Breastfeeding-Friendly Heatlhcare (BFHC) Project: Identification of strategies and process approaches that support implementation of the Ten Steps to Successful Breastfeeding (original) (raw)

Abstract

BACKGROUND An objective of Healthy People 2020 is for hospitals to become more breastfeeding-friendly, i.e., implement the Ten Steps to Successful Breastfeeding. US studies exploring such implementation are predominantly single hospital studies. The Breastfeeding Friendly Healthcare Project (BFHC) explores Ten Steps implementation in multiple hospitals and identifies strategies across similar and differing contexts. METHODS The study follows a phased quasi-experimental operations research design using multiple-case study methods. The BFHC collected breastfeeding and Ten Step compliance data by reviewing documents and medical records and administering the Baby-friendly Self Appraisal Tool, the CDC mPINC, an individual-level Electronic Survey of hospital staff, and Key Informant Interviews. Pre-post changes in breastfeeding rates and Step compliance were tested for statistical significance. Facility-specific strategies for Step implementation were documented. Strategies were triangula...

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