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Health Care

Action 7. Ensure that maternity care practices throughout the United States are fully supportive of breastfeeding

Table of Contents

denotes a USBC member organization listing

Implementation Strategies

    • Accelerate implementation of the Baby-Friendly Hospital Initiative
    • Establish transparent, accountable public reporting of maternity care practices in the United States
    • Establish a new advanced certification program for perinatal patient care
    • Establish systems to control the distribution of infant formula in hospitals and ambulatory care facilities

      USBC Resources

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      National Activities

        1,000 Days

      1,000 Days

      Phone: 202-969-4135

      Email: info@thousanddays.org

      Website: http://www.thousanddays.org

      Action Activities: 1,000 Days advocates for legislation that will ensure that maternity care practices throughout the United States are fully supportive of breastfeeding. We also advance a vision for comprehensive coverage and benefits for all women during the first 1,000 days, including maternity care.


      Supporting Link:


        American Academy of Family Physicians

      American Academy of Family Physicians

      Phone: 913-906-6000

      Email: contactcenter@aafp.org

      Website: http://www.aafp.org

      Action Activities: The AAFP recommends that family physicians have breastfeeding friendly offices even if they do not provide maternity care.


      Supporting Link: https://www.aafp.org/about/policies/all/breastfeeding-support.html


        American Public Health Association

      American Public Health Association

      Phone: 202-777-2742

      Email: info@apha.org

      Website: http://www.apha.org

      Action Activities: 1. Develop policy that advocates for programs and best practices to support mothers and families.
      2. Host conference sessions to share best practices and science on support of mothers and families (Maternity Care practices is a theme area every year).


      Supporting Link:


        Baby Café USA

      Baby Café USA

      Phone: 781-507-1980

      Email: lucia@babycafeusa.org

      Website: http://www.babycafeusa.org

      Action Activities: Baby cafes satisfy step 10 of BFHI


      Supporting Link: http://babycafeusa.org


        Carolina Global Breastfeeding Institute

      Carolina Global Breastfeeding Institute

      Phone: 919-966-3774

      Email: cgbi@unc.edu

      Website: http://cgbi.sph.unc.edu

      Action Activities: CGBI serves as the breastfeeding experts in the current CDC-funded EMPower Training Initiative, providing training and technical assistance to hospitals to advance the capacity of maternity care staff and health care providers to implement evidence based maternity care practices in US hospitals. CGBI works with North and South Carolina hospitals on advancing the implementation of the Ten Steps to Successful Breastfeeding through the ENRICH Carolinas project.


      Supporting Link: https://sph.unc.edu/cgbi/healthcare/


        Center for Health Equity, Education and Research

      Center for Health Equity, Education and Research

      Phone: 617 414 6466

      Email: anne.merewood@bmc.org

      Website: https://www.cheerequity.org/

      Action Activities: CHEER’s CHAMPS projects focus on adoption of the Baby-Friendly Hospital Initiative and improved maternity care practices. CHAMPS’ (Communities and Hospitals Advancing Maternity Practices) goals are to promote best practices in maternity care, increase breastfeeding rates, decrease racial and ethnic disparities, and support hospitals to adopt the Ten Steps to Successful Breastfeeding and gain Baby-Friendly designation. We aim to do this with full integration into the community and in partnership with community organizations in the areas where we work.


      Supporting Link: https://www.cheerequity.org/champs.html


        DHHS, Centers for Disease Control and Prevention

      DHHS, Centers for Disease Control and Prevention

      Phone: 800-232-4636

      Email: info@cdc.gov

      Website: http://www.cdc.gov

      Action Activities: The Centers for Disease Control and Prevention August, 2011 edition of the Vital Signs series used data from the Maternity Practices in Infant Nutrition and Care (mPINC) to highlight inadequate hospital support for breastfeeding and call upon hospitals and birth centers to adopt the Ten Steps to Successful Breastfeeding.


      Supporting Link:


        Every Mother, Inc.

      Every Mother, Inc.

