ArticleMaternal & child nutrition2019
Compliance with the "Baby-friendly Hospital Initiative for Neonatal Wards" in 36 countries.
Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mothers' experiences of breast milk expression during separation from their hospitalized infants: a systematic review of qualitative evidence.BMC pregnancy and childbirth · 2024Pooled it
- Healthcare Professionals' Breastfeeding Attitudes and Hospital Practices During Delivery and in Neonatal Intensive Care Units: Pre and Post Implementing the Baby-Friendly Hospital Initiative.Journal of human lactation : official journal of International Lactation Consultant Association · 2022Trial
- Barriers and Facilitators to the Implementation and Scale-Up of the Baby-Friendly Hospital Initiative: A Qualitative Study in Saskatchewan, Canada.Healthcare (Basel, Switzerland) · 2026Article
- Study of mothers' perceptions of breastfeeding support in Lithuania: is Baby-Friendly Hospital status associated with better breastfeeding support?International breastfeeding journal · 2026Observational
- Exploration of factors affecting parent-infant closeness and separation in hospitals in Nepal - a qualitative study.BMC pregnancy and childbirth · 2026Article
- Somalian mothers' perspectives on breast milk while their infants are cared for in the neonatal intensive care unit: a qualitative study.International breastfeeding journal · 2026Article
- Impact of Comprehensive Breastfeeding Support Strategies on Exclusive Breastfeeding Rates at Discharge in a Neonatal Unit.Nutrients · 2026Observational
- Obstetric and neonatal conditions and associations with early skin-to-skin contact - a cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Practices supporting cue-based breastfeeding of preterm infants in neonatal intensive care units across Europe.International breastfeeding journal · 2025Article
- Article
- Breastfeeding and human milk in the NICU: From birth to discharge.Paediatrics & child health · 2023Review
- Baseline status regarding compliance with neo-BFHI recommendations in South African neonatal wards: a cross-sectional survey.BMC health services research · 2023Article
- Article
- An international study on implementation and facilitators and barriers for parent-infant closeness in neonatal units.Pediatric investigation · 2022Article
- Saudi Hospitals Compliance With the Baby-Friendly Hospitals Initiative Evaluation Study.Cureus · 2022Article
- Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum.International journal of environmental research and public health · 2021Article
- Barriers and facilitators to breastfeeding support practices in a neonatal intensive care unit in Colombia.Investigacion y educacion en enfermeria · 2021Article
- Compliance with the "Baby-friendly Hospital Initiative for Neonatal Wards" in 36 countries.Maternal & child nutrition · 2019Article
- Observational
- Exploring the Gap Between Needs and Practice in Facilitating Breastfeeding Within the Neonatal Intensive Care Setting: An Italian Survey on Organizational Factors.Frontiers in pediatrics · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
In 2012, the Baby-friendly Hospital Initiative for Neonatal Wards (Neo-BFHI) began providing recommendations to improve breastfeeding support for preterm and ill infants. This cross-sectional survey aimed to measure compliance on a global level with the Neo-BFHI's expanded Ten Steps to successful breastfeeding and three Guiding Principles in neonatal wards. In 2017, the Neo-BFHI Self-Assessment questionnaire was used in 15 languages to collect data from neonatal wards of all levels of care. Answers were summarized into compliance scores ranging from 0 to 100 at the ward, country, and international levels. A total of 917 neonatal wards from 36 low-, middle-, and high-income countries from all continents participated. The median international overall score was 77, and median country overall scores ranged from 52 to 91. Guiding Principle 1 (respect for mothers), Step 5 (breastfeeding initiation and support), and Step 6 (human milk use) had the highest scores, 100, 88, and 88, respectively. Step 3 (antenatal information) and Step 7 (rooming-in) had the lowest scores, 63 and 67, respectively. High-income countries had significantly higher scores for Guiding Principles 2 (family-centered care), Step 4 (skin-to-skin contact), and Step 5. Neonatal wards in hospitals ever-designated Baby-friendly had significantly higher scores than those never designated. Sixty percent of managers stated they would like to obtain Neo-BFHI designation. Currently, Neo-BFHI recommendations are partly implemented in many countries. The high number of participating wards indicates international readiness to expand Baby-friendly standards to neonatal settings. Hospitals and governments should increase their efforts to better support breastfeeding in neonatal wards.
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