Hospital Toolkit

The Perinatal Hospital Breastfeeding Toolkit is a list of resources for birthing hospitals interested in improving patient outcomes through enhanced lactation support.


World Health Organization and UNICEF 2018 Revised Baby-Friendly Hospital Initiative documents: Guideline, summary, implementation guidance, and ten steps to successful breastfeeding 

Webinar  – June 13, 2018

Baby-Friendly Hospital Initiative Update 2018

  • Pam Heggie, MD, IBCLC, FAAP, FABM presented upcoming changes to the Baby-Friendly Hospital Initiative.
  • This presentation was done in partnership with the MN Breastfeeding Coalition and the MN Dept. of Health SHIP Program.

Affordable Care Act – Breastfeeding Related Information
Women’s Preventive Services: Required Health Plan Coverage Guidelines
Workplace Support in Federal Law
How the Affordable Care Act Benefits the WIC Community
Opportunities for Nutrition and Breastfeeding Interventions Under Health Care Reform (pdf)
AAP Federal Support for Breastfeeding / Affordable Care Act (pdf)
Legal Protections for Nursing Mothers in Minnesota (pdf)
Health Care Reform and Nursing Mothers Issue Brief (pdf)

Baby Friendly Business Plan
Baby Friendly Business Plan – generic version Essentia SMMC (doc)

Baby Friendly Staff and Provider Education
The Academy of Breastfeeding Medicine
Lactation Education Resources
Breastfeeding Friendly Consortium
Wellstart International
Passport to Breastfeeding

Breastfeeding Statements from Professional Organizations
AAFP Policy Statement on Breastfeeding
AAFP Position Paper on Breastfeeding
AAFP Hospital use of Formula in Breastfeeding Infants
American Academy of Pediatrics: Policy Statement: Breastfeeding and the Use of Human Milk
ACOG Statement: Optimizing Support for Breastfeeding as Part of Obstetric Practice
ACOG Toolkit 
American College of Nurse-Midwives Breastfeeding Position Statement

Business Case for Breastfeeding
Business Case for Breastfeeding

CDC Breastfeeding
CDC Breastfeeding Report Card
Maternity Practices in Infant Nutrition and Care (mPINC)
Hospital Actions Affect Breastfeeding (pdf)

Community Breastfeeding Support Resources
La Leche League of Minnesota and the Dakotas
Minnesota WIC Program

Continuing Education Opportunities in Breastfeeding
Lactation related continuing education opportunities in Minnesota
United States Breastfeeding Commission e-newsletter “Staying Abreast”
NICHQ’s Newsletter (National Initiative for Children’s Healthcare Quality)

Disparities in Breastfeeding
Depends On Where You Are Born: California Hospitals Must Close the Gap in Exclusive Breastfeeding Rates (pdf)

Discharge Bags
Commercial discharge packs and breast-feeding counseling: effects on infant-feeding practices in a randomized trial
Effect of discharge samples on duration of breast-feeding
Infant feeding policies in maternity wards and their effect on breast-feeding success: An analytical overview

Donor Milk Toolkit
Pasteurized Human Donor Milk Toolkit
Pasteurized Human Milk – Information for Families (PDF)

Educating Families about Breastfeeding
Prenatal Toolkit  Useful for any clinic that provides prenatal care. Available in English (pdf) and Spanish (pdf)
Pediatric Toolkit  Useful for any clinic that cares for children. Available in English (pdf) and Spanish (pdf)

Hand Expression Videos
Breastfeeding Medicine of Northeast Ohio: The Basics of Breast Massage and Hand Expression
Stanford University Lucile Packard Children’s Hospital: Hand Expression of Breastmilk

Joint Commission: Excellence in Breastfeeding, Perinatal Core Measures
Implementing The Joint Commission Perinatal Care Core Measure on Exclusive Breast Milk Feeding (pdf)
Joint Commission Perinatal Core Measure Set (pdf)

Letters of Support for Perinatal Hospital Leadership Summit
AAP Letter of Support (pdf)
ACOG Letter of Support (pdf)
MNAAFP Letter of Support (pdf)

Minnesota Breastfeeding Facts and Statistics
WIC data and reports
Breastfeeding in Minnesota’s WIC Program, 2015

Normal Newborn Behavior
Your Baby, Night Owl (pdf)
Ways to Soothe Your Baby (pdf)
What Breastfeeding Parents Need to Know about Formula Use (pdf)

Research Articles in Support of the Ten Steps
Breastfeeding Rates in US Baby-Friendly Hospitals: Results of a National Survey
Baby-Friendly Hospital Initiative Improves Breastfeeding Initiation Rates in a US Hospital Setting
Cost Comparison of Baby Friendly and Non–Baby Friendly Hospitals in the United States
Baby-Friendly Hospital Practices and Meeting Exclusive Breastfeeding Intention

Rooming In and Sample Newborn Medical Observation Unit Policies
Orienting parents to the Family Room (pdf)
Newborn Medical Observation Unit – Admission Criteria (pdf)
Rooming-In: What Nurses and Providers need to know (pdf)

Sample Policies on Hospital Infant Feeding, Pacifier and Formula Documentation, and Breastfeeding in the Workplace
A Model Infant Feeding Policy for Baby-Friendly Designation in the USA (pdf)
ABM Model Breastfeeding Policy (pdf)
Policy for Supporting Breastfeeding Employees (pdf)
Model Hospital Infant Feeding Policy (doc)
University of MN Pacifier and Formula Documentation (doc)
UWMC Calculation of Formula Cost (pdf)
Infant Feeding Summary (pdf)
Pacifier Guideline (pdf)
Pacifier Documentation (pdf)
Pacifiers (pdf)
Parents want to give Pacifier (pdf)
Formula Documentation Form (pdf)
Mom-Family wants to feed formula (pdf)
Customizable Infant Feeding Policy (doc)

Toolkits from Other States and Organizations
California Department of Public Health Breastfeeding Toolkit
Illinois Hospital Breastfeeding Toolkit (pdf)
Indiana Hospital Breastfeeding Toolkit
Kaiser Permanente – Improving Hospital Breastfeeding Support – Implementation Toolkit
Massachusetts Baby-Friendly Toolkit
Northeast Minnesota Breastfeeding Summit Resources (google doc)
Texas 10 Step

Videos: Baby Friendly and Other Summits
NICHQ Best Fed Beginnings
Mass Mother-Baby Summit

Healthy Babies . Healthy Families . Healthy Communities