Ten steps for successful breast-feeding: assessment of hospital performance, its determinants and planning for improvement
Summary This paper discusses results from a project which aims to document the maternity hospital practices in Istanbul within the context of Ten Steps for Successful Breastfeeding. Instruments developed for use in hospital level implementation of the WHO/UNICEF baby friendly hospital initiative wer...
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| Published in: | Child : care, health & development Vol. 23; no. 2; pp. 187 - 200 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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Oxford, UK
Blackwell Publishing Ltd
01-03-1997
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| Abstract | Summary
This paper discusses results from a project which aims to document the maternity hospital practices in Istanbul within the context of Ten Steps for Successful Breastfeeding. Instruments developed for use in hospital level implementation of the WHO/UNICEF baby friendly hospital initiative were used in five hospitals (two public and three private). No hospital was implementing all Ten Steps. A core hospital team on lactation management and a sufficient number of health personnel skillful in breastfeeding counselling and adequate delivery room conditions are required to implement the Ten Steps. It is very difficult to provide these conditions in public hospitals with an excessive patient load. On the other hand, the fee for service system and the policy of changing practices according to the wishes of the clients can also become barriers to successful breastfeeding, as may occur in some private hospitals. |
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| AbstractList | Summary
This paper discusses results from a project which aims to document the maternity hospital practices in Istanbul within the context of Ten Steps for Successful Breastfeeding. Instruments developed for use in hospital level implementation of the WHO/UNICEF baby friendly hospital initiative were used in five hospitals (two public and three private). No hospital was implementing all Ten Steps. A core hospital team on lactation management and a sufficient number of health personnel skillful in breastfeeding counselling and adequate delivery room conditions are required to implement the Ten Steps. It is very difficult to provide these conditions in public hospitals with an excessive patient load. On the other hand, the fee for service system and the policy of changing practices according to the wishes of the clients can also become barriers to successful breastfeeding, as may occur in some private hospitals. This paper discusses results from a project which aims to document the maternity hospital practices in istanbul within the context of Ten Steps for Successful Breastfeeding. Instruments developed for use in hospital level implementation of the WHO/UNICEF baby friendly hospital initiative were used in five hospitals (two public and three private). No hospital was implementing all Ten Steps. A core hospital team on lactation management and a sufficient number of health personnel skillful in breastfeeding counselling and adequate delivery room conditions are required to implement the Ten Steps. It is very difficult to provide these conditions in public hospitals with an excessive patient load. On the other hand, the fee for service system and the policy of changing practices according to the wishes of the clients can also become barriers to successful breastfeeding, as may occur in some private hospitals. Research in Istanbul, based on the WHO/UNICEF baby friendly hospital initiative Ten Steps for Successful Breastfeeding. [(BNI unique abstract)] 20 references Discusses results from a project which aims to document practices within the context of Ten Steps for Successful Breastfeeding. Instruments developed for use in hospital level implementation of the WHO/UNICEF baby friendly hospital initiative were used in 5 hospitals (2 public and 3 private). No hospital was implementing all Ten Steps. A core hospital team on lactation management and a sufficient number of health personnel skilful in breastfeeding counselling and adequate delivery room conditions are required to implement the Ten Steps. It is very difficult to provide these conditions in public hospitals with an excessive patient load. Notes barriers in private hospitals. (Original abstract-amended) |
