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Journal of Human Lactation
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A 5-Year Follow-up Study of Hospital Breastfeeding Policies in the Philadelphia Area: A Comparison With the Ten Steps

Andrea Crivelli Kovach, PhD, CHES

Department of Medical Science and Community Health, Arcadia University, 450 South Easton Road, Glenside, PA 19038, USA.

The purpose of this study was to describe the current status of hospital breastfeeding policies and practices in the Philadelphia area, to assess hospitals’current implementation levels of the Ten Steps to Successful Breastfeeding, and to compare current implementation levels with 1994 baseline data. Most surveyed hospitals were fully implementing 5 of the Ten Steps. Thirty-seven percent of the hospitals were classified as high implementers and 63% as partial implementers of the Ten Steps overall. Key factors that affect implementation of each step were identified through in-depth discussions. Areas identified as needing the greatest attention were breastfeeding education of health care professionals and mothers, prenatal and postdischarge outreach to mothers, and the restriction of infant supplementation. Additionally, ethnic diversity and cultural beliefs of the mother-infant couple that influence breastfeeding choices need to be considered.

Key Words: breastfeeding • hospital policy • Ten Steps • baby-friendly hospital initiative • breastfeeding assessment

Journal of Human Lactation, Vol. 18, No. 2, 144-154 (2002)
DOI: 10.1177/089033440201800206
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A. Mydlilova, A. Sipek, and J. Vignerova
Breastfeeding Rates in Baby-Friendly and Non-Baby-Friendly Hospitals in the Czech Republic From 2000 to 2006
J Hum Lact, February 1, 2009; 25(1): 73 - 78.
[Abstract] [PDF]