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

J 2023

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 et. al.

Basic information

Original name

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

Authors

HASONOVÁ, Lucia (703 Slovakia, belonging to the institution); Andrea POLOKOVA (203 Czech Republic); Michal SYKORA (203 Czech Republic); Tereza VRBOVÁ (203 Czech Republic, belonging to the institution); Miloslav KLUGAR (203 Czech Republic, belonging to the institution) and Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution)

Edition

JBI EVIDENCE IMPLEMENTATION, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2023, 2691-3321

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30230 Other clinical medicine subjects

Country of publisher

United States of America

Confidentiality degree

is not subject to a state or trade secret

References:

URL

Impact factor

Impact factor: 2.700

RIV identification code

RIV/00216224:14110/23:00133710

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/XEB.0000000000000388

UT WoS

001111566500001

EID Scopus

2-s2.0-85178512417

Keywords in English

audit; breastfeeding; implementation; lactation; newborn

Abstract

In the original language

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.

Cite

HASONOVÁ, Lucia; Andrea POLOKOVA; Michal SYKORA; Tereza VRBOVÁ; Miloslav KLUGAR and 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, vol. 21, S1, p. "S47"-"S56", 10 pp. ISSN 2691-3321. Available from: https://dx.doi.org/10.1097/XEB.0000000000000388.

@article{2380197,
   author = {Hasonová, Lucia and Polokova, Andrea and Sykora, Michal and Vrbová, Tereza and Klugar, Miloslav and Klugarová, Jitka},
   article_location = {PHILADELPHIA},
   article_number = {S1},
   doi = {http://dx.doi.org/10.1097/XEB.0000000000000388},
   keywords = {audit; breastfeeding; implementation; lactation; newborn},
   language = {eng},
   issn = {2691-3321},
   journal = {JBI EVIDENCE IMPLEMENTATION},
   title = {Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project},
   url = {https://journals.lww.com/ijebh/fulltext/2023/12001/breastfeeding_support_and_avoiding_inappropriate.6.aspx},
   volume = {21},
   year = {2023}
}

TY  - JOUR
ID  - 2380197
AU  - Hasonová, Lucia - Polokova, Andrea - Sykora, Michal - Vrbová, Tereza - Klugar, Miloslav - Klugarová, Jitka
PY  - 2023
TI  - Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project
JF  - JBI EVIDENCE IMPLEMENTATION
VL  - 21
IS  - S1
SP  - "S47"-"S56"
EP  - "S47"-"S56"
PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 26913321
KW  - audit
KW  - breastfeeding
KW  - implementation
KW  - lactation
KW  - newborn
UR  - https://journals.lww.com/ijebh/fulltext/2023/12001/breastfeeding_support_and_avoiding_inappropriate.6.aspx
N2  - 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.
ER  -

HASONOVÁ, Lucia; Andrea POLOKOVA; Michal SYKORA; Tereza VRBOVÁ; Miloslav KLUGAR and Jitka KLUGAROVÁ. Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project. \textit{JBI EVIDENCE IMPLEMENTATION}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2023, vol.~21, S1, p.~''S47''-''S56'', 10 pp. ISSN~2691-3321. Available from: https://dx.doi.org/10.1097/XEB.0000000000000388.

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