Division of Neonatology, Department of Pediatrics, University of Kentucky, Lexington, KY, 40506, USA.
Neonatal Intensive Care Unit Medical Director, Rush Foundation Hospital, Meridian, MS, 39301, USA.
J Perinatol. 2018 Jun;38(6):623-632. doi: 10.1038/s41372-018-0068-0. Epub 2018 Feb 7.
There is no doubt regarding the multiple benefits of breastfeeding for infants and society in general. Therefore, the World Health Organization (WHO) in a conjoint effort with United Nations International Children's Emergency Fund (UNICEF) developed the "Ten Steps to Successful Breastfeeding" in 1992, which became the backbone of the Baby Friendly Hospital Initiative (BFHI). Following this development, many hospitals and countries intensified their position towards creating a "breastfeeding oriented" practice. Over the past two decades, the interest increased in the BFHI and the Ten Steps. However, alongside the implementation of the initiative, extensive research continues to evaluate the benefits and dangers of the suggested practices. Hence, it is our intention to make a critical evaluation of the current BFHI and the Ten Steps recommendations in consideration of the importance of providing an evidence-based breastfeeding supported environment for our mothers and infants.
毫无疑问,母乳喂养对婴儿和整个社会都有诸多益处。因此,世界卫生组织(WHO)与联合国儿童基金会(UNICEF)于 1992 年共同制定了“成功母乳喂养的十项措施”,该措施成为了“爱婴医院倡议”(BFHI)的核心内容。在此之后,许多医院和国家加强了对创建“以母乳喂养为导向”的实践的立场。在过去的二十年中,BFHI 和十项措施受到了越来越多的关注。然而,随着该倡议的实施,广泛的研究仍在继续评估建议措施的益处和风险。因此,考虑到为我们的母亲和婴儿提供基于证据的母乳喂养支持环境的重要性,我们有意对当前的 BFHI 和十项措施建议进行批判性评估。