      Phone: 662-931-6368

      Email: info@everymother.org

      Website: http://www.everymother.org

      Action Activities: Every Mother, Inc. works as a member of the CHAMPS (Communities and Hospitals Advancing Maternity Practices) team to assist hospitals in Mississippi, New Orleans, LA, Southern TX, and Tennessee with achieving Baby-Friendly designation. Developed competency-based curriculum for in-person skills-based training of hospital nursing staff. Assisted with development of CHAMPS Safety curriculum for hospital implementation of the "Ten Steps to Successful Breastfeeding." Serves as Mississippi liaison to CHAMPS. Worked with Coffective to develop resources for new families preparing for their hospital experience, and to develop staff training for hospital nurses on the BFHI pathway.


      Supporting Link: http://www.champsbreastfeed.org


        FHI 360

      FHI 360

      Phone: 919-544-7040

      Email: webmaster@fhi360.org

      Website: http://www.fhi360.org

      Action Activities: Under FHI 360's Alive and Thrive (A&T) project, advocated for the extension of maternity leave policies in Thailand and the Philippines, bringing the total number of A&T focus countries with improved polices to six out of seven.


      Supporting Link:


        Healthy Children Project, Inc.

      Healthy Children Project, Inc.

      Action Activities: The Healthy Children Project, Inc. supports the work of the Baby-Friendly Hospital Iniitiative and provides advanced certification in lactation management through the Advanced Lactation Consultant and Advanced Nurse Lactation Consultant programs and training to advance the WHO Intrapartum Care Model for Positive Childbirth.


      Supporting Link: https://centerforbreastfeeding.org/education/lactation-courses/


        ImprovingBirth

      ImprovingBirth

      Action Activities: ImprovingBirth is creating a Mother-Friendly Accreditation Program (MFAP) to help hospitals and providers intent on improving communications and the quality of care for the pregnant families they serve. The program is based on the Ten Steps of the Mother-Friendly Childbirth Initiative, of which the 10th step is to help hospital and providers achieve the WHO-UNICEF's Baby-Friendly Initiative to promote successful breastfeeding.


      Supporting Link: https://improvingbirth.org/mfap/


        International Board of Lactation Consultant Examiners

      International Board of Lactation Consultant Examiners

      Phone: 703-560-7330

      Email: iblce@iblce.org

      Website: http://www.iblce.org

      Action Activities: IBLCE has signed on to numerous advocacy letters to the U.S. Congress regarding this matter.


      Supporting Link:


        International Childbirth Education Association

      International Childbirth Education Association

      Phone: 919-863-9487

      Email: info@icea.org

      Website: http://www.icea.org

      Action Activities: ICEA has written journal articles and supports the Baby Friendly Hospital Initiative on all conference and written materials


      Supporting Link: http://icea.org


      La Leche League International

      La Leche League International

      Phone: 919-459-2167

      Email: info@llli.org

      Website: http://www.llli.org

      Action Activities: Many LLL regions host educational events for healthcare professionals to help them improve their maternity care practices.


      Supporting Link:


        La Leche League USA

      La Leche League USA

      Phone: 877-452-5324

      Email: Council@lllusa.org

      Website: https://www.lllusa.org/

      Action Activities: Many LLL regions host educational events for healthcare professionals to help them improve their maternity care practices.


      Supporting Link:


        Lamaze International

      Lamaze International

      Phone: 202-367-1128

      Email: info@lamaze.org

      Website: http://www.lamaze.org

      Action Activities: Lamaze International promotes the six healthy birth practices, evidence-based birth practices that improve maternal and newborn outcomes, including establishing a successful breastfeeding relationship. Lamaze certifies childbirth educators and offers advanced training for educators, doulas, nurses, midwives, lactation consultants, and other health care professionals.


      Supporting Link: http://www.lamaze.org/AboutHealthyBirthPractices


        Mom2Mom Global

      Mom2Mom Global

      Phone: 910-401-3566

      Email: info@mom2momglobal.org

      Website: http://www.mom2momglobal.org

      Action Activities: Mom2Mom Chapters and Ambassadors work as volunteers in Military Treatment Facilities (MTFs) around the world to impact positive change in maternity and postpartum care practices to protect, promote, and support breastfeeding.


      Supporting Link: http://www.mom2momglobal.org


        National Association of Pediatric Nurse Practitioners

      National Association of Pediatric Nurse Practitioners

      Phone: 917-746-8300

      Email: pnp.representative@napnap.org

      Website: http://www.napnap.org

      Action Activities: The National Association of Pediatric Nurse Practitioners encourages its members to work with birthing facilities to ensure evidence-based guidelines and practices are followed.


