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  • 1
    Online Resource
    Online Resource
    Expansion of the Baby-Friendly Hospital Initiative Ten Steps to Successful Breastfeeding into Neonatal Intensive Care : Expert Group Recommendations
    SAGE Publications ; 2013
    In:  Journal of Human Lactation Vol. 29, No. 3 ( 2013-08), p. 300-309
    Details
    In: Journal of Human Lactation, SAGE Publications, Vol. 29, No. 3 ( 2013-08), p. 300-309
    Abstract: In the World Health Organization/United Nations Children’s Fund document Baby-Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care, neonatal care is mentioned as 1 area that would benefit from expansion of the original Ten Steps to Successful Breastfeeding. The different situations faced by preterm and sick infants and their mothers, compared to healthy infants and their mothers, necessitate a specific breastfeeding policy for neonatal intensive care and require that health care professionals have knowledge and skills in lactation and breastfeeding support, including provision of antenatal information, that are specific to neonatal care. Facilitation of early, continuous, and prolonged skin-to-skin contact (kangaroo mother care), early initiation of breastfeeding, and mothers’ access to breastfeeding support during the infants’ whole hospital stay are important. Mother’s own milk or donor milk (when available) is the optimal nutrition. Efforts should be made to minimize parent–infant separation and facilitate parents’ unrestricted presence with their infants. The initiation and continuation of breastfeeding should be guided only by infant competence and stability, using a semi-demand feeding regimen during the transition to exclusive breastfeeding. Pacifiers are appropriate during tube-feeding, for pain relief, and for calming infants. Nipple shields can be used for facilitating establishment of breastfeeding, but only after qualified support and attempts at the breast. Alternatives to bottles should be used until breastfeeding is well established. The discharge program should include adequate preparation of parents, information about access to lactation and breastfeeding support, both professional and peer support, and a plan for continued follow-up.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    URL: Article
    DOI: 10.1177/0890334413489775
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2092674-1
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  • 2
    Online Resource
    Online Resource
    Prácticas de lactancia materna en las unidades neonatales de España. Encuesta internacional Neo-IHAN
    Elsevier BV ; 2022
    In:  Anales de Pediatría Vol. 96, No. 4 ( 2022-04), p. 300-308
    Details
    In: Anales de Pediatría, Elsevier BV, Vol. 96, No. 4 ( 2022-04), p. 300-308
    Type of Medium: Online Resource
    ISSN: 1695-4033
    URL: Article
    DOI: 10.1016/j.anpedi.2021.04.010
    Language: Spanish
    Publisher: Elsevier BV
    Publication Date: 2022
    detail.hit.zdb_id: 2155776-7
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  • 3
    Online Resource
    Online Resource
    Breastfeeding practices in neonatal wards in Spain. Neo-BFHI international survey
    Elsevier BV ; 2022
    In:  Anales de Pediatría (English Edition) Vol. 96, No. 4 ( 2022-04), p. 300-308
    Details
    In: Anales de Pediatría (English Edition), Elsevier BV, Vol. 96, No. 4 ( 2022-04), p. 300-308
    Type of Medium: Online Resource
    ISSN: 2341-2879
    URL: Article
    DOI: 10.1016/j.anpede.2021.04.010
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
    detail.hit.zdb_id: 2830901-7
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  • 4
    Online Resource
    Online Resource
    Shared decision‐making for infant feeding and care during the coronavirus disease 2019 pandemic
    Wiley ; 2021
    In:  Maternal & Child Nutrition Vol. 17, No. 2 ( 2021-04)
    Details
    In: Maternal & Child Nutrition, Wiley, Vol. 17, No. 2 ( 2021-04)
    Abstract: Despite decades of research establishing the importance of breastfeeding, skin‐to‐skin contact and mother–infant closeness, the response to the coronavirus disease 2019 (COVID‐19) pandemic has underscored the hidden assumption that these practices can be dispensed with no consequences to mother or child. This article aims to support shared decision‐making process for infant feeding and care with parents and health care providers during the unprecedented times of the pandemic. It proposes a structure and rationale to guide the process that includes (1) discussing with parents evidence‐based information and the different options to feed and care for an infant and young child in the context of the pandemic as well as their potential benefits, risks and scientific uncertainties; (2) helping parents to recognize the sensitive nature of the decisions and to clarify the value they place on the different options to feed and care for their infant or young child; and (3) providing guidance and support needed to make and implement their decisions. A shared decision‐making process will help parents navigate complex feeding and care decisions for their child as we face the different stages of the COVID‐19 pandemic.
