title: Baby-friendly hospital: how to sustain?
abstract: The campaign for exclusive breast-feeding in a baby-friendly hospital at Prapokklao Hospital, Chanthaburi was increased. The contributory factors was likely due to enforcement of early bonding and attachment, by rooming-in of infants in the materity ward. After cessation of comprehensive intervention exclusive breast-feeding dropped significantly but increased in predominant breast-feeding. This might be due to family influence with the suggestion to give water in addition to breast milk. Data shows that rooming-in is essential in the promotion of breast-feeding. A decreased of abandoned children indicates early bonding. To sustain a baby-friendly hospital, 10 steps to successful breast-feeding must be followed strictly. Intervention activities must be done continuously with cooperation of health providers at all levels. It is felt that breast-feeding should not be considered a maternal instinct but a new behavior that needs to be changed to a point that mothers adopt breast-feeding practices for 4 months after delivery.
authors.affiliation: Department of Pediatrics, Prapokklao Hospital, Chanthaburi, Thailand.
authors.forename: P
authors.initials: P
authors.lastname: Kasemsarn
authors.forename: C
authors.initials: C
authors.lastname: Ngarmpiyasakul
authors.forename: S
authors.initials: S
authors.lastname: Phongpanich
authors.forename: N
authors.initials: N
authors.lastname: Pulkasisri
mesh_terms: D001942:Breast Feeding; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006739:Hospital Administration; D006801:Humans; D007231:Infant, Newborn; D009035:Mothers / Q000193:education* / Q000523:psychology; D016134:Organizational Policy; D012386:Rooming-in Care; D013785:Thailand; D014944:World Health Organization