      Supporting Link:


        National WIC Association

      National WIC Association

      Phone: 202-232-5492

      Email: whatemaildoyouwant@hotmail.com

      Website: http://www.nwica.org

      Action Activities: The National WIC Association published a position statement in support of the Baby-Friendly Hospital Initiative. Additionally, NWA has spent the past year in collaboration with BFUSA and has represented the WIC voice to the organization.


      Supporting Link: https://s3.amazonaws.com/aws.upl/nwica.org/babyfriendlyhospitalinitiativesa.pdf


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      State/Community Activities

        Breastfeeding Coalition of Delaware

      Breastfeeding Coalition of Delaware

      Action Activities: In Delaware, per mPINC, 86% of live birth in 2018 were at baby friendly hospital facilities. 4 of the 6 maternity hospital in Delaware are Baby Friendly.


      Supporting Link:


        BreastfeedLA

      BreastfeedLA

      Phone: 3232108505

      Email: apalmer@breastfeedla.org

      Website: http://BreastfeedLA.org

      Action Activities: BreastfeedLA co-hosts a Regional Hospital Breastfeeding Consortium meeting in the four quadrants of Los Angeles. This is a way for hospitals to discuss challenges, strengths, and share resources with one another. We also provide mock surveys and technical assistance to hospitals working on Baby-Friendly designation. We have helped over 35 hospitals to obtain their Baby-Friendly designation.


      Supporting Link: http://breastfeedla.org/regional-hospital-breastfeeding-consortium-rhbc/


        Connecticut Breastfeeding Coalition

      Connecticut Breastfeeding Coalition

      Action Activities: Action:
      -Ensure that maternity care practices throughout the US are supportive of breastfeeding
      -Higher quality maternity care depends on standards that are consistent to every mother and baby

      Strategies:
      -Help hospital work together to achieve BF designation
      -Establish systems to control distribution of infant formula in hospitals and ambulatory care facilities

      Action:
      -Develop systems to guarantee continuity of skilled support for lactation between hospitals and health care settings in the community
      -Create statewide networks for home or clinic based follow up care to be provided to every newborn in the state

      Strategies:
      -Establish partnerships for integrated and continuous follow up care after d/c from hospital
      -Establish implementation policies and programs to ensure WIC participants have services in place before d/c
      -Clinicians need to demonstrate competency in support of lactation and breastfeeding

      Action:
      -Include basic support for breastfeeding as a standard of care for midwives, obstetricians, family physicians, nurse practitioners, and pediatricians

      Strategies:
      -Define standards for clinical practice that will ensure continuity of care for pregnant women and mother baby couplets in the first 4 weeks of life
      -Include support for lactation as an essential medical service for pregnant women, breastfeeding mothers, and children
      Provide reimbursement for IBCLC’s


      Supporting Link: http://www.breastfeedingct.org/index.php/health-care


        District of Columbia Breastfeeding Coalition

      District of Columbia Breastfeeding Coalition

      Phone: 202-470-2732

      Email: info@dcbfc.org

      Website: http://www.dcbfc.org

      Action Activities: The DC Breastfeeding Coalition (DCBFC) announced a citywide effort to improve breastfeeding rates by increasing the number of "baby-friendly" facilities in the District of Columbia. The coalition will utilize funds awarded through Maternal and Child Health Block Grant from the Government of the District of Columbia Department of Health (DOH) to incorporate the Baby-Friendly Hospital Initiative (BFHI), a global program launched by the World Health Organization and the United Nations Children's Fund. The initiative recognizes hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding. In the United States, the BFHI program is administered by Baby-Friendly USA.


      Supporting Link: http://dcbfc.org/BabyFriendlyDC_PressRelease.php


        Florida Breastfeeding Coalition

      Florida Breastfeeding Coalition

      Action Activities: "Florida Quest For Quality Maternity Care Award" a Baby Steps to Baby-Friendly Hospital award project to educate and help hospitals on their way to becoming Baby Friendly and improving maternity and infant feeding practices.


