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

Článek v odborném periodiku

Field of Study

30230 Other clinical medicine subjects

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.300 in 2022

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

Keywords in English

audit; breastfeeding; implementation; lactation; newborn

Abstract

V originále

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.

Citovat

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.

Detailed Information on Publication Record