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Achieving Baby-Friendly Designation at a Large Metropolitan Center
Talitha Bruney1, Deborah Campbell2, Abieyuwa Iyare3
1Department of Obstetrics and Gynecology, Montefiore Medical Center, Jack D. Weiler Hospital, Bronx, New York.
American Journal of Perinatology
|March 1, 2019
Summary
Achieving Baby-Friendly designation increased antenatal breastfeeding education and shifted feeding patterns to primarily breastfeeding. This urban medical center successfully maintained changes for improved mother-baby outcomes.
Area of Science:
- Public Health
- Maternal and Child Health
- Healthcare Management
Background:
- Baby-Friendly designation is a global initiative to encourage and support breastfeeding.
- Large metropolitan centers face unique challenges in implementing hospital-wide health initiatives.
Purpose of the Study:
- To detail the process of obtaining Baby-Friendly designation in a large urban hospital.
- To evaluate initial patient-related outcomes following designation.
Main Methods:
- Participation in the New York City Department of Health and Mental Hygiene Breastfeeding Hospital Collaborative (2012-2017).
- Monthly data monitoring and audits across prenatal and maternity units.
- Consistent prenatal breastfeeding education across all outpatient sites.
Main Results:
- 89.8% of patients received prenatal breastfeeding education by 2017.
- A significant shift in infant feeding patterns from formula to predominantly breastfeeding.
- Successful attainment of Baby-Friendly designation in June 2017.
Conclusions:
- The initiative led to increased antenatal patient education and a shift towards primary breastfeeding.
- The hospital successfully sustained the workflow modifications implemented during the designation process.
- Positive initial patient outcomes were observed post-designation.
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