62.4% at 3 months and 51.7-37.7% at 6 months postpartum.
  • Customer satisfaction with infant feeding support at HD was rated "good" to "very good" by 92.8% of mothers.

Conclusions:

  • The Baby Friendly Hospital Initiative effectively promotes high rates of EBF at hospital discharge.
  • Sustaining breastfeeding requires ongoing support beyond hospital discharge, as rates decline significantly over time.
  • Further research is needed to identify causes for breastfeeding reduction and compare findings with national and international trends.