offered by
Nutrition Division of the Bureau of Family Health and Nutrition
Bureau of Family Health and Nutrition
Department of Public Health
related to
Breastfeeding Initiative

Becoming Baby-Friendly: Practical Solutions Toolkit

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Table of Contents

Overview

Baby-Friendly USA 
Ten Steps to Successful Breastfeeding 
4-D Pathway Resources 
Guidelines and Evaluation Criteria for Facilities Seeking Baby-Friendly Designation 
Baby-Friendly USA Self-Appraisal Tool 2012 (PDF 56.45 KB)
Baby-Friendly USA Self-Appraisal Tool 2012 (DOC 147.5 KB)

Step 1: Have a written breastfeeding policy

Academy of Breastfeeding Medicine’s Model Hospital Policy 
Sample Breastfeeding Hospital Policy Text for 10 Steps to Successful Breastfeeding (PDF 409.27 KB)
Sample Breastfeeding Hospital Policy Text for 10 Steps to Successful Breastfeeding (DOCX 31.96 KB)

Step 2: Train all health care staff

BFHI Staff Acknowledgement (PDF 34.24 KB)
BFHI Staff Acknowledgement (DOC 26.5 KB)
Breastfeeding Clinical Education Tracker (PDF 287.12 KB)
Breastfeeding Clinical Education Tracker (DOCX 23.13 KB)
Free Continuing Medical Education Modules: Expanding Clinicians' Roles in Breastfeeding Support 
First Latch – Baby Friendly Training 
University of Virginia Health System - Online Breastfeeding Training Course 
Jones and Bartlett - Ten Steps to Successful Breastfeeding Online Course 
Staff Competency Assessment (PDF 80.48 KB)
Staff Competency Assessment (DOC 37.5 KB)
MGH Staff Baby Friendly Booklet (PDF 412.66 KB)
MGH Staff Baby Friendly Booklet (DOCX 30.54 KB)

Step 3: Inform all pregnant women about breastfeeding

You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success (PDF 840.6 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success (DOCX 20 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Arabic (PDF 1.07 MB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Arabic (DOCX 23.7 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Chinese (PDF 1.57 MB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Chinese (DOCX 25.52 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - French (PDF 1.42 MB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - French (DOCX 22.89 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Khmer (PDF 1.07 MB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Khmer (DOCX 27.05 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Portuguese (PDF 1.03 MB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Portuguese (DOCX 22.04 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Russian (PDF 1.12 MB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Russian (DOCX 25.05 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Spanish (PDF 813.06 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Spanish (DOCX 20.29 KB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Vietnamese (PDF 1.06 MB)
You've Got What it Takes - A Guide to Help You Make Breastfeeding a Success - Vietnamese (DOCX 22.18 KB)
You've Got What It Takes Order Form for Health Care Facilities (DOC 305 KB)
You've Got What It Takes Order Form for Health Care Facilities (PDF 74.71 KB)
Prenatal Breastfeeding Class Core Topics (PDF 57.21 KB)
Prenatal Breastfeeding Class Core Topics (DOCX 12.87 KB)
Academy of Breastfeeding Medicine Clinical Protocol - Prenatal Education 
ACOG – Optimizing Support for Breastfeeding as Part of Obstetric Practice 
ACOG Breastfeeding Toolkit 
Sample Informational Flyer for Expectant Parents (PDF 209.46 KB)
Sample Informational Flyer for Expectant Parents (DOC 23 KB)

Step 4: Help mothers initiate breastfeeding within one hour of birth

The First Hour of Life-Sample Flyer for Parents (PDF 504.89 KB)
The First Hour of Life-Sample Flyer for Parents (DOC 35 KB)
Massachusetts Breastfeeding Coalition’s Skin-to-Skin Flyer 
Skin-to-Skin Flyer – Spanish Version 
Massachusetts Breastfeeding Coalition’s Skin-to-Skin Poster 
Skin-to-Skin Poster – Spanish Version 
Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns - Pediatrics, August 2016 From the American Academy of Pediatrics Clinical Report 
Stanford University School of Medicine - Early Initiation of Breastfeeding Video 

Step 5: Show mothers how to breastfeed

Stanford University School of Medicine – Fifteen Minute Helper Video 
Sample Patient Education Checklist (PDF 388.14 KB)
Sample Patient Education Checklist (DOCX 20.15 KB)
Massachusetts Breastfeeding Coalition - Making Milk Handout 
Making Milk Handout Spanish 
Making Milk Handout Portuguese 
Making Milk Handout French 
Mother’s Milk Bank Northeast 
Texas WIC Program Breastfeeding Guide: How To Get Off To A Great Start  
Stanford University School of Medicine - Hand Expression Demonstration Video 
Formula Feeding Basics - English (PDF 75.17 KB)
Formula Feeding Basics - English (DOCX 30.76 KB)
Formula Feeding Basics - Arabic (PDF 693.54 KB)
Formula Feeding Basics - Arabic (DOCX 38.75 KB)
Formula Feeding Basics - French (PDF 777.69 KB)
Formula Feeding Basics - French (DOCX 29.27 KB)
Formula Feeding Basics - Khmer (PDF 655.11 KB)
Formula Feeding Basics - Khmer (DOCX 46.01 KB)
Formula Feeding Basics - Portuguese (PDF 751.64 KB)
Formula Feeding Basics - Portuguese (DOCX 20.25 KB)
Formula Feeding Basics - Simplified Chinese (PDF 903.66 KB)
Formula Feeding Basics - Simplified Chinese (DOCX 41.17 KB)
Formula Feeding Basics - Spanish (PDF 517.37 KB)
Formula Feeding Basics - Spanish (DOCX 17.76 KB)
Formula Feeding Basics - Vietnamese (PDF 702.85 KB)
Formula Feeding Basics - Vietnamese (DOCX 25.69 KB)

Step 6: Practice Exclusive Breastfeeding

Sample Hospital Policy-Supplementation for Healthy Term Infant (PDF 96.31 KB)
Sample Hospital Policy-Supplementation for Healthy Term Infant (DOC 39.5 KB)
Academy of Breastfeeding Medicine Clinical Protocol - Supplementation 
Breastfeeding Exclusivity Tracking Form (PDF 257.66 KB)
Breastfeeding Exclusivity Tracking Form (XLS 45.5 KB)
Toolkit: Implementing The Joint Commission Perinatal Care Core Measure on Exclusive Breast Milk Feeding 
Best Practices Guide for Implementation of Newborn Exclusive Breast Milk Feeding in Electronic Health Records 
Texas 10 Step Program -Helping Nurses Help Moms 
CDC Crib Card for Girls 
CDC Crib Card for Boys 

Step 7: Practice Rooming-In

Rooming-In Staff Presentation (PDF 224.81 KB)
Rooming-In Staff Presentation (DOC 29.5 KB)
Scripting Tool for Rooming In (PDF 281.75 KB)
Scripting Tool for Rooming In (DOCX 14.55 KB)
Lamaze Institute for Normal Birth, Care Practice #6: No Separation of Mother and Baby, With Unlimited Opportunities for Breastfeeding 
Missouri WIC Program – Breastfeeding: Rooming In at the Hospital 

Step 8: Encourage Breastfeeding On-Demand

California WIC Program - Understanding Your Baby – Infant Behavior 
Typical Newborn Feeding Patterns Tracking Sheet (PDF 88.56 KB)
Typical Newborn Feeding Patterns Tracking Sheet (DOC 43.5 KB)

Step 9: Give No Artificial Teats or Pacifiers

Pacifier Notification for Families (PDF 62.79 KB)
Pacifier Notification for Families (DOC 23 KB)

Step 10: Refer Mothers to Breastfeeding Support at Discharge

ZipMilk Breastfeeding Resource Directory 
WIC breastfeeding support services 
The Baby Cafe Charitable Trust 
Educating Breastfeeding Families _ Discharge Packet Content Planning Tool (PDF 225.5 KB)
Educating Breastfeeding Families _ Discharge Packet Content Planning Tool (DOC 236.5 KB)

Compliance with the WHO Code

International Code of Marketing of Breast-milk Substitutes 
Calculating Formula Fair Market Price Tool Instructions (PDF 893.97 KB)
Calculating Formula Fair Market Price Tool Instructions (DOCX 405.24 KB)
Fair Market Price Calculation Tool (PDF 182.63 KB)
Fair Market Price Calculation Tool (XLSX 17.95 KB)

Resources

CDC Breastfeeding Resources 
Surgeon General's Call to Action to Support Breastfeeding 
Academy of Breastfeeding Medicine Protocols  
Louisiana Department of Health “The Gift LA” 
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