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Newborn feeding practices and support in Gauteng, South Africa: Is there a difference in newborn feeding practices between baby,Used
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Although breastfeeding is a key child survival strategy, breastfeeding practices in South African health institutions can generally be categorised as being poor. This crosssectional study aimed to document practices around breastfeeding support and compliance with the BabyFriendly Hospital Initiatives 10 steps to successful breastfeeding. Suboptimal practices were identified in both babyfriendly accredited and nonaccredited facilities, but more so in the latter. None of the facilities passed all 10 steps. Steps that required advice and support from nursing staff namely step 5 (showing mothers how to breastfeed), step 8 (encouraging breastfeeding on demand), and step 10 (breastfeeding support after discharge from the facility) were particularly poorly done in the majority of facilities. Babyfriendly certified institutions were significantly better than nonaccredited facilities for steps 2 (training), 4 (initiating breastfeeding within 1 hour), and 7 (roomingin). BabyFriendly Hospitals could not maintain their accredited status on this assessment. However, some good practices appeared to be more sustainable over time.
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