Juliann J. Van Liew
Date of Defense:
April 16, 2014
OBJECTIVES: To assess infant feeding and care practices at maternity centers in Minnesota and monitor progress towards implementing the World Health Organization’s Ten Steps to Successful Breastfeeding and becoming Baby-Friendly designated.
METHODS: The Infant Feeding Practices Survey was administered to 66 (72% of the sample framework) maternity centers in 2013 and 94 (97% of the sample framework) maternity centers in 2014.
RESULTS: Seventy percent of maternity centers we re working on at least some of the Ten Steps, four centers were designated as Baby-Friendly, and 16 were on the 4D Pathway towards becoming Baby-Friendly in 2014. There were significant rural/urban differences regarding the implementation of the Ten Steps. Eighty-five percent of maternity centers not designated as Baby-Friendly or on the 4D pathway identified cost as a barrier to initiating the Ba by-Friendly designation process.
CONCLUSIONS: Minnesota’s maternity centers varied significantly in terms of implementation of the Ten Steps and Baby- Friendly status. Reported barriers and rural/urban status need to be accounted for when promoting the Baby-Friendly Hospital Initiative.