The Baby-Friendly Hospital Initiative's 10 Steps to Successful Breastfeeding4,5 and Prevalence of Reported Practices Among Women Who Initiated Breastfeeding in the IFPS II (N = 1907)

“Baby-Friendly” PracticePrevalence, %
1. Have a written breastfeeding policy that is routinely communicated to all health care staffNM
2. Train all health care staff in skills necessary to implement this policyNM
3. Inform all pregnant women about the benefits and management of breastfeedingNM
4. Help mothers initiate breastfeeding within 1 h of birtha59.6
5. Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infantsNM
6. Give newborn infants no food or drink other than breast milk unless medically indicateda,b51.5
7. Practice “rooming in” by allowing mothers and infants to remain together 24 h/da56.8
8. Encourage breastfeeding on demanda,c66.3
9. Give no artificial teats, pacifiers, dummies, or soothers to breastfeeding infantsa,d44.2
10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinica,e72.0
  • NM indicates not measured.

  • a Practices that were measured in the current study. The sample is limited to women who initiated breastfeeding and intended to breastfeed for >2 months, with complete data on all variables.

  • b Question asks whether infant was fed water, formula, or sugar water at any time while in the hospital; practice coded as “yes” if the answer was “no” to all. Medical indication was not assessed.

  • c Practice coded as “yes” if infant was fed whenever he or she cried or seemed hungry and staff encouraged this.

  • d Question asks whether infant was given a pacifier while in the hospital or birth center; practice coded as “yes” if answer was “no.”

  • e Practice coded as “yes” if mother reported being given information about breastfeeding support groups or services before she went home from the hospital or birth center.