Best Fed Beginnings
A first-of-its-kind, nationwide quality improvement initiative to help hospitals improve maternity care and increase the number of “Baby-Friendly”-designated hospitals in the United States.
October 2011 to March 2015
- Who: Participants included 89 hospital teams from around the U.S.
- Funder: The project was supported by the Centers for Disease Control and Prevention (CDC) and run in close partnership with Baby-Friendly USA and the United States Breastfeeding Committee (USBC).
- Our Role: Facilitated three concurrent learning collaboratives that provide coaching to 89 hospitals on how to apply the Model for Improvement to maternity care in pursuit of Baby-Friendly designation. We also built Baby-Friendly USA’s and the USBC’s internal quality improvement capacity, raised awareness of the World Health Organization’s Breastfeeding Hospital Initiative (BFHI) and supported teams in establishing improved connection with community based breastfeeding coalitions.
Closing the Breastfeeding Disparity Gap: Methods for Improvement
When compared to all other racial groups, Hispanic mothers are most likely to supplement breastmilk with formula within the first two days of life. One hospital on the Texas-Mexico border, serving a nearly 100 percent Hispanic population, has introduced a variety of interventions aimed at closing the breastfeeding disparity gap, specifically as it relates to exclusive breastfeeding.
QI Initiative Brings National Changes to Breastfeeding Support
The NICHQ-led Best Fed Beginnings initiative has made it possible for 218,000 more babies to be born in Baby-Friendly hospitals every year. Collaboration was essential because of the complex challenges for creating better breastfeeding support.
Results of NICHQ Breastfeeding Initiative Featured in Pediatrics Journal
Pediatrics journal article features NICHQ initiative were 80% of hospitals achieved Baby-Friendly status. Join webinar with paper's authors on Aug. 2, 2017
Rooming-in: An Essential Evolution in American Maternity Care
The systematic use of nurseries in hospitals remains an expectation for many families, and now the move to rooming-in is challenging for the hospital staff and parents because many families do not understand the value of babies rooming-in with mothers.
NYS Hospitals See Dramatic Results in Breastfeeding Collaborative
Aggregate results of the 12 hospitals saw a 16 percent improvement in their exclusive breastfeeding rate, 10 percent improvement in babies going skin-to-skin with mothers after a vaginal birth, and 27 percent increase in skin-to-skin after a cesarean section.
Supporting Breastfeeding Across A Hospital System
The benefits of breastfeeding are well known, and supported by the World Health Organization, the Joint Commission, and many other healthcare accreditation and oversight agencies and experts. However, many hospitals struggle to create environments that support mothers who choose to breastfeed.