Table 2 Comparison of the compliance with the Ten Steps to Successful Breastfeeding and other criteria by Baby-Friendly Hospitals by self-monitoring and external evaluation in 2015. Brazil (n = 113)
Steps and criteria | Self-monitoring | External evaluation | p - value | ||
|---|---|---|---|---|---|
% compliance | 95% CI | % compliance | 95% CI | ||
Step 1 (written policy) | 96 | 93, 100 | 58 | 49, 67 | < 0.01 |
Step 2 (staff training) | 88 | 81, 94 | 56 | 46, 65 | < 0.01 |
Step 3 (prenatal information on breastfeeding) | 81 | 73, 88 | 72 | 63, 80 | 0.076 |
Step 4 (skin-to-skin contact and breastfeeding in the first hour of life) | 67 | 58, 76 | 49 | 39, 58 | 0.004 |
Step 5 (breastfeeding management) | 86 | 79, 92 | 55 | 46, 65 | < 0.01 |
Step 6 (give no food or drink other than breast milk) | 93 | 88, 98 | 73 | 65, 82 | < 0.01 |
Step 7 (practice rooming-in) | 98 | 96, 101 | 87 | 80, 93 | < 0.01 |
Step 8 (breastfeeding on demand) | 89 | 83, 95 | 62 | 52, 71 | < 0.01 |
Step 9 (give no artificial teats or pacifiers) | 98 | 96, 101 | 91 | 57, 75 | 0.039 |
Step 10 (refer mothers to breastfeeding support groups on discharge from the hospital) | 99 | 97, 101 | 95 | 90, 99 | 0.063 |
BCode | 94 | 89, 98 | 81 | 73, 88 | < 0.01 |
WFC | 81 | 73, 88 | 46 | 37, 56 | < 0.01 |
PWN | 97 | 93, 100 | 66 | 57, 75 | < 0.01 |