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. Author manuscript; available in PMC: 2016 Aug 1.
Published in final edited form as: J Hum Lact. 2015 Mar 23;31(3):440–443. doi: 10.1177/0890334415578440

Table 1.

Maternity Practices in Infant Nutrition and Care: 7 Domains of Care.

Domain Types of Policies and Practices Included
1. Labor and delivery care Upon delivery, the newborn is placed skin-to-skin with the mother, allowing uninterrupted time for breastfeeding.
2. Feeding of breastfed infants The breastfeeding infant is offered only pacifiers and supplements (formula, water, and glucose water) when medically indicated.
3. Breastfeeding assistance Assistance is offered to the breastfeeding mother and infant using consistent standards for supportive patient education and assessment.
4. Contact between mother and infant The infant is enabled to stay with the mother 24 hours per day, without unnecessary separation or restrictions.
5. Facility discharge care The breastfeeding mother and infant are assured ambulatory breastfeeding care; patient discharge gifts contain no infant formula marketing samples.
6. Staff training All staff with primary responsibility for care of the breastfeeding mother and infant receive appropriate breastfeeding skills training and assessment.
7. Structural and organizational aspects Best practices are implemented for staffing, care process, and communication expectations in perinatal patient education and care settings; are supportive of breastfeeding employees; and are free from financial conflict of interest.