The Delivery Unit's 10 steps to successful breastfeeding
Management methods in promoting breastfeeding
1 a. The WHO's international code of marketing of breast-milk substitutes is followed at the delivery unit.
1 b. At the delivery unit there is a written breastfeeding policy, based on WHO and UNICEF Baby-friendly Hospital Initiative Implementation Guidance 2018. The breastfeeding policy is communicated to staff and families.
1 c. The delivery unit has ongoing monitoring and data-management systems that monthly follow up how the breastfeeding policy is realized. Breastfeeding statistics from the maternal health services are also collected yearly.
2. The staff in the delivery unit has sufficient knowledge to promote, support and motivate breastfeeding. The staff has received the WHO 20 hour training in breastfeeding guidance and everyone participates regularly in advanced training in breastfeeding guidance. New employees are acquainted with the breastfeeding policy.
Supporting breastfeeding in clinical practices
3. At every unit that provides maternity care at Vaasa central hospital, all pregnant women and their families are given information about breastfeeding and its advantages. The families' opinions regarding breastfeeding are respected.
4. Mothers are given the possibility and are encouraged to keep an uninterrupted skin-to-skin contact, despite the way of giving birth. Mothers are encouraged to begin breastfeeding as soon as possible after birth and a successful first feeding is cared for in the delivery room or at the ward.
5. Mothers are given practical guidance on how to initiate and maintain breastfeeding. Mothers are guided in how to maintain the lactation in case they are separated from their baby. The mothers are also given information about how to manage the most common breastfeeding difficulties.
6. The staff discourages parents from giving any fluids other than breastmilk to the baby, unless it is medically indicated.
7. Mothers and their newborns are enabled to remain together and to practice rooming-in 24/7.
8. Mothers are instructed to breastfeed on demand by recognizing and responding to the baby's cues for feeding.
9. Families are counseled on the use and risks of feeding bottles and pacifiers.
10. At the time of discharge an individual written breastfeeding plan is drawn up. The families are informed of where they can have timely access to ongoing support and appropriate care also after discharge.