Rageth J C, Pilz S, Unger C, Hunter A
Spital Limmattal, Schlieren, Gynäkologie und Geburtshilfe.
Z Geburtshilfe Neonatol. 1998 May-Jun;202(3):102-6.
UNICEF's program "The Baby-Friendly Hospital Initiative" launched in 1990 has met with some criticism in various places of Central Europe, since breast-feeding has already reached a high level in these areas. Despite that fact the Hospital Limmattal decided to introduce the program. Although the frequency of breast-feeding had attained over 90% at discharge from our clinic before the program was introduced, it could be further improved after four months. Prior to the introduction of the 10-step initiative, 56% (103) of the mothers had still been fully breast-feeding their babies after four months (82 women had completely or partially weaned their babies, 54 women did not respond). After the introduction the number of fully breast-feeding mothers rose to 61% (129) (83 women had partially or completely weaned their babies, 27 did not respond). Chi-square test: p = 0.01. At present the frequency of breast-feeding at clinical discharge is 97% (92% full breast-feeding); in 83% tea is also fed during childbed (50% thereof with less than the total of 50 ml), 66% of the babies can do without pacifiers, and in 82% the use of the bottle is superfluous. The combination of individual care with the introduction of the 10-step initiative has certainly rendered work in the maternity ward more demanding, but also more satisfactory owing to the staff's improved competence.
联合国儿童基金会1990年发起的“爱婴医院倡议”在中欧各地受到了一些批评，因为母乳喂养在这些地区已经达到了很高的水平。尽管如此，利马特塔尔医院还是决定引入该项目。在引入该项目之前，我们诊所出院时的母乳喂养率已经超过了90%，但在四个月后仍有进一步提高的空间。在引入十项措施之前，四个月后仍有56%（103名）的母亲完全母乳喂养婴儿（82名妇女已完全或部分断奶，54名妇女未回复）。引入之后，完全母乳喂养的母亲人数上升到61%（129名）（83名妇女已部分或完全断奶，27名未回复）。卡方检验：p = 0.01。目前，临床出院时的母乳喂养率为97%（纯母乳喂养率为92%）；83%的产妇在产褥期也喂茶（其中50%的喂茶量少于50毫升），66%的婴儿不需要安抚奶嘴，82%的婴儿不需要使用奶瓶。将个性化护理与引入十项措施相结合，无疑使产科病房的工作要求更高，但由于工作人员能力的提高，工作也更令人满意。
