The 2018 revision of the Ten Steps states that the care of small, sick and/or preterm newborn infants cannot be separated from that of full-term infants, as they both occur in the same facilities, often attended by the same personnel. As such, the care for these newborn infants in neonatal intensive care units or in regular maternity or newborn wards is now included* in the scope of BFHI implementation.
The development of this document was coordinated by the World Health Organization (WHO) Department of Nutrition for Health and Development, Department of Maternal, Newborn, Child & Adolescent Health & Ageing and the United Nations Children’s Fund (UNICEF) Nutrition Section, Programme Division. The document provides additional clinical guidance and measures that can be used to apply the BFHI steps to small, sick and/or preterm infants whether cared for in maternity wards or newborn care wards. It aims to aid staff, units, hospitals and systems caring for small, sick and/or preterm infants in their efforts to promote, support and protect breastfeeding in order to achieve the best possible outcomes for the infants, mothers and families under their care.
*Please note that BFHI Australia does not currently run a stand alone Neo BFHI program.