      Supporting Link: http://flbreastfeeding.org/hospital.htm


        Kansas Breastfeeding Coalition

      Kansas Breastfeeding Coalition

      Action Activities: The KBC Hospital Section provide networking and resource sharing among hospitals. The KBC serves on the workgroup that advises "High 5 for Mom and Baby" program which assists hospitals in implementing five evidence-based maternity care practices that are supportive of breastfeeding.


      Supporting Link: http://www.high5kansas.org/


      Michigan Breastfeeding Network

      Michigan Breastfeeding Network

      Action Activities: Michigan Breastfeeding Network (MIBFN) introduces its newest campaign in support of systems-level change, “Breastfeeding and Maternity Care,” which provides tools for implementing evidence-based, culturally sensitive maternity care to improve breastfeeding outcomes statewide.
      In support of breastfeeding in the maternity care setting, MIBFN advocates for the following:
      All medical providers should receive and provide evidence-based breastfeeding education.
      WIC referrals should be universal.
      All birthing hospitals in Michigan should implement the evidence based practices that are outlined in mPINC and central to Baby-Friendly designation.
      Organizations should train, recruit, and hire diverse, multidisciplinary care teams that reflect the populations they serve.


      Supporting Link: https://www.mibreastfeeding.org/maternity-care/


        Minnesota Breastfeeding Coalition

      Minnesota Breastfeeding Coalition

      Action Activities: The Minnesota Breastfeeding Coalition organizes and hosts an annual Perinatal Hospital Leadership Summit.


      Supporting Link: http://mnbreastfeedingcoalition.org/hospital-summit/


      Missouri Breastfeeding Coalition

      Missouri Breastfeeding Coalition

      Action Activities: The Missouri Breastfeeding Coalition has offered an annual Maternity Care Practices Summit for all birthing facilities in the state for the past three years.

      The DHSS Show-Me Five program provides a stepping stone award to encourage facilities to work toward Baby Friendly. Seventeen hospitals have received this award. Seven have Baby Friendly recognition.


      Supporting Link: http://www.mobreastfeeding.org/summit_2018/


        Nebraska Breastfeeding Coalition

      Nebraska Breastfeeding Coalition

      Phone: (888) 976-9319

      Email: info@nebreastfeeding.org

      Website: http://nebreastfeeding.org

      Action Activities: We are working with the Nebraska Perinatal Quality Improvement Collaborative to help ensure maternity care practices in the state are supportive of breastfeeding.


      Supporting Link: http://www.npqic.org/Collaborative-Group-Research.html


        New Hampshire Breastfeeding Task Force

      New Hampshire Breastfeeding Task Force

      Action Activities: The NH Breastfeeding Task Force has a Ten Steps Project committee which has sought to increase practices in support of breastfeeding in NH as well as Maine and Vermont hospitals. An online curriculum to provide the 15 hours of didactic education for nurses and others in support of The Who/Baby-Friendly Hospital Initiative is available at very low cost to hospitals and individuals.


      Supporting Link: http://nhbreastfeedingtaskforce.org/healthcareproviders.php


        Ohio Breastfeeding Alliance

      Ohio Breastfeeding Alliance

      Action Activities: OBA is a partner in Ohio First Steps - recognition program for hospitals working on the 10 Steps.


      Supporting Link:


        Precious Jewels Moms Ministries

      Precious Jewels Moms Ministries

      Action Activities: Conducts Faith based breastfeeding in patient hospital rounds on mothers in the Maternity /Family Birth Center Unit of partner hospital.


      Supporting Link:


      TriCounties Breastfeeding Alliance

      TriCounties Breastfeeding Alliance

      Phone: 530-822-5951

      Email: tlavy@co.sutter.ca.us

      Website: http://

      Action Activities: Have held two successful conferences: Dr Todd Wolynn spoke on breastfeeding care and support to nursing staff and OB/Ped providers - total of 100. In 2018, we hosted a second conference with Dr. Tom Hale (Mothers Milk and Medications) with 125 providers on the topic of medication, marijuana use and breastfeeding


      Supporting Link:


        Wisconsin Breastfeeding Coalition

      Wisconsin Breastfeeding Coalition

      Action Activities: WBC is working with the Wisconsin Department of Health Services, Wisconsin WIC Program, and Coffective to support hospitals in improving their maternity care practices to better support breastfeeding.


      Supporting Link:


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