Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project

HASONOVÁ, Lucia, Andrea POLOKOVA, Michal SYKORA, Tereza VRBOVÁ, Miloslav KLUGAR a Jitka KLUGAROVÁ. Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project. JBI EVIDENCE IMPLEMENTATION. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2023, roč. 21, S1, s. "S47"-"S56", 10 s. ISSN 2691-3321. Dostupné z: https://dx.doi.org/10.1097/XEB.0000000000000388.

Základní údaje

• Originální název: Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project
• Autoři: HASONOVÁ, Lucia (703 Slovensko, domácí), Andrea POLOKOVA (203 Česká republika), Michal SYKORA (203 Česká republika), Tereza VRBOVÁ (203 Česká republika, domácí), Miloslav KLUGAR (203 Česká republika, domácí) a Jitka KLUGAROVÁ (203 Česká republika, domácí).
• Vydání: JBI EVIDENCE IMPLEMENTATION, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2023, 2691-3321.

Další údaje

• Originální jazyk: angličtina
• Typ výsledku: Článek v odborném periodiku
• Obor: 30230 Other clinical medicine subjects
• Stát vydavatele: Spojené státy
• Utajení: není předmětem státního či obchodního tajemství
• WWW: URL
• Impakt faktor: Impact factor: 2.300 v roce 2022
• Kód RIV: RIV/00216224:14110/23:00133710
• Organizační jednotka: Lékařská fakulta
• Doi: http://dx.doi.org/10.1097/XEB.0000000000000388
• UT WoS: 001111566500001
• Klíčová slova anglicky: audit; breastfeeding; implementation; lactation; newborn
• Štítky: 14119612, 14119613, rivok
• Příznaky: Mezinárodní význam, Recenzováno

Anotace

Objectives:The aim of this implementation project was to improve breastfeeding support, and more specifically, to increase compliance with the Baby-Friendly Hospital Initiative (BFHI) and the requirements of the International Code of Marketing of Breastmilk Substitutes (the Code).Introduction:The Ten Steps to Successful Breastfeeding of the BFHI have been shown to improve breastfeeding outcomes at target hospitals. The Code is a minimum standard for the regulation of marketing practices related to breastfeeding support.Methods:We used the JBI evidence implementation model to identify a group of stakeholders in a hospital in the Czech Republic and carried out a best practice implementation project from January 2021 to May 2022. After conducting a baseline audit, the clinical team and external breastfeeding experts discussed challenges and devised an implementation plan using the JBI Getting Research into Practice framework. Follow-up audits were undertaken from January to December 2021 and in May 2022.Results:Compliance improved across all audited criteria, namely, to fully comply with the Code (0% to 100%); to have a written infant feeding policy (0% to 100%); to ensure staff have skills to support breastfeeding (0% to 100%); to discuss breastfeeding with pregnant women (0% to 100%); to facilitate skin-to-skin contact (67.86% to 83.58%); to support and provide help with breastfeeding (67.86% to 82.09%); to not provide fluids other than breast milk (50% to 58.21%); to practice rooming-in (57.14% to 61.19%); to respond to infant cues (50% to 64.18%); to provide information about community support services (32.14% to 62.69%); and to coordinate discharge and ongoing care (0% to 100%).Conclusions:Breastfeeding support requires a sustained long-term effort before it can become fully established. The involvement of national-level policy makers is needed.