Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services
This guideline provides global, evidence-informed recommendations on protection, promotion and support of optimal breastfeeding in facilities providing maternity and newborn services, as a public health intervention. It is intended to contribute to discussions among stakeholders when selecting or prioritizing appropriate actions in their efforts to achieve the Sustainable Development Goals and the global targets for 2025 as put forward in the Comprehensive implementation plan on maternal, infant and young child nutrition, endorsed by the Sixty-fifth World Health Assembly in 2012, in resolution WHA65.6, the Global strategy for women’s, children’s, and adolescents’ health (2016–2030), and the Global Strategy for infant and young child feeding.
The document presents the key recommendations, a summary of the supporting evidence and a description of the considerations that contributed to the deliberations and consensus decision-making.
A. Immediate support to initiate and establish breastfeeding
Early skin-to-skin contact
Early initiation of breastfeeding
Showing mothers how to breastfeed
McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, Veitch E, Rennie AM, Crowther SA, Neiman S, MacGillivray S.
Crowe L, Chang A, Wallace K.
Becker GE, Smith HA, Cooney F.
B. Feeding practices and additional needs of infants
Early additional foods or fluids
Avoidance of pacifiers or dummies
Jaafar SH, Ho JJ, Jahanfar S, Angolkar M.
Foster JP, Psaila K, Patterson T.
Greene Z, O’Donnell CPF, Walshe M.
Avoidance of feeding bottles and teats
Ganchimeg T, Sugimoto K, Fukazawa KR, Rayco-Solon P, Ota E.
Flint A, New K, Davies MW.
Collins CT, Gillis J, McPhee AJ, Suganuma H, Makrides M.
C. Creating an enabling environment
Breastfeeding policy of facilities providing maternity and newborn services
Training of health workers
Gavine A, MacGillivray S, Renfrew MJ, Siebelt L, Haggi H, McFadden A.
Balogun OO, Dagvadorj A, Yourkavitch J, da Silva Lopez K, Suto M, Takemoto Y, et al.
Antenatal breastfeeding education for mothers
Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M.
Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, Renfrew MJ, MacGillivray S.
Discharge planning and linkage to continuing support
- Archived: Protecting, promoting and supporting breast-feeding
- Innocenti Declaration on the protection, promotion and support of breastfeeding (1990)
- Innocenti Declaration on infant and young child feeding (2005)
- Sustainable Development Goals
- Comprehensive implementation plan on maternal, infant and young child nutrition
- Global Strategy for Women's, Children's and Adolescents Health 2016-2030
- Global strategy for infant and young child feeding