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- Title
Compliance With the "Baby-Friendly Hospital Initiative for Neonatal Wards" in Russian Hospitals.
- Authors
Abolyan, Liubov V.; Haiek, Laura N.; Pastbina, Irina M.; Maastrup, Ragnhild
- Abstract
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.
- Subjects
RUSSIA; MATERNAL health services; KRUSKAL-Wallis Test; LACTATION; HEALTH services administration; NEONATAL intensive care; EMPATHY; BREASTFEEDING promotion; CROSS-sectional method; PSYCHOLOGY of mothers; BREAST milk; REGULATORY approval; NEONATAL intensive care units; QUANTITATIVE research; MANN Whitney U Test; SURVEYS; CONTINUUM of care; INFANT nutrition; DECISION making; QUESTIONNAIRES; DESCRIPTIVE statistics; MANAGEMENT; RESPECT; POSTNATAL care; STATISTICAL sampling; LONGITUDINAL method; PERSONNEL management
- Publication
Journal of Human Lactation, 2021, Vol 37, Issue 3, p521
- ISSN
0890-3344
- Publication type
Article
- DOI
10.1177/08903344211002754