title: A Tale of Two Baby-Friendly Hospitals: Comparison of a Military and a Civilian Experience.
abstract: To compare and contrast military hospital and civilian hospital experiences of achieving Baby-Friendly designation, and to examine administration and staff responses as well as institutional and patient postimplementation outcomes.
  
  
  
  Staff, administration, and chairs of Baby-Friendly committees at both hospitals were interviewed.
  
  
  
  Motivating factors and perceived administrative support were similar at both institutions. Both sites saw an increase in exclusive breastfeeding rates upon discharge to a rate of 80-90%, and both noted an overall increase in delivery rates, which may also be attributed to achieving Baby-Friendly designation. Significant differences included the amount of time it took to achieve Baby-Friendly status, the number of specialties represented on the Baby-friendly committee, the percentage of employees who received training, pediatrics involvement and support, and funding sources for staff training.
authors.affiliation: 1 Obstetrics, Gynecology, and Women's Health, University of Missouri Women's and Children's Hospital , Columbia, Missouri.
authors.forename: Melissa V
authors.initials: MV
authors.lastname: Terry
authors.affiliation: 1 Obstetrics, Gynecology, and Women's Health, University of Missouri Women's and Children's Hospital , Columbia, Missouri.
authors.forename: Courtney
authors.initials: C
authors.lastname: Barnes
authors.affiliation: 1 Obstetrics, Gynecology, and Women's Health, University of Missouri Women's and Children's Hospital , Columbia, Missouri.
authors.forename: Katie
authors.initials: K
authors.lastname: Beal
authors.affiliation: 1 Obstetrics, Gynecology, and Women's Health, University of Missouri Women's and Children's Hospital , Columbia, Missouri.
authors.forename: Angel Jaime
authors.initials: AJ
authors.lastname: Enciso
authors.affiliation: 2 Obstetrics and Gynecology, Fort Belvoir Community Hospital , Fort Belvoir, Virginia.
authors.forename: Angela
authors.initials: A
authors.lastname: Love-Zaranka
mesh_terms: D001942:Breast Feeding / Q000706:statistics & numerical data*; D003105:Colombia; D005260:Female; D019983:Guideline Adherence; D006293:Health Promotion; D006772:Hospitals, Military; D006779:Hospitals, Public; D006801:Humans; D007231:Infant, Newborn; D008427:Maternal Health Services / Q000592:standards*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D014481:United States