To combat the worldwide decline in breastfeeding rates, the World Health Organization and UNICEF launched the Baby-Friendly Hospital Initiative in 1991. Using the Ten Steps to Breastfeeding Success, hospitals are improving their policies and procedures that will ensure a successful start to breastfeeding. Despite the overwhelming research evidence on the efficacy of breastmilk and breastfeeding, hospitals have difficulty implementing all of the steps to optimally support the initiation of breastfeeding. This article is an overview of the Baby-Friendly Hospital Initiative in the United States.

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