The Ten Steps to Successful Breastfeeding are the broad framework that guide the Baby-Friendly Hospital Initiative. They were developed by a team of global experts and consist of evidence-based practices that have been shown to increase breastfeeding initiation and duration, and were updated in 2018. Baby-Friendly® hospitals and birthing facilities must adhere to the Ten Steps to receive, and retain, a Baby-Friendly designation. The Ten Steps to Successful Breastfeeding are:
CRITICAL MANAGEMENT PROCEDURES:
1 A. Comply fully with the International Code of Marketing of Breast-milk Substitutes and relevant World Health Assembly resolutions.
1 B. Have a written infant feeding policy that is routinely communicated to staff and parents.
1 C. Establish ongoing monitoring and data-management systems.
2. Ensure that staff have sufficient knowledge, competence and skills to support breastfeeding.
KEY CLINICAL PRACTICES:
3. Discuss the importance and management of breastfeeding with pregnant women and their families.
4. Facilitate immediate and uninterrupted skin-to-skin contact and support mothers to initiate breastfeeding as soon as possible after birth.
5. Support mothers to initiate and maintain breastfeeding and manage common difficulties.
6. Do not provide breastfed newborns any food or fluids other than breast-milk, unless medically indicated.
7. Enable mothers and their infants to remain together and to practice rooming-in 24 hours a day.
8. Support mothers to recognize and respond to their infants’ cues for feeding.
9. Counsel mothers on the use and risks of feeding bottles, artificial nipples (teats) and pacifiers.
10. Coordinate discharge so that parents and their infants have timely access to ongoing support and care.