Abstract

Despite efforts to achieve the World Health Organization’s best practice standards for a Baby-Friendly status, only 54% of babies discharged from a tertiary-care hospital in 2015 were exclusively breastfed. This is despite an initiation rate for breastfeeding of 92%. This report describes maternal and nurse beliefs about exclusive breastfeeding, supplementation, and human milk banking. To help us understand our high levels of formula supplementation, we surveyed 94 mothers and 75 nurses and found differing beliefs about formula supplementation and the use of human donor milk. The breastfeeding policy was not being followed. Maternal and nurse breastfeeding education, along with up to date breastfeeding policies, are essential for organizations to meet the World Health Organization’s standards to achieve Baby-Friendly status.

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