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Resources to meet the requirements of the Infant Feeding Act

MO-12-0009 BFP


Resources to meet the requirements of the Infant Feeding Act

(California Health & Safety Code §123366)

California Health & Safety Code §123366 (Hospital Infant Feeding Act)

123366.  (a) This section shall be known, and may be cited, as the Hospital Infant Feeding Act.

   (b) For the purposes of this section, the following definitions shall apply:

   (1) "Perinatal unit" means a maternity and newborn service of the hospital for the provision of care during pregnancy, labor, delivery, and postpartum and neonatal periods with appropriate staff, space, equipment, and supplies.

   (2) "Baby-Friendly Hospital Initiative" means the program sponsored by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) that recognizes hospitals that offer an optimal level of care for infant feeding.

   (3) "Model Hospital Policy Recommendations" means the most recently updated guidelines approved and published by the State Department of Public Health entitled, "Providing Breastfeeding Support: Model Hospital Policy Recommendations."

   (c) All general acute care hospitals and special hospitals, as defined in subdivisions (a) and (f) of Section 1250, that have a perinatal unit shall have an infant-feeding policy. The infant-feeding policy shall promote breastfeeding, utilizing guidance provided by the Baby-Friendly Hospital Initiative or the State Department of Public Health Model Hospital Policy Recommendations (PDF)Opens a new browser window. The infant-feeding policy may include guidance on formula supplementation or bottlefeeding, if preferred by the mother or when exclusive breastfeeding is contraindicated for the mother or infant.

   (d) The infant-feeding policy shall be routinely communicated to perinatal unit staff, beginning with hospital orientation, and shall be clearly posted in the perinatal unit or on the hospital or health system Internet Web site.

   (e) The infant-feeding policy shall apply to all infants in a perinatal unit.

   (f) This section shall become operative January 1, 2014.


California Department of Public Health Letter to Hospital Administrators and Nurse Managers, Obstetrics regarding the New Hospital Feeding and Care Requirements (PDF)Opens a new browser window

Below is a list of selected websites, resources and references.  Many are free.

 AlertLinks to non-California government web site addresses are provided for informational purposes only; inclusion in this list does not imply California Department of Public Health endorsement of these programs.The California Department of Public Health has no financial interest in the sale or use of any of these resources.


Academy of Breastfeeding Medicine: Protocols and References:

  • Model [Hospital] Breastfeeding Policy (PDF)Opens a new browser window
  • Peripartum Breastfeeding Management for the Healthy Mother and Infant at Term (PDF)Opens a new browser window
  • Guidelines for Hospital Discharge of the Breastfeeding Term Newborn and Mother “The Going Home Protocol” (PDF)Opens a new browser window
  • Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Breastfed Neonates (PDF)Opens a new browser window
  • Hospital Guidelines for the Use of Supplementary Feedings in the Healthy Term Breastfed Neonate (PDF)Opens a new browser window
  • Breastfeeding the Late Preterm Infant (340/7 to 366/7 Weeks Gestation) (PDF)Opens a new browser window
  • Analgesia and Anesthesia for the Breastfeeding Mother (PDF)Opens a new browser window
  • Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate (PDF)Opens a new browser window
  • Non-Pharmacologic Management of Procedure-Related Pain in the Breastfeeding Infant (PDF)Opens a new browser window
  • Guidelines for Breastfeeding and the Drug-Dependent Woman (PDF)Opens a new browser window
  • Additional  Breastfeeding of Medicine clinical protocols available
  • American Academy of Pediatrics Section on Breastfeeding

  • Sample Hospital Breastfeeding Policy for Newborns (PDF)Opens a new browser window from Safe & Healthy Beginnings: A Resource Toolkit for Hospitals and Physicians’ Offices
  • Arizona Department of Health Services

  • Arizona Model Hospital Policy Resource Guide (2010) (PDF)Opens a new browser window
  • Baby Friendly USA

    California Department of Public Health

  • California Model Hospital Policy Recommendations (2005)  See Policy 1, which provides links and additional references.
  •   Comparison of California Model Hospital Policy Recommendations and the Baby Friendly Hospital Initative-U.S.A (PDF) Opens a new browser window
  • Health Canada

  • Recommendations for the Preparation and Handling of Powdered Infant Formula (PIF)
  • Sheffield, UK 

  • The Sheffield Infant Feeding Guidelines for Health Professionals
  • Texas Ten Step and Star Achiever Toolkit
    Toolkit provides various resources, tools and strategies to better assist facilities to address the Ten Steps to Successful Breastfeeding.

    UNICEF UK The Baby Friendly Hospital Initiative

  • Sample hospital and community breastfeeding policies
  • References

    American Academy of Pediatrics, Section on Breastfeeding. Breastfeeding and the Use of Human Milk. Pediatrics 2005; 115:496-506. http://pediatrics.aappublications.org/content/115/2/496.full

    American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Breastfeeding Handbook for Physicians. Elk Grove Village, IL: American Academy of Pediatrics; 2006. http://www.aapebooks.org/product/breastfeeding-handbook-for-physicians

    California Department of Public Health, Maternal, Child and Adolescent Health Program (MCAH)  Breastfeeding Statistics Website

    Centers for Disease Control and Prevention

    Feldman-Winter L, Procaccini D, Merewood A. A model infant feeding policy for Baby-Friendly designation in the USA. J Hum Lact. 2012 Aug;28(3):304-11. Epub 2012 Apr 26. (Includes a sample infant feeding policy)

    Grummer-Strawn L, Scanlon K, Fein S. Infant Feeding and Feeding Transitions During the First Year of Life. Pediatrics, 2008. Abstract

    Joint Commission of Hospitals (JCOH). Perinatal Care Core Measure Set. JCOH 2010 (PDF)Opens a new browser window

    Effective January 1, 2014, for hospitals with 1,100 or more births per year, the perinatal care measure set will become the mandatory fifth measure set

    JCQH Measure Specification Manuals

    Lawrence, R., & Lawrence, R. Breastfeeding: A Guide for the Medical Professional, 7th Edition. Elsevier Mosby: 2011.

    United States Breastfeeding Committee. Implementing the Joint Commission Perinatal Care Core Measure on Exclusive Breast Milk Feeding. Washington, DC: United States Breastfeeding Committee; 2010 (PDF)Opens a new browser windowU.S.

    Department of Health and Human Services. The Surgeon General’s Call to Action to Support Breastfeeding (PDF)Opens a new browser windowWashington, DC: U.S. Department of Health and Human Services, Office of the Surgeon General; 2011

    Last modified on: 4/25/2014 4:25 PM