| Author | Neyzi, O Gökçay, G Kayatürk, F Uzel, N |
| Author_xml | – sequence: 1 givenname: G surname: Gökçay fullname: Gökçay, G organization: University of Istanbul, Institute of Child Health, Istanbul, Turkey – sequence: 2 givenname: N surname: Uzel fullname: Uzel, N organization: University of Istanbul, Institute of Child Health, Istanbul, Turkey – sequence: 3 givenname: F surname: Kayatürk fullname: Kayatürk, F organization: University of Istanbul, Institute of Child Health, Istanbul, Turkey – sequence: 4 givenname: O surname: Neyzi fullname: Neyzi, O organization: University of Istanbul, Institute of Child Health, Istanbul, Turkey |
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| Cites_doi | 10.1001/jama.1995.03520300046035 10.1016/0140-6736(90)92579-7 10.1093/heapol/6.4.371 10.1111/j.1651-2227.1995.tb13744.x 10.1093/ajcn/52.6.1005 10.1542/peds.80.3.423 10.1136/bmj.305.6848.285 10.1111/j.1365-3016.1992.tb00294.x 10.1177/002188637901500402 10.1542/peds.77.3.357 |
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| References | Winikoff, B., Myers, D., Laukaran, V. H. et al. (1987) Overcoming obstacles to breast-feeding in a large municipal hospital: applications of lessons learned. Pediatrics, 80, 423-433. Neyzi, O., Olgun, P., Kutluay, T. et al. (1991) An educational intervention on promotion of breastfeeding. Journal of Paediatric and Perinatal Epidemiology, 5, 286-298. Canahuati, J. (1990) One country's story: the PROALMA program in Honduras. Journal of Gynecology Obstetrics, 31(Suppl. 1), 17-24. WHO/UNICEF (1992) Baby Friendly Hospital Initiative Part II. Hospital Level Implementation, WHO/UNICEF Guidelines. WHO and UNICEF, Geneva and New York . Ministry of Health, Hacettepe University Institute of Population Studies, Macro International (1994) Demography and Health Survey 1993. Institute of Population Studies, Ankara . Endresen, E. H. and Helsing, E. (1995) Changes in breastfeeding practices in Norwegian maternity wards: national surveys 1973, 1982 and 1991. Acta Paediatrica, 84, 719-724. WHO (1989) Protecting, Promoting and Supporting Breastfeeding. The Special Role of Maternity Services. A joint WHO/UNICEF Statement. WHO, Geneva . Righard, L. and Alade, M. O. (1990) Effect of delivery room routines on success of first breastfeed. Lancet, 336, 1105-1107. Özcebe, H., Bertan, M. and Dogan, B. G. (1991) Anne siitu ile beslenme ve Ankara'da bebek dostu hastaneler (Breastfeeding and baby friendly hospitals in Ankara). Çocuk Saǧliǧi ve Hastaliklarì Dergisi, 34, 305-316. Beeker, S. and Waterston, T. (1992) Health service support of breastfeeding - are we practising what we preach. BMJ, 305, 285-287. Brown, K. H., Stallings, R. Y., Creed De, Kanashiro H. et al. (1990) Effects of common illnesses on infants' energy intakes and other foods during longitudinal community-based studies in Huascar (Lima), Peru. American Journal of Clinical Nutrition, 52, 1005-1013. Westphal, M. F., Taddei, J. A. C., Venancio, S. L. and Bogus, CM. (1995) Breastfeeding training for health professionals and resultant institutional changes. Bulletin of the World Health Organization, 73(4), 461-468. Winikoff, B., Laukaran, V. H., Myers, D. et al. (1986) Dynamics of infant feeding: mothers, professionals, and the institutional context in a large urban hospital. Pediatrics, 77, 357-365. Freed, G. L., Clark, SJ. and Curtis, P. (1995) National assessment of physicians' breastfeeding knowledge, attitudes, training, and experience. JAMA, 273(6), 472-476. De Zoysa, I., Rea, M. and Martinez, J. (1991) Why promote breastfeeding in diarrhoeal disease control programmes. Health Policy and Planning, 6, 371-379. Kouzes, J. M. and Mico, P. R. (1979) Domain theory: an introduction to organizational behavior in human service organization. Journal of Applied Behavioral Science, 15, 449-469. 1990; 52 1990; 31 1995; 84 1995; 73 1990; 336 1979; 15 1990 1991; 34 1987; 80 1986; 77 1992; 305 1985 1994 1992 1995; 273 1991; 6 1989 1988 1991; 5 Naylor A. J. (e_1_2_1_12_1) 1988 Winikoff B. (e_1_2_1_21_1) 1988 (e_1_2_1_18_1) 1992 e_1_2_1_5_1 e_1_2_1_6_1 e_1_2_1_3_1 Canahuati J. (e_1_2_1_4_1) 1990; 31 Westphal M. F. (e_1_2_1_16_1) 1995; 73 e_1_2_1_13_1 e_1_2_1_10_1 e_1_2_1_2_1 WHO (e_1_2_1_17_1) 1989 e_1_2_1_15_1 Özcebe H. (e_1_2_1_14_1) 1991; 34 Winikoff B. (e_1_2_1_20_1) 1987; 80 Fisher C. (e_1_2_1_7_1) 1985 e_1_2_1_9_1 Ministry of Health, Hacettepe University Institute of Population Studies, Macro International (e_1_2_1_11_1) 1994 Winikoff B. (e_1_2_1_19_1) 1986; 77 Freed G. L. (e_1_2_1_8_1) 1995; 273 |
| References_xml | – year: 1985 – volume: 5 start-page: 286 year: 1991 end-page: 298 article-title: An educational intervention on promotion of breastfeeding publication-title: Journal of Paediatric and Perinatal Epidemiology – volume: 84 start-page: 719 year: 1995 end-page: 724 article-title: Changes in breastfeeding practices in Norwegian maternity wards: national surveys 1973, 1982 and 1991 publication-title: Acta Paediatrica – volume: 15 start-page: 449 year: 1979 end-page: 469 article-title: Domain theory: an introduction to organizational behavior in human service organization publication-title: Journal of Applied Behavioral Science – volume: 305 start-page: 285 year: 1992 end-page: 287 article-title: Health service support of breastfeeding — are we practising what we preach publication-title: BMJ – volume: 336 start-page: 1105 year: 1990 end-page: 1107 article-title: Effect of delivery room routines on success of first breastfeed publication-title: Lancet – volume: 80 start-page: 423 year: 1987 end-page: 433 article-title: Overcoming obstacles to breast‐feeding in a large municipal hospital: applications of lessons learned publication-title: Pediatrics – volume: 273 start-page: 472 issue: 6 year: 1995 end-page: 476 article-title: National assessment of physicians' breastfeeding knowledge, attitudes, training, and experience publication-title: JAMA – volume: 31 start-page: 17 issue: Suppl. 1 year: 1990 end-page: 24 article-title: One country's story: the PROALMA program in Honduras publication-title: Journal of Gynecology Obstetrics – volume: 34 start-page: 305 year: 1991 end-page: 316 article-title: Anne siitu ile beslenme ve Ankara'da bebek dostu hastaneler (Breastfeeding and baby friendly hospitals in Ankara) publication-title: Çocuk Saǧliǧi ve Hastaliklarì Dergisi – volume: 52 start-page: 1005 year: 1990 end-page: 1013 article-title: Effects of common illnesses on infants' energy intakes and other foods during longitudinal community‐based studies publication-title: American Journal of Clinical Nutrition – start-page: 313 year: 1988 end-page: 319 – volume: 77 start-page: 357 year: 1986 end-page: 365 article-title: Dynamics of infant feeding: mothers, professionals, and the institutional context in a large urban hospital publication-title: Pediatrics – year: 1989 – volume: 73 start-page: 461 issue: 4 year: 1995 end-page: 468 article-title: Breastfeeding training for health professionals and resultant institutional changes publication-title: Bulletin of the World Health Organization – volume: 6 start-page: 371 year: 1991 end-page: 379 article-title: Why promote breastfeeding in diarrhoeal disease control programmes publication-title: Health Policy and Planning – start-page: 279 year: 1988 end-page: 286 – year: 1990 – year: 1992 – year: 1994 – volume: 273 start-page: 472 issue: 6 year: 1995 ident: e_1_2_1_8_1 article-title: National assessment of physicians' breastfeeding knowledge, attitudes, training, and experience publication-title: JAMA doi: 10.1001/jama.1995.03520300046035 contributor: fullname: Freed G. L. – volume: 31 start-page: 17 issue: 1 year: 1990 ident: e_1_2_1_4_1 article-title: One country's story: the PROALMA program in Honduras publication-title: Journal of Gynecology Obstetrics contributor: fullname: Canahuati J. – volume-title: Modem Obstetrics in General Practice year: 1985 ident: e_1_2_1_7_1 contributor: fullname: Fisher C. – volume: 34 start-page: 305 year: 1991 ident: e_1_2_1_14_1 article-title: Anne siitu ile beslenme ve Ankara'da bebek dostu hastaneler (Breastfeeding and baby friendly hospitals in Ankara) publication-title: Çocuk Saǧliǧi ve Hastaliklarì Dergisi contributor: fullname: Özcebe H. – ident: e_1_2_1_15_1 doi: 10.1016/0140-6736(90)92579-7 – ident: e_1_2_1_5_1 doi: 10.1093/heapol/6.4.371 – ident: e_1_2_1_6_1 doi: 10.1111/j.1651-2227.1995.tb13744.x – volume-title: Protecting, Promoting and Supporting Breastfeeding. The Special Role of Maternity Services year: 1989 ident: e_1_2_1_17_1 contributor: fullname: WHO – volume-title: Demography and Health Survey 1993 year: 1994 ident: e_1_2_1_11_1 contributor: fullname: Ministry of Health, Hacettepe University Institute of Population Studies, Macro International – ident: e_1_2_1_3_1 doi: 10.1093/ajcn/52.6.1005 – start-page: 313 volume-title: Programmes to Promote Breastfeeding year: 1988 ident: e_1_2_1_12_1 contributor: fullname: Naylor A. J. – volume: 80 start-page: 423 year: 1987 ident: e_1_2_1_20_1 article-title: Overcoming obstacles to breast‐feeding in a large municipal hospital: applications of lessons learned publication-title: Pediatrics doi: 10.1542/peds.80.3.423 contributor: fullname: Winikoff B. – ident: e_1_2_1_2_1 doi: 10.1136/bmj.305.6848.285 – volume: 73 start-page: 461 issue: 4 year: 1995 ident: e_1_2_1_16_1 article-title: Breastfeeding training for health professionals and resultant institutional changes publication-title: Bulletin of the World Health Organization contributor: fullname: Westphal M. F. – ident: e_1_2_1_13_1 doi: 10.1111/j.1365-3016.1992.tb00294.x – ident: e_1_2_1_9_1 doi: 10.1177/002188637901500402 – volume-title: Baby Friendly Hospital Initiative Part II. Hospital Level Implementation year: 1992 ident: e_1_2_1_18_1 – ident: e_1_2_1_10_1 – volume: 77 start-page: 357 year: 1986 ident: e_1_2_1_19_1 article-title: Dynamics of infant feeding: mothers, professionals, and the institutional context in a large urban hospital publication-title: Pediatrics doi: 10.1542/peds.77.3.357 contributor: fullname: Winikoff B. – start-page: 279 volume-title: Programmes to Promote Breastfeeding year: 1988 ident: e_1_2_1_21_1 contributor: fullname: Winikoff B. |
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This paper discusses results from a project which aims to document the maternity hospital practices in Istanbul within the context of Ten Steps for... This paper discusses results from a project which aims to document the maternity hospital practices in istanbul within the context of Ten Steps for Successful... This paper discusses results from a project which aims to document the maternity hospital practices in Istanbul within the context of Ten Steps for Successful... Discusses results from a project which aims to document practices within the context of Ten Steps for Successful Breastfeeding. Instruments developed for use... Research in Istanbul, based on the WHO/UNICEF baby friendly hospital initiative Ten Steps for Successful Breastfeeding. [(BNI unique abstract)] 20 references |
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| SubjectTerms | Breast Feeding Breastfeeding Female Guidelines as Topic Health Knowledge, Attitudes, Practice Hospitals Hospitals, Maternity - organization & administration Hospitals, Private - organization & administration Hospitals, Public - organization & administration Humans Infant, Newborn Inservice Training Intensive Care Units, Neonatal Istanbul maternity hospital practices Organizational Policy Patient Care Team Patient Education as Topic Pregnancy Promotion Social Support Ten Steps Turkey United Nations |
| Title | Ten steps for successful breast-feeding: assessment of hospital performance, its determinants and planning for improvement |
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