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  • 1. H MRCPCH DCH IBCLC www.pediatros-thes.gr
  • 2.
    • !
    • !
  • 3.
    • www.cdph.ca.gov
  • 4.
    • /
    • ( CLC, )
    • 24/7
    • CLC Care Award Program www.ilca.org
  • 5.
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    • , ,
  • 6.
    • audit
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    • (, , play specialists)
    • http://www.parents.gr/forum/showthread.php?t=28539
  • 8. 4. 4. () 3. 3. 2. 2. 1. 1.
  • 9.
    • Rooming-in,
  • 10.
    • , !
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    • Conflict of interest ,
  • 11.
    • feedback
    • Liaison office
    • risk management
  • 12.
    • 10 Steps to Optimal Breastfeeding in Paediatrics
    • 1. Have a written breastfeeding policy and train staff in necessary skills.
    • 2. When an infant is seen, for either a well visit or due to illness, ascertain the mothers
    • infant feeding practices, and assist in establishment or management of breastfeeding as
    • needed.
    • 3. Provide parents with written and verbal information about breastfeeding.
    • 4. Facilitate unrestricted breastfeeding or, if necessary, milk expression for mothers
    • regardless of the childs age.
    • 5. Give breastfed children other food or drink only when age appropriate or when medically
    • indicated, and if medically indicated, use only alternative feeding methods most
    • conducive to return to breastfeeding.
    • 6. If hospitalization is needed, ensure facility allows 24-hours mother/child rooming in.
    • 7. Administer medications and schedule procedures so as to cause the least possible
    • disturbance of feeding.
    • 8. Maintain a human milk bank, according to standards.
    • 9. Provide information and contacts concerning community support available.
    • 10. Maintain appropriate monitoring and records/data collection procedures to permit quality
    • assurance assessment, progress rounds or staff meetings, and feedback.
    • : BFHI WHO Section 1, 2009
  • 13. BFHI Expansion and Integration
    • /
    • + Mother-friendly care !
  • 14.
    • World Health Assembly. International Code of Marketing of Breast-milk Substitutes. Geneva: World Health Organization; 1981.
    • United Nations Childrens Fund, World Health Organization. Section 1. In: Baby Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care. World Health Organization, UNICEF and Wellstart International, Geneva, 2009.
    • American Academy of Pediatrics Section on Breastfeeding. Sample Hospital Breastfeeding Policy for Newborns , 2009. www.aap.org/bookstore (accessed January 27, 2010).
    • Rosenberg KD, Stull JD, Adler MR, et al. Impact of hospital policies on breastfeeding outcomes . Breastfeed Med 2008; 3:110116.
    • ABM Clinical Protocol #7: Model Breastfeeding Policy (Revision 2010). The Academy of Breastfeeding Medicine Protocol Committee. Breastfeeding Medicine, Volume 5, Number 4, 2010
    • ABM Clinical Protocol #14: Breastfeeding-Friendly Physicians Office, Part 1: Optimizing Care for Infants and Children The Academy of Breastfeeding Medicine Protocol Committee. Breastfeeding Medicine Volume 1, Number 2, 2006.
    • Hillenbrand K, Larsen P. Effect of an educational intervention about breastfeeding on the knowledge, confidence, and behaviors of pediatric resident physicians . Pediatrics 2002;110(5):e59.
    • Papaventsis S . Return to breastfeeding: a survival guide for parents and health professionals . Patakis, 2011.