About Us

About Us

Helping you achieve Baby-Friendly Accreditation—the gold standard in infant care

Baby-Friendly USA, Inc. (BFUSA) is the accrediting body and national authority for the Baby Friendly Hospital Initiative in the United States. We work with facilities to help them achieve the prestigious Baby-Friendly® designation, and we work to ensure the widespread adoption of the BFHI in the United States.

About BFUSA

Baby-Friendly USA, Inc. (BFUSA) is the accrediting body and national authority for the Baby Friendly Hospital Initiative in the United States. We work with facilities to help them achieve the prestigious Baby-Friendly® designation, and we work to ensure the widespread adoption of the BFHI in the United States.

Refining and upholding the standards and criteria for successfully implementing the Ten Steps to Successful Breastfeeding in the US

Refining and upholding the standards and criteria for successfully implementing the Ten Steps to Successful Breastfeeding in the US

Assessing and accrediting birthing facilities that meet those standards and follow the International Code of Marketing of Breast-milk Substitutes

Assessing and accrediting birthing facilities that meet those standards and follow the International Code of Marketing of Breast-milk Substitutes

Fostering understanding and inspiring widespread enthusiasm for best practices in infant feeding care

Fostering understanding and inspiring widespread enthusiasm for best practices in infant feeding care

Unlocking the Power of BFHI

Looking for significant, sustainable improvements in breastfeeding outcomes at your facility?
The Ten Steps is the most evidence-based approach.

As Baby-Friendly Has Grown, Breastfeeding Rates Have Improved

More Baby-Friendly Facilities, Better Breastfeeding Rates

Percentage of babies born in designated facilities

The implementation of BFHI has enabled tremendous progress in infant feeding outcomes. Prior to BFHI's inception two decades ago, maternity wards were heavily influenced by formula companies, and maternity care and infant feeding practices regularly undermined breastfeeding.

Today's picture is very different: As the number of Baby-Friendly facilities grows steadily, more and more maternity wards are becoming places where evidenced-based care is provided, education is free from commercial interests, and mothers are supported in reaching their infant feeding goals.

Milestones on Our Journey

1991

WHO and UNICEF launch the Baby-Friendly Hospital Initiative (BFHI).

1996

Evergreen Health in Kirkland, Washington becomes the first US hospital to achieve Baby-Friendly designation.

1997

Baby-Friendly USA incorporated as a non-profit organization.

2025

The National Academies names the BFHI Ten Steps a top national recommendation, calling for every U.S. maternity facility to make them the standard of care.

Today

More than 400 hospitals in the United States are Baby-Friendly designated, representing all 50 states, the District of Columbia, and the Commonwealth of Puerto Rico. These US facilities join more than 20,000 Baby-Friendly designated facilities in 150 countries around the world.

baby diversity illustration

Babies are born each year in Baby-Friendly facilities

baby-friendly hospital illustration

Baby-Friendly facilities exist in the United States

pie chart illustration

%

Percentage of annual U.S. births take place in Baby-Friendly facilities

Our Philosophy

BFUSA bases its philosophy on three basic tenets:

Human milk provides optimal nourishment and nurturing for human infants.

The scientific evidence is conclusive: Breastfeeding is the optimal feeding and caring method for the health of both babies and mothers. Mothers and babies who breastfeed experience improved health outcomes and lower risks for certain diseases, and breastfeeding is an important mechanism in the transition to parenthood and the natural development of the infant.

The precious first days in the birth facility should be free from commercial influence and protected as a time of bonding and support.

Evidence shows that commercial interests can significantly influence infant feeding practices in ways that undermine breastfeeding. Baby-Friendly facilities protect families from predatory marketing by providing evidenced-based care, education free from commercial interests, and a supported environment where all feeding options are possible and individual preferences are respected.

Every mother should be informed about the importance of breastfeeding and supported to make her own decision.

Every mother has the right to be fully informed of the importance of breastfeeding for her baby’s immediate and lifelong health and development and for her own health, and to receive the help she needs to achieve her infant feeding goals. We acknowledge that breastfeeding is not possible for some families in certain situations, supplementation is sometimes medically appropriate, and some mothers choose not to breastfeed. Every mother has the right to evidence-based information, free from commercial interests, to help her decide how to feed her baby, and every mother should be equally supported, treated with dignity, and respected for her infant feeding decision.

Our Commitment:
Quality Care for Every Family

BFUSA is committed to helping facilities create an environment where every family recieves high-quality, culturally sensitive infant feeding care.  By centering individualized support and truly listening to each family's needs, we are helping to close long-standing gaps in care   improving outcomes for mothers, babies and generations to come.

More than 20,000 maternity facilities in 150 countries around the world have earned the Baby-Friendly designation.