68477 Sechenov First Moscow State Medical University, Department for Health Care and Public Health, Moscow, Russia.
6777 Ministère de la Santé et des Services Sociaux, Direction Générale de la Santé Publique, Quebec, Canada.
J Hum Lact. 2021 Aug;37(3):521-531. doi: 10.1177/08903344211002754. Epub 2021 Apr 6.
The expansion of the Baby-Friendly Hospital Initiative to neonatal wards, known as the Neo-BFHI, provides recommendations to support breastfeeding, as outlined in the Three Guiding Principles, the expanded Ten Steps, and the International Code for Marketing of Breast-Milk Substitutes. In 2017, Russia participated in an international survey about compliance with the Neo-BFHI.
To assess breastfeeding support policies and practices in Russian neonatal wards at the country and federal district level in accordance with the Neo-BFHI recommendations.
This study was a prospective cross-sectional survey. We used the Neo-BFHI Self-Assessment questionnaire to collect data from neonatal wards that had all levels of care. A total of = 60 Russian neonatal wards in hospitals that have ever been designated Baby-Friendly or planned to do so participated in the survey.
Compliance scores at the federal district and country level ranging from 0-100 were used to summarize results. The median country overall score was 90 ( = 83 - 93). Respect for mothers, continuity of care, having a breastfeeding policy, and rooming-in had the highest median scores. Family-centered care, antenatal informing, skin-to-skin contact, and human milk use had the lowest median scores. Neonatal wards in the hospitals that were ever designated as Baby-Friendly had significantly higher scores than those that were never designated. Most respondents ( = 48, 80%) expressed a desire to obtain Neo-BFHI designation in their neonatal wards.
Neo-BFHI recommendations can be successfully implemented in Russian neonatal wards at hospitals designated Baby-Friendly or planning to be designated.
婴儿友好医院倡议扩展到新生儿病房，称为新婴儿友好医院倡议，提供了支持母乳喂养的建议，概述在三个指导原则、扩展的十个步骤和国际母乳代用品销售守则中。2017 年，俄罗斯参与了一项关于遵守新婴儿友好医院倡议的国际调查。
根据新婴儿友好医院倡议的建议，评估俄罗斯国家和联邦地区新生儿病房的母乳喂养支持政策和实践。
本研究是一项前瞻性的横断面调查。我们使用新婴儿友好医院倡议自我评估问卷从具有所有护理级别的新生儿病房收集数据。共有 60 家俄罗斯新生儿病房参加了这项调查，这些病房所在的医院都曾被指定为婴儿友好医院，或计划这样做。
使用联邦地区和国家 0-100 分的合规分数来总结结果。国家整体中位数评分为 90（83-93）。尊重母亲、护理连续性、有母乳喂养政策和母婴同室的中位数评分最高。以家庭为中心的护理、产前告知、皮肤接触和人乳使用的中位数评分最低。曾经被指定为婴儿友好医院的新生儿病房的评分明显高于从未被指定的病房。大多数受访者（48，80%）表示希望在其新生儿病房获得新婴儿友好医院倡议的指定。
在被指定为婴儿友好医院或计划被指定的俄罗斯医院的新生儿病房中，可以成功实施新婴儿友好医院倡议的建议。
