The ten steps to successful breastfeeding in Australian hospitals

Abstract

Breastfeeding is universally acknowledged as important for the well-being of mothers and babies. The ten steps to successful breastfeeding have been promoted as a means of improving breastfeeding initiation and maintenance. This study aimed to assess the degree of implementation of the ten steps within Australian maternity hospitals and collect breastfeeding rates at discharge. A 55-term questionnaire, modified for Australian conditions, was mailed to all Australian hospitals listed as providing maternity care in the 1998 Hospital and Health Services Yearbook. Of 432 hospitals currently providing maternity care, 387 (90%) responded. High rates of implementation of steps 1a, 3, 4, 5 6, 8 and 9 were reported. The mean rate of women breastfeeding at discharge, from 283 responses, was 88%. Australian hospitals compare favourably with similar studies in international environments. Results from this study may be used to target areas for improvements in steps 1b, 2, 7 and 10. Australia-wide breastfeeding rates at discharge have not changed since 1983.