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Compliance With the "Baby-Friendly Hospital Initiative for Neonatal Wards" in Russian Hospitals
Liubov V Abolyan1, Laura N Haiek2,3, Irina M Pastbina4
168477 Sechenov First Moscow State Medical University, Department for Health Care and Public Health, Moscow, Russia.
Insights
Russian neonatal wards show high compliance with the Neo-BFHI (Baby-Friendly Hospital Initiative) breastfeeding support recommendations. Most facilities aim for Neo-BFHI designation, indicating successful implementation potential.
Area of Science:
- Neonatal care practices
- Public health initiatives
- Breastfeeding support
Background:
- The Baby-Friendly Hospital Initiative (BFHI) expanded to neonatal wards as Neo-BFHI, offering guidelines for breastfeeding support.
- In 2017, Russia joined an international survey assessing adherence to Neo-BFHI standards in neonatal care.
Purpose of the Study:
- To evaluate breastfeeding support policies and practices in Russian neonatal wards.
- Assessments were conducted at national and federal district levels against Neo-BFHI recommendations.
Main Methods:
- A prospective cross-sectional survey was employed.
- The Neo-BFHI Self-Assessment questionnaire gathered data from 60 Russian neonatal wards.
- Participating hospitals were either Baby-Friendly designated or intended to be.
Main Results:
- Overall compliance scores averaged 90 (IQR 83-93) nationally.
- Highest scores were for respecting mothers, care continuity, policy, and rooming-in.
- Lowest scores were for family-centered care, antenatal information, skin-to-skin contact, and human milk use.
- Baby-Friendly designated hospitals scored significantly higher than others.
- 80% of respondents desired Neo-BFHI designation for their wards.
Conclusions:
- Neo-BFHI recommendations are implementable in Russian neonatal wards.
- Hospitals designated or planning designation show successful adoption of Neo-BFHI standards.
Background:
The expansion of the Baby-Friendly Hospital Initiative to neonatal wards, known as the Neo-BFHI, provides recommendations to support breastfeeding, as outlined in the Three Guiding Principles, the expanded Ten Steps, and the International Code for Marketing of Breast-Milk Substitutes. In 2017, Russia participated in an international survey about compliance with the Neo-BFHI.
Research Aim:
To assess breastfeeding support policies and practices in Russian neonatal wards at the country and federal district level in accordance with the Neo-BFHI recommendations.
Methods:
This study was a prospective cross-sectional survey. We used the Neo-BFHI Self-Assessment questionnaire to collect data from neonatal wards that had all levels of care. A total of N = 60 Russian neonatal wards in hospitals that have ever been designated Baby-Friendly or planned to do so participated in the survey.
Results:
Compliance scores at the federal district and country level ranging from 0-100 were used to summarize results. The median country overall score was 90 (IQR = 83 - 93). Respect for mothers, continuity of care, having a breastfeeding policy, and rooming-in had the highest median scores. Family-centered care, antenatal informing, skin-to-skin contact, and human milk use had the lowest median scores. Neonatal wards in the hospitals that were ever designated as Baby-Friendly had significantly higher scores than those that were never designated. Most respondents (n = 48, 80%) expressed a desire to obtain Neo-BFHI designation in their neonatal wards.
Conclusion:
Neo-BFHI recommendations can be successfully implemented in Russian neonatal wards at hospitals designated Baby-Friendly or planning to be designated.
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