    Type of Medium: Online Resource
    ISSN: 1740-8695 , 1740-8709
    URL: Issue
    URL: Article
    DOI: 10.1111/mcn.v17.2
    DOI: 10.1111/mcn.13129
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2140908-0
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  • 5
    Online Resource
    Online Resource
    Energy and sports drinks in children and adolescents
    Oxford University Press (OUP) ; 2017
    In:  Paediatrics & Child Health Vol. 22, No. 7 ( 2017-10-01), p. 406-410
    Details
    In: Paediatrics & Child Health, Oxford University Press (OUP), Vol. 22, No. 7 ( 2017-10-01), p. 406-410
    Type of Medium: Online Resource
    ISSN: 1205-7088 , 1918-1485
    URL: Article
    DOI: 10.1093/pch/pxx132
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2017
    detail.hit.zdb_id: 2174400-2
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  • 6
    Online Resource
    Online Resource
    The Baby‐friendly Hospital Initiative for neonatal wards. A mini review
    Wiley ; 2022
    In:  Acta Paediatrica Vol. 111, No. 4 ( 2022-04), p. 750-755
    Details
    In: Acta Paediatrica, Wiley, Vol. 111, No. 4 ( 2022-04), p. 750-755
    Abstract: The Baby‐friendly Hospital Initiative for Neonatal Wards (Neo‐BFHI) is an expansion of the WHO/UNICEF Ten Steps to Successful Breastfeeding to address the needs of infants and families in all levels of neonatal care. The Neo‐BFHI includes Three Guiding Principles as basic tenets, Ten Steps to protect, promote and support breastfeeding closely following the original Baby‐friendly Hospital Initiative, and adherence to the International Code of Marketing of Breast‐milk Substitutes. In 2020, the WHO/UNICEF published recommendations for breastfeeding small, sick and preterm newborns that aligns with the Neo‐BFHI. Conclusion: This mini review provides a brief description of the content in the Neo‐BFHI.
    Type of Medium: Online Resource
    ISSN: 0803-5253 , 1651-2227
    URL: Issue
    URL: Article
    DOI: 10.1111/apa.v111.4
    DOI: 10.1111/apa.16230
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 1492629-5
    detail.hit.zdb_id: 1501466-6
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  • 7
    Online Resource
    Online Resource
    Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants
    FapUNIFESP (SciELO) ; 2021
    In:  Revista Brasileira de Enfermagem Vol. 74, No. suppl 4 ( 2021)
    Details
    In: Revista Brasileira de Enfermagem, FapUNIFESP (SciELO), Vol. 74, No. suppl 4 ( 2021)
    Abstract: RESUMEN Objetivo: evaluar las prácticas de atención de la lactancia materna en prematuros en dos hospitales Amigo del Niño en el sureste de Brasil, comparando el efecto de la implementación de los lineamientos de la Iniciativa de Hospitales Amigos del Niño para Unidades Neonatales. Métodos: estudio cuasi-experimental, pre y post intervención con grupo control. Implementación de esta iniciativa en el hospital de intervención mediante la traducción del conocimiento. Recolección de adherencia a los Diez Pasos Adaptados, Tres Principios Rectores y Código antes y después de la intervención realizada mediante entrevistas a madres de prematuros y profesionales, observación de las unidades y análisis documentario en los hospitales de intervención y control. Se realizó una comparación intra e intergrupal. Resultados: el aumento en la adherencia global a los Tres Principios, Diez Pasos y el Código asi como la adherencia parcial a cada Principio y en la mayoría de los Pasos fue mayor en el hospital de intervención que en el control. Conclusión: esta iniciativa mejoró las prácticas relacionadas con la lactancia materna en el hospital de intervención, demostrando el potencial para mejorar la atención y la lactancia materna en las Unidades Neonatales.
    Type of Medium: Online Resource
    ISSN: 1984-0446 , 0034-7167
    URL: Article
    DOI: 10.1590/0034-7167-2020-0909
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2021
    detail.hit.zdb_id: 2399925-1
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  • 8
    Online Resource
    Online Resource
    Artificial Cornea: Past, Current, and Future Directions
    Frontiers Media SA ; 2021
    In:  Frontiers in Medicine Vol. 8 ( 2021-11-12)
    Details
    In: Frontiers in Medicine, Frontiers Media SA, Vol. 8 ( 2021-11-12)
    Abstract: Corneal diseases are a leading cause of blindness with an estimated 10 million patients diagnosed with bilateral corneal blindness worldwide. Corneal transplantation is highly successful in low-risk patients with corneal blindness but often fails those with high-risk indications such as recurrent or chronic inflammatory disorders, history of glaucoma and herpetic infections, and those with neovascularisation of the host bed. Moreover, the need for donor corneas greatly exceeds the supply, especially in disadvantaged countries. Therefore, artificial and bio-mimetic corneas have been investigated for patients with indications that result in keratoplasty failure. Two long-lasting keratoprostheses with different indications, the Boston type-1 keratoprostheses and osteo-odonto-keratoprostheses have been adapted to minimise complications that have arisen over time. However, both utilise either autologous tissue or an allograft cornea to increase biointegration. To step away from the need for donor material, synthetic keratoprostheses with soft skirts have been introduced to increase biointegration between the device and native tissue. The AlphaCor™, a synthetic polymer (PHEMA) hydrogel, addressed certain complications of the previous versions of keratoprostheses but resulted in stromal melting and optic deposition. Efforts are being made towards creating synthetic keratoprostheses that emulate native corneas by the inclusion of biomolecules that support enhanced biointegration of the implant while reducing stromal melting and optic deposition. The field continues to shift towards more advanced bioengineering approaches to form replacement corneas. Certain biomolecules such as collagen are being investigated to create corneal substitutes, which can be used as the basis for bio-inks in 3D corneal bioprinting. Alternatively, decellularised corneas from mammalian sources have shown potential in replicating both the corneal composition and fibril architecture. This review will discuss the limitations of keratoplasty, milestones in the history of artificial corneal development, advancements in current artificial corneas, and future possibilities in this field.
    Type of Medium: Online Resource
    ISSN: 2296-858X
    URL: Article
    DOI: 10.3389/fmed.2021.770780
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2021
    detail.hit.zdb_id: 2775999-4
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  • 9
    Online Resource
    Online Resource
    Compliance with Baby-Friendly Policies and Practices in Hospitals and Community Health Centers in Quebec
    SAGE Publications ; 2012
    In:  Journal of Human Lactation Vol. 28, No. 3 ( 2012-08), p. 343-358
    Details
    In: Journal of Human Lactation, SAGE Publications, Vol. 28, No. 3 ( 2012-08), p. 343-358
    Abstract: Since 2001, Quebec’s ministry of health and social services has prioritized implementation of the Baby-Friendly Initiative (BFI), which includes the original hospital initiative and its expansion to community services. Objective: The objective was to document across the province compliance with the BFI’s Ten Steps to Successful Breastfeeding in hospitals, Seven Point Plan in community health centers (CHCs), and International Code of Marketing of Breast-Milk Substitutes (Code). Methods: Using managers/staff, mothers, and observers, the author measured the extent of implementation of indicators formulated for each step/point and the Code, based on the revised WHO/UNICEF recommendations. Results: Mean compliance scores in Quebec were 3.13 for 140 CHCs (range, 0 to 7) and 4.54 for 60 hospitals/birthing centers (range, 0 to 10). The mean compliance score for the Code was 0.69 for both CHCs and hospitals/birthing centers. The evaluation documented marked variations in implementation level for each of the steps/points and the Code. Also, managers/staff, mothers, and observers differed in their report of BFI compliance for most steps/points and the Code. Facilities that had applied for or obtained BFI designation demonstrated higher compliance with the BFI than those that had not. Conclusions: Results disseminated to participating organizations allowed comparisons on a regional/provincial perspective and in relation to BFI-designated facilities. Furthermore, this first portrait of BFI compliance in Quebec provided provincial, regional, and local health authorities with valuable information that can be used to bring about policy and organizational changes to achieve the international standards required for Baby-Friendly certification.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    URL: Article
    DOI: 10.1177/0890334412448477
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
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  • 10
    Online Resource
    Online Resource
    Compliance With the “Baby-Friendly Hospital Initiative for Neonatal Wards” in Russian Hospitals
    SAGE Publications ; 2021
    In:  Journal of Human Lactation Vol. 37, No. 3 ( 2021-08), p. 521-531
    Details
    In: Journal of Human Lactation, SAGE Publications, Vol. 37, No. 3 ( 2021-08), p. 521-531
    Abstract: The expansion of the Baby-Friendly Hospital Initiative to neonatal wards, known as the Neo-BFHI, provides recommendations to support breastfeeding, as outlined in the Three Guiding Principles, the expanded Ten Steps, and the International Code for Marketing of Breast-Milk Substitutes. In 2017, Russia participated in an international survey about compliance with the Neo-BFHI. Research Aim To assess breastfeeding support policies and practices in Russian neonatal wards at the country and federal district level in accordance with the Neo-BFHI recommendations. Methods This study was a prospective cross-sectional survey. We used the Neo-BFHI Self-Assessment questionnaire to collect data from neonatal wards that had all levels of care. A total of N = 60 Russian neonatal wards in hospitals that have ever been designated Baby-Friendly or planned to do so participated in the survey. Results Compliance scores at the federal district and country level ranging from 0–100 were used to summarize results. The median country overall score was 90 ( IQR = 83 – 93). Respect for mothers, continuity of care, having a breastfeeding policy, and rooming-in had the highest median scores. Family-centered care, antenatal informing, skin-to-skin contact, and human milk use had the lowest median scores. Neonatal wards in the hospitals that were ever designated as Baby-Friendly had significantly higher scores than those that were never designated. Most respondents ( n = 48, 80%) expressed a desire to obtain Neo-BFHI designation in their neonatal wards. Conclusion Neo-BFHI recommendations can be successfully implemented in Russian neonatal wards at hospitals designated Baby-Friendly or planning to be designated.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    URL: Article
    DOI: 10.1177/08903344211002754
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2092674-1
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