ArticlePediatrics2017
Best Fed Beginnings: A Nationwide Quality Improvement Initiative to Increase Breastfeeding.
Article in Pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Article
- The role of QI collaboratives in neonatology.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- Promoting maternal-child health by increasing breastfeeding rates: a National Canadian Baby-Friendly Initiative Quality Improvement Collaborative Project.BMJ open quality · 2024Article
- Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review.International breastfeeding journal · 2023Article
- Assessing the impact of a statewide effort to improve breastfeeding rates: A RE-AIM evaluation of CHAMPS in Mississippi.Maternal & child nutrition · 2022Article
- Postnatal Unit Experiences Associated With Exclusive Breastfeeding During the Inpatient Stay: A Cross-Sectional Online Survey.Journal of human lactation : official journal of International Lactation Consultant Association · 2022Article
- Promoting equity in breastfeeding through peer counseling: the US Breastfeeding Heritage and Pride program.International journal for equity in health · 2021Review
- Improving exclusive breast feeding in the first 24 h of life using Plan-Do-Study-Act cycle in a tertiary care hospital.Medical journal, Armed Forces India · 2020Article
- National Trends in the Provision of Human Milk at Hospital Discharge Among Very Low-Birth-Weight Infants.JAMA pediatrics · 2019Article
- 'Why do we need a policy?' Administrators' perceptions on breast-feeding-friendly childcare.Public health nutrition · 2019Article
- The effect of maternity practices on exclusive breastfeeding rates in U.S. hospitals.Maternal & child nutrition · 2019Article
- Infant feeding-related maternity care practices and maternal report of breastfeeding outcomes.Birth (Berkeley, Calif.) · 2018Article
- Trends in rooming-in practices among hospitals in the United States, 2007-2015.Birth (Berkeley, Calif.) · 2018Article
- The effect of Baby-friendly status on exclusive breastfeeding in U.S. hospitals.Maternal & child nutrition · 2018Article
- The Baby Friendly Hospital Initiative and the ten steps for successful breastfeeding. a critical review of the literature.Journal of perinatology : official journal of the California Perinatal Association · 2018Review
- Trends in Maternity Care Practice Skin-to-Skin Contact Indicators: United States, 2007-2015.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2018Article
- A 2017 Update: Centers for Disease Control and Prevention's Contributions and Investments in Breastfeeding.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2017Article
- A quality improvement project to improve voluntary milk donation in a human milk bank in South India.Medical journal, Armed Forces IndiaArticle
- Experiences of Breastfeeding among Disabled Women.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- A Framework for Maintenance and Scaling of an Evidence-based Guideline Program.Pediatric quality & safetyArticle
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveIn response to a low number of Baby-Friendly-designated hospitals in the United States, the Centers for Disease Control and Prevention funded the National Institute for Children's Health Quality to conduct a national quality improvement initiative between 2011 and 2015. The initiative was entitled Best Fed Beginnings and enrolled 90 hospitals in a nationwide initiative to increase breastfeeding and achieve Baby-Friendly designation.
methodsThe intervention period lasted from July 2012 to August 2014. During that period, data on process indicators aligned with the Ten Steps to Successful Breastfeeding and outcome measures (overall and exclusively related to breastfeeding) were collected. In addition, data on the Baby-Friendly designation were collected after the end of the intervention through April 2016. Hospitals assembled multidisciplinary teams that included parent partners and community representatives. Three in-person learning sessions were interspersed with remote learning and tests of change, and a Web-based platform housed resources and data for widespread sharing.
resultsBy April 2016, a total of 72 (80%) of the 90 hospitals received the Baby-Friendly designation, nearly doubling the number of designated hospitals in the United States. Participation in the Best Fed Beginnings initiative had significantly high correlation with designation compared with hospital applicants not in the program (Pearson's
conclusionsA nationwide initiative of maternity care hospitals accomplished rapid transformative changes to achieve Baby-Friendly designation. These changes were accompanied by a significant increase in exclusive breastfeeding.
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