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Baby-Friendly Hospital Initiative (BFHI)

Additional Information

Program Contact

Baby Friendly USA: http://www.babyfriendlyusa.org

  • Overview of Baby-Friendly Hospital Initiative
  • List of U. S. Baby-Friendly Hospitals and Birth Centers
  • Process for achieving Baby-Friendly designation
  • 4-D Pathway to Baby-Friendly designation
  • Introductory Packet for Providers

Baby-Friendly USA, Inc.
327 Quaker Meeting House Rd
E. Sandwich, MA 02537
Phone (508) 888-8092
Fax      (508) 484-1716
Email: Info@babyfriendlyusa.org


Academy of Breastfeeding Medicine: http://www.bfmed.org

  • International organization of physicians dedicated to the promotion, protection and support of breastfeeding and human lactation.
  • Numerous evidence-based, physician-developed protocols for breastfeeding best practice on a broad range of topics from neonatal hypoglycemia to mastitis to breast milk storage.  Many protocols are available in languages other than English.

Centers for Disease Control Breastfeeding Data and Statistics: http://www.cdc.gov/breastfeeding/data/mpinc/index.htm

  • Results from the mPINC survey
  • 2010 Breastfeeding Report Card
  • Results of the Infant Feeding Practices Survey II and other breastfeeding data collected by the CDC

Joint Commission Perinatal Core Measures: http://www.jointcommission.org/perinatal_care/

  • More information on the new Joint Commission (JCAHO) requirements for exclusive breastfeeding as of April 2010

MotherBaby Summit at Boston Medical Center: http://www.motherbabysummit.com

  • Website developed at Boston Medical Center as a resource for maternity facilities seeking to implement nationally recognized best practices for mother-infant care
  • Clearinghouse for information on optimal maternity practices as they relate to breastfeeding

United States Breastfeeding Committee: http://www.usbreastfeeding.org

  • An independent nonprofit coalition of national professional, educational, and governmental organizations working to protect, promote, and support breastfeeding
  • Links to information on breastfeeding policy and legislation, toolkit for JCAHO compliance, and directory of state, territory, and tribal breastfeeding coalitions


Chamberlain LB, McMahon M, Philipp BL et al. Breast pump access in the inner city: a hospital-based initiative to provide breast pumps for low-income women. J Hum Lact. 2006 Feb;22(1):94-8.

Merewood A, Chamberlain LB, Cook JT et al. The effect of peer counselors on breastfeeding rates in the neonatal intensive care unit: results of a randomized controlled trial. Arch Pediatr Adolesc Med. 2006 Jul;160(7):681-5. 

Merewood A, Fonrose R, Singleton M et al.  From Maine to Mississippi: hospital distribution of formula sample packs along the Eastern Seaboard. Arch Pediatr Adolesc Med. 2008 Sep;162(9):823-7.

Merewood A, Grossman X, Cook J et al. US hospitals violate WHO policy on the distribution of formula sample packs: results of a national survey. J Hum Lact. 2010 Nov;26(4):363-7.

Merewood A, Patel B, Newton K et al. Breastfeeding duration rates and factors affecting continued breastfeeding among infants born at an inner-city US Baby-Friendly hospital. J Hum Lact. 2007;23(2):157-64.

Merewood A, Philipp BL. Becoming Baby-Friendly: overcoming the issue of accepting free formula. J Hum Lact. 2000 Nov;16(4):279-82. 

Merewood A, Philipp BL. Implementing change: becoming Baby-Friendly in an inner city hospital. Birth. 2001 Mar;28:36-40.

Merewood A, Philipp BL, Chawla N, Cimo S. The Baby-Friendly hospital initiative increases breastfeeding rates in a US neonatal intensive care unit. J Hum Lact. 2003 May;19(2):166-71. 

Philipp BL; Academy of Breastfeeding Medicine Protocol Committee. ABM Clinical Protocol #7: Model Breastfeeding Policy (Revision 2010). Breastfeed Med. 2010 Aug;5:173-7. 

Philipp BL, Frank DA, Humphreys RJ et al. Distribution of industry-sponsored diaper bags from maternity facilities in Massachusetts. Breastfeed Med. 2007 Dec;2(4):255-60. 

Philipp BL, Malone KL, Cimo S et al.  Sustained breastfeeding rates at a US Baby-Friendly hospital. Pediatrics. 2003 Sept;112(3):e234-6.

Philipp BL, Merewood A. The Baby-Friendly way: the best breastfeeding start.  Pediatr Clin North Am. 2004 Jun;51(3):761-83, xi. 

Philipp BL, Merewood A, Miller L et al.  Baby-Friendly hospital initiative improves breastfeeding initiation rates in a US hospital setting. Pediatrics. 2001;108:677-681.