Baby Friendly
Practices that Support Exclusive Breastfeeding
Latching/Positioning
Alternate Feeding
Discharge Planning
100

This policy promotes successful and exclusive breastfeeding, and provides standardized care to all families consistent with the 10 steps to successful breastfeeding.

What is the Infant Feeding Policy

100

This practice reduces infant separation and assists parents in identifying infant feeding cues. 

What is Rooming-In


100
The infant behaviors including rooting, licking, sucking on hands, hand to mouth movements and crying. 
What is Feeding Cues
100

These are two reasons mother's should be supported in expressing their milk as soon as possible after delivery if separated from infant?

What is to provide Colostrum for the baby and to stimulate milk supply.

100

These are important education topics to cover with mothers who are feeding formula and preparing for discharge.

What is safe storage, safe handling, appropriate reconstitution, appropriate hygiene, accuracy of measurement of Ingredients, cleaning of utensils and equipment.

200

This hospital initiative designates our facility and is responsible for coordinating and conducting all activities necessary to generate widespread understanding of and enthusiasm for best practice infant feeding care. 

What is Baby Friendly Hospital Initiative

200

This practice is performed immediately after delivery [Unless Medically Unable], Facilitates Bonding and promotes early initiation of breastfeeding. 

What is Skin-to-Skin

200

What is the frequency we encourage parents to breastfeed their infants?

What is 8 or more in 24 Hours. 

200

These devices are offered as alternate feeding methods if infant is not latching. 

What are Cup, Syringe, Spoon, SNS, Bottle

200

These are ways that a mother can access breastfeeding and/or formula feeding support after discharge?

What is Henry Ford Jackson Lactation Department Warm Line 517-205-4940, Outpatient Services through Henry Ford Jackson Lactation Department, Pediatrician, and Breastfeeding Groups [i.e. Breastfeeding Coalition], Milk Bank

300

This is a framework that guide Baby-Friendly Hospital Initiative and are posted throughout the unit and key areas of the hospital.

What are the 10 Steps to Successful Breastfeeding. 

300

This standardized tool is used to document a breastfeeding attempt/feed and must be done within the first 2 hours of birth and once every shift through discharge. 

What is a LATCH Score

300

Uterine Involution, Mother/Baby Bonding, Reduced Chances of Reproductive Cancers, Reduced Risk of Postpartum Depression, Decrease Risk for Engorgement and Weight Loss are considered what?

What is benefits of Breastfeeding for Mother.

300

This technique should be taught to every parent and includes 8 steps. Return Demonstration is recommended to ensure it is performed correctly. 

What is Hand Expression. 

300

These are two resources you would use to find out about safe medications for use during lactation

What is LactMed, Hales Medication and Mother's Milk/Infant Risk, Pharmacy, Lactation Department. 

400

The Rate of initiation and exclusive breastfeeding is key to the BFHI Practices. True or False?

What is True.

400

This item interferes with cue-based feeding [leading to decreased milk supply] and should be delayed until breastfeeding is well established, usually around 3-4 weeks of life. 

What is a Pacifier 

400

Infant Nutrition tailored to baby, Decreased Risk for SIDS, Reduced Illness for Baby [Including Chronic], Stabilizes Blood Sugar, Best neurodevelopment of infant [Brain growth and nutrition], Decrease risk for Obesity, and Decrease risk for Diabetes are considered what?

What is the benefits of Breastfeeding for infant 

400

This technique includes holding baby fairly upright and allowing baby to feed at his/her own pace and should be taught to all bottle-fed infants. 

What is paced bottle feeding.

400

Scant or no urine output, sunken fontanels, inconsolable, lethargic, increased bilirubin are warning signs of this condition that should be reported to a health care professional after discharge?

What is undernourishment or dehydration. 
500

The International Code of Marketing requires that Henry Ford promotes exclusive Breastfeeding for the first 6 months of life, education on appropriate times to use artificial nipples and bottles and prohibits this activity. 

What is Marketing Breastmilk Substitutes [i.e. Bottles, Nipples, Formula, Pacifiers]. It gives the appearance of product endorsement by the provider

500

Staff should help a mother achieve a comfortable and safe position for breastfeeding [and or assist with Hand Expression or Pumping] within the first __ hours after birth. 

What is 6 Hours

500

These are 3 Elements that are assessed during a breastfeeding session indicating an effective latch. 

What are rhythmic sucking, swallows, no clicking sounds, flanged lips, no pain/discomfort, and Postural alignment. 

500

This is the appropriate order to offer to infants as supplementation.

What is Expressed Breastmilk, Donor Milk, and Formula

500

This is indicated when an infant is satisfied after feedings, has adequate voids and stools according to expected norms and infant’s weight stabilizes by day four. 

What is adequate transfer of milk

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