Baby-friendly hospital self-examination report 5

Baby Friendly Hospital Self-Inspection Report Part 1

My hospital baby-friendly leadership team in the party Zhiren President of the leadership, baby-friendly work carried out self-inspection, now will be the self-inspection of the situation summarized in the report is as follows:

First, the leadership attaches importance to the organization is sound, and practicing in accordance with the law.

Our hospital in 1996 to create a baby-friendly hospital, as of today has been full of more than 10 years, more than a decade, due to the attention of leaders at all levels, has achieved milestones, the leadership of our hospital obstetrics and pediatrics construction and development of considerable attention, the ward environment and facilities than before a great improvement in the obstetrics ward is warm and comfortable, the professional and technical staff to carry out a rigorous training, the departmental management norms, a sound system, a strong sense of service according to law. The department's management is standardized, the system is sound, the sense of service is strong according to the law, the informed consent is well implemented, and the requirements of the higher level documents can be effectively implemented.

Second, the conditions for the development of maternal and child health care technology services, to ensure the smooth operation of the hospital's work.

Our hospital obstetrics and gynecology existing five physicians, including three attending physicians, two physicians, five have obtained the certificate of licensed physicians, obstetrics and gynecology to carry out maternal and child health care special technical services are well-equipped, first aid drugs can be replaced in a timely manner to ensure that first aid medicines are in the expiration date at any time to use the various obstetrics skilled operation, to ensure that the safety of mothers and infants to further reduce the maternal and infant perinatal mortality rate. The company's products and services have been widely recognized as the best in the world.

Third, in accordance with the "Baby-friendly Hospital Management Supervision Guide" to put the breastfeeding promotion work into practice, the baby-friendly work as a regular work to grasp.

Obstetrics and gynecology wards, missionary columns posted on the wall of the World Health Organization to promote breastfeeding success of the ten standards, the International Code of Marketing of Breastmilk Substitutes, the Puji Health Hospital Breastfeeding Regulations, etc., set up a leading group of breastfeeding, the development of breastfeeding work plan and breastfeeding regulations issued to every medical staff training, in-service personnel to breastfeeding knowledge training, and to provide breastfeeding training. Breastfeeding knowledge training, and a breastfeeding knowledge test and the Maternal and Child Health Law knowledge test, the benefits of breastfeeding and knowledge and skills of pregnant women and demonstration, but also breastfeeding education syllabus issued to the hands of pregnant women.

The postnatal mother and baby to do early contact, early breastfeeding, early sucking, to ensure that the mother and baby 24 hours in the same room, and to teach mothers how to breastfeed, how to milk, to do early breastfeeding, breastfeeding on demand, so that mothers have enough milk, not to give newborns to eat other than breastfeeding food and drink, to achieve the exclusive breastfeeding to eliminate the phenomenon of the phenomenon of the bottle of powdered milk in the hospital, for the cesarean section of the newborn in the cord treatment is completed, but also by their newborn in the cord, and also by their parents, and to ensure the breastfeeding of the newborn. For newborns delivered by cesarean section, after the umbilical cord was processed, their mothers returned to the ward and made up for the skin-to-skin contact between mother and baby and early sucking. A few problems found in the inspection:

In this self-inspection found that the quality of medical record writing should be further standardized, business knowledge and technical training should be further improved, and increase the number of missionary work to ensure that mothers are familiar with breastfeeding, health care knowledge during pregnancy and childbirth.

Through this self-examination, strict technical operation, actively promote and promote breastfeeding appropriate technology, protect, promote and support natural childbirth, reduce the rate of cesarean section, to ensure the safety and health of mothers and babies.

Yuanping Second People's Hospital

xx August 20

Baby Friendly Hospital Self-inspection Report Part 2

Zhenjiang City, Baby Friendly Hospital Evaluation and Review Leadership Group: According to the "Zhenjiang Municipal Health Bureau on the assessment of the management of the baby-friendly hospital review of the work of the notice," the requirements of the leadership of the hospital active deployment of the assessment and review work. Assessment and review work, held a "baby-friendly hospital assessment and review of the work will be arranged" to raise awareness, unify ideas, for the assessment of standards, article by article self-check and rectification, supervision and implementation, so that the management of baby-friendly hospitals on a new level. The work carried out by the hospital is summarized as follows:

First, there are written breastfeeding regulations, and routinely reach all health personnel. There are written breastfeeding regulations which are routinely communicated to all health staff.

1, our hospital re-adjusted the implementation of breastfeeding provisions of the leading group, consisting of business dean, nursing, obstetrics and pediatrics director group and head nurse, and formulated the work duties, breastfeeding provisions to all members of the group, and organized learning;

2, in the obstetrics clinic, pediatrics clinic, maternity wards, wards, neonatal room posted "to promote the breastfeeding success of the ten criteria The technical training of all health personnel is necessary to inform all pregnant women about the benefits of breastfeeding and how to handle it. The benefits of breastfeeding and how to handle it should be made known to all pregnant women.

1. Pre-service training on breastfeeding knowledge is given to new recruits and they are assessed and qualified before taking up their posts;

2. A post responsibility system for breastfeeding promotion has been formulated as a job responsibility for breastfeeding;

3. Regular training on breastfeeding knowledge is given to every health worker, twice a year, for more than 3 hours each time;

4, Antenatal clinics and antenatal wards through the distribution of promotional materials, antenatal wards regularly use the work-rest symposium on breastfeeding knowledge for mothers and their families;

5, admitted mothers have a breastfeeding pamphlet (including seven breastfeeding indicators);

6, all mothers are responsible for the nurses on the ward for breastfeeding education; to help mothers in the first half an hour after delivery to start All mothers are educated on breastfeeding by the ward nurse in charge; helping mothers to start breastfeeding within half an hour after delivery, instructing mothers on how to breastfeed and how to maintain lactation if they need to be separated from their newborns.

1, the implementation of the responsibility of the person, after cesarean section and 30 minutes after normal delivery by the midwife to guide the mother and child skin-to-skin contact and sucking, back to the ward by the nurse in charge of further guidance on breastfeeding techniques and skills;

2, the mother stayed in the room during the observation of the baby and the mother;

3, the implementation of the responsibility of the person, after cesarean section and 30 minutes after normal delivery by the Midwives to guide the mother and child skin contact and sucking, back to the ward by the nurse in charge of further guidance on breastfeeding techniques and skills, until the mother to fully grasp the knowledge of breastfeeding;

4, through the breastfeeding mission and medical staff to guide the mother to master the correct breastfeeding holding position and newborns contain the position of receiving, so that mothers have enough knowledge of breastfeeding;. The mother and baby are in the same room for 24 hours; breastfeeding on demand is encouraged; breastfeeding is not given to newborns who are breastfeeding

4. 24-hour mother and baby are in the same room; breastfeeding on demand is encouraged; breastfeeding is not given to newborns who are breastfeeding by sucking on artificial nipples or using nipples as a comfort; newborns are sucked on artificial nipples or used nipples as a comfort in addition to breastmilk; and giving newborns any foods or beverages except breastmilk is prohibited except when there is a medical indication to do so. Any food or drink is prohibited unless medically indicated.

1, excluding newborns with medical indications, 80% of newborns have not eaten any food or drink other than breastmilk after birth, and have achieved exclusive breastfeeding.

2, to strengthen nursing care, to achieve early breastfeeding, breastfeeding on demand, the implementation of the responsibility of responsibility, 30 minutes after the cesarean section by the midwife to guide the mother and child skin-to-skin contact and sucking, back to the ward by the nurse in charge of further guidance on breastfeeding techniques and skills, until the mother to fully grasp the knowledge of breastfeeding;

3, mothers and infants in the same room, no baby room, mothers and babies 24 hours in the

5. Carrying out work on prevention of mother-to-child transmission of AIDS. To carry out the work of preventing mother-to-child transmission of AIDS. AIDS mother-to-child transmission work all pregnant women receive hiv antibody test before delivery, no hiv antibody positive pregnant women.

Sixth, improve the quality of health care during labor and delivery, protection, promotion, support of natural childbirth, strict control to improve the quality of health care during labor and delivery, protection, promotion, support of natural childbirth, the rate of rupture of the uterus. Prevention and control of obstetric complications, the establishment of maternal mortality and obstetrics difficult medical records to discuss the rate of rupture of the uterus. Preventing and controlling obstetric complications, on system. On the system.

1, regular breastfeeding week activities, through the streets, into the community to promote breastfeeding knowledge, distribution of publicity materials, to encourage pregnant women to give birth naturally; and through the newspaper, the Internet and other media to promote breastfeeding knowledge;

2, carried out maternal high-risk screening, in accordance with the provisions of the referral;

3, the medical staff to grasp the adverse effects of cesarean section on the mother and newborns, and strictly follow the mastery of cesarean section on the maternal and newborns.

3, medical staff to understand the adverse effects of cesarean section on the mother and the newborn, strict compliance with the mastery of cesarean section indications;

4, maternal mortality medical records and obstetrics difficult cases discussion system, and organization and implementation.

Seven, the strict implementation of maternal and child health information management system we adhere to the "Maternal and Child Health Law" as the basis for the implementation of the "Outline for the Development of Chinese Women" and "China's Children Development Program" for the purpose of strengthening the leadership of the statistical work, stabilization and improvement of the three-tiered health care network, and conscientiously implement the statistical monitoring system, standardize maternal and child health statistics to do the table, the card number of the book corresponds to avoid all kinds of errors; adhere to the statistical work system, and strive to improve the level of statistical work. The hospital actively cooperates with the Municipal Health Bureau to carry out statistical work. Our hospital actively cooperate with the Municipal Health Bureau to carry out maternal and child information management work, no maternal deaths and birth defects underreporting.

Eight, strictly implement the "Jiangsu Province, the management of birth medical certificates" strictly implement the "Jiangsu Province, the management of birth medical certificates" provincial birth medical certificates management approach. Jurong Tianwang Center Health Center May 24, 20xx

Baby-friendly hospital self-inspection report Part 3

In order to continue to create a baby-friendly social atmosphere, enhance the quality of obstetrics and pediatrics services, in accordance with the "National Health and Family Planning Commission on the development of baby-friendly hospitals to review the notification" (National Health Women and Children letter No. 185) of the requirements of the document, I hospitals Actively deploy the assessment and review work, raise awareness, unify the mind, for the standard of self-check and rectification, supervise the implementation of the standard, so that the work of the baby-friendly hospital on a new level, basically meet the "baby-friendly hospital standards (20xx version)" normative requirements. Now we consolidate the results of the baby-friendly hospital self-assessment report is as follows:

First, the main practice and carry out the situation

1, in order to consolidate the results of the baby-friendly hospital, our hospital re-enrichment adjusted the baby-friendly hospital leadership group and technical guidance team, and refine the decomposition of the work task.

2, in accordance with the "baby-friendly hospital review program" and "baby-friendly hospital standards 20xx version" requirements, the baby-friendly hospital work system for a comprehensive revision and improvement, the establishment of a sound breastfeeding work system, breastfeeding education system, breastfeeding routines.

3, the annual baby-friendly hospital management and breastfeeding knowledge training for all medical and nursing staff at least once. For new staff to carry out not less than 18 hours of baby-friendly knowledge training and assessment, the qualification rate of 100%. Annual retraining on breastfeeding knowledge for obstetrics, pediatrics, administration, logistics and other functional sections of the staff, no less than 3 hours.

4, re-rectified and revised the "xxxx Hospital Breastfeeding Knowledge Manual", to do a manual.

5, every time the pregnant women who came to the hospital for checkups were registered in the register, and issued pregnancy health care manuals and breastfeeding leaflets, so that the knowledge of pregnancy health care and breastfeeding was popularized and educated in every pregnant woman.

6. Various forms of dissemination of knowledge and skills of breastfeeding to pregnant women. Continuously broaden the content of maternity school lectures, including pre-pregnancy, early pregnancy, mid-pregnancy, late pregnancy, puerperium and newborn characteristics and health care and other health education knowledge.

7, in obstetrics, pediatrics and preventive health care clinics, patient areas, waiting areas and public **** area to display the contents of the provisions, prohibited in the department to post breast milk substitutes sales advertisements, information, and the sale of breast milk substitutes behavior.

8, the annual "World Breastfeeding Week", the hospital organized the relevant personnel on the streets to carry out publicity and education on the benefits of breastfeeding, breastfeeding promotional materials issued.

9, in recent years, before and after the Obstetrics and Gynecology, pediatrics wards redecorated, newly purchased desks, chairs, computers, each ward and office air-conditioning installed. Standardized laminar flow clean operating rooms, maternity wards and baby bathrooms, for maternity and pediatrics work normal, standardized conditions.

10. Instructing mothers on how to breastfeed, as well as maintaining good lactation.

11, the implementation of 24-hour mother and baby room; to encourage on-demand breastfeeding; not to breastfeeding newborns sucking artificial pacifiers or the use of pacifiers as a placebo; in addition to breast milk, prohibited to give newborns to eat any food or drink, except for medical indications.

12, to promote the establishment of breastfeeding support organizations, set up our hospital breastfeeding hotline (hotline: xxx) and inform the discharged mothers.

13, baby-friendly work leading group will each baby-friendly work quality requirements decomposition, sent to the department, and then by the department responsibility to the person, so that everyone has a clear understanding of the quality standards and scoring methods, to ensure that the quality of baby-friendly hospital.

14, the leading group to take occasional checkups on baby-friendly work supervision, timely feedback on baby-friendly work problems, and develop improvement measures to ensure that the results of baby-friendly work.

Second, the main problems and corrective measures

1, due to social factors, cesarean section of the proportion of women giving birth to women, cesarean section of the pain of wounds and eating late, etc., will give breastfeeding of the "three early" (early contact, early milk, early sucking) to bring about difficulties, in order to pacify crying babies, a small number of parents will take to avoid the medical staff with a substitute for the baby, and then the mother will be able to take the baby to the hospital. The first thing you need to do is to avoid the medical staff and use milk replacer to feed your baby.

2. Breastfeeding involves a wide range of complex objects, due to the uneven cultural qualities and education, there are still a few mothers or family members who secretly bring milk powder and bottles into the hospitals when waiting for labor or after the delivery, and feed their babies according to the old traditional way.

3. The form of publicity is relatively single, not diversified enough, the people want to understand the desire of breastfeeding is not ominous, the individual medical staff responsibility is not known, the maternal publicity is not patient, not carefully, so that individual pregnant women to master the skills are not skilled.

Baby Friendly Hospital Self-Inspection Report Part 4

xx Health and Family Planning Commission:

In order to continue to create a baby-friendly and mother-friendly social atmosphere, to enhance the quality of obstetrics and pediatrics services, in accordance with the "National Health and Family Planning Commission on the review of baby-friendly hospitals notice" requirements, our hospital actively arrange the deployment of the assessment of the review of the work for the standard article-by-article The hospital actively arranges and deploys the assessment and review work, and carries out self-inspection and rectification for the standard article by article, so that the work of the baby-friendly hospital has reached the requirements of the "Baby-Friendly Hospital Standard (20xx Edition)". Now combined with the actual hospital, the self-check report is as follows:

First, carefully organized, actively deployed, publicity in place

(a) Unified thinking, awareness. Our hospital held a baby-friendly hospital conference on xx, 20xx, enriching the baby-friendly hospital leadership team and technical guidance team, refining and decomposing the work task.

(2) Improve the working mechanism and strengthen publicity.

1. In accordance with the requirements of the "Baby-Friendly Hospital Review Program", "Baby-Friendly Hospital Standards 20xx Edition" and "Baby-Friendly Guidelines for Midwifery Institutions 20xx Edition", the working system of the Baby-Friendly Hospital was comprehensively revised and perfected, and "xx Hospital's xx regulations for the promotion of breastfeeding" were formulated. The "xx Hospital Breastfeeding Knowledge Handbook" has been revised and issued to every employee of the hospital, so that every employee has a copy of it.

2. By posting the systems in the public **** area and the electronic screen scrolling method, to improve the patients and their families on the review of the hospital's baby-friendly hospital awareness, but also always alert the hospital staff, improve the quality of service, and strengthen the communication between doctors and patients. And actively carry out to "good service, good quality, good medical ethics, public satisfaction" as the goal of the "three good and one satisfaction" activities to enhance the quality of service and service connotation.

3. Produced "Breastfeeding Benefits", "A Letter to Parents of Newborns", "How to Scientifically Care for Newborns", "Postpartum Health Care", "Healthy Mothers", "Healthy