The Ten Steps to Successful Breastfeeding (from Baby-Friendly USA) are as follows:
- Have a written breastfeeding policy that is routinely communicated to all health care staff;
- Train all health care staff in skills necessary to implement this policy;
- Inform all pregnant women about the benefits and management of breastfeeding;
- Help all mothers initiate breastfeeding within one hour of birth;
- Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants;
- Give newborns no food or drink other than breast milk, unless medically indicated;
- Practice rooming-in allow mothers and infants to remain together-24 hours per day;
- Encourage breastfeeding on demand;
- Give no artificial teats or pacifiers; and
- Foster the establishment of breast-feeding support groups and refer mothers to them on discharge from the hospital or clinic.
Bethany Holloway, MEd, RD, LDN, IBCLC
State Breastfeeding Coordinator
N.C. Department of Health and Human Services Division of Public Health, Nutrition Services Branch
North Carolina Breastfeeding-Friendly Child Care Designation Program - This program was launched by the North Carolina Division of Public Health in January 2014. The North Carolina Breastfeeding-Friendly Child Care (NCBFCC) Designation Program was made possible through a grant from Kids Eat Smart Move More. The program recognizes child care facilities that have taken steps to promote, protect, and support breastfeeding. Child care facilities are awarded up to five gold-starred building blocks based on the number of steps achieved in the Ten Steps to Breastfeeding-Friendly Child Care. The Ten Steps to Breastfeeding-Friendly Child Care were adopted from the Carolina Global Breastfeeding Institute at UNC-Chapel Hill. The program was modeled after the North Carolina Maternity Center Breastfeeding-Friendly Designation. More information is on the program website at http://nutritionnc.com/breastfeeding/childcare.htm.
Publications in support of formative work
Taylor EC, Nickel NC, Labbok MH. Implementing the Ten Steps for Successful Breastfeeding in hospitals serving low-wealth patients. Am J Public Health. 2012 Dec;102(12):2262-8. doi: 10.2105/AJPH.2012.300769. Epub 2012 Oct 18.
Labbok MH, Taylor EC, Nickel NC. Implementing the ten steps to successful breastfeeding in multiple hospitals serving low-wealth patients in the US: innovative research design and baseline findings. Int Breastfeed J. 2013 May 20;8(1):5. doi: 10.1186/1746-4358-8-5.
Nickel NC, Taylor EC, Labbok MH, Weiner BJ, Williamson NE. Applying organization theory to understand barriers and facilitators to the implementation of baby-friendly: A multisite qualitative study. Midwifery. 2013 Aug;29(8):956-64. doi: 10.1016/j.midw.2012.12.001. Epub 2013 Feb 20.