Our Self-Appraisal Tool: Step 5

Baby-Friendly Step #5 is hodgepodge of practical ways to help women get feeding off to a good start. This includes having a R.N. at the bedside to help with the second feeding and teaching each mother how to hand express her milk. Step 5 is also where the formula feeding family is addressed.

It takes just 10 steps to become a Baby-Friendly designated hospital. Here in the blog we’re sharing our Baby-Friendly Self-Appraisal Tool so everyone can fully know the requirements and share our celebration as we move closer and closer to our goal!

STEP 5. Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants.

5.1  Does nursing staff offer all mothers further assistance with breastfeeding within three (no later than six) hours of delivery?

No, even though this probably happens a lot, we do not currently have a system in place to assure all “2nd feedings” are assisted and assessed.

5.2  Are most breastfeeding mothers able to demonstrate how to correctly position and attach their babies without pain for breastfeeding?


5.3  Are breastfeeding mothers shown how to hand express their milk or given information on hand expression and/or advised of where they can get help should they need it?


5.4   Can staff members describe the types of information and demonstrate the skill they provide both to mothers who are breastfeeding and those who are not, to assist them with successfully feeding their babies?

Yes, but the 20 hours of lactation education all Childbirth Center nurses will receive next year will enhance the quality and consistency of what is taught at the bedside.

5.5   Does a woman who has never breastfed or who has previously encountered problems with breastfeeding receive special attention and support from the staff of the health care facility?


5.6   Are breastfeeding mothers educated on basic breastfeeding management and practices prior to being discharged?


5.7   Are breastfeeding mothers educated on how to maintain lactation in the event that they are separated from their babies?


5.8  Are mothers who have decided not to breastfeed shown individually how to prepare and feed their babies and asked to prepare feedings themselves, after being shown how?


5.9  Are mothers who are separated from their babies for medical reasons helped to establish and maintain lactation by frequent expression of milk?


 *For more information on how to hand express and when it is useful, visit http://newborns.stanford.edu/Breastfeeding/HandExpression.html


About blogtobabyfriendly

blogtobabyfriendly is written by Amy Murray, a Childbirth Unit nurse with a touch of earth muffin crunch. A childbirth educator and IBCLC, she's been a breastfeeding advocate all her adult life, believing that if our bodies make milk, it just makes good sense to feed it to our babies. blogtobabyfriendly is her hospital's journey to Baby-Friendly designation. Click to get email updates on new blog posts. Our desire is to learn, share, and learn more.
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One Response to Our Self-Appraisal Tool: Step 5

  1. Marie says:

    I think this would be great. I think most moms don’t know how to hand express. I’m not sure I do and I’ve been breastfeeding for 6 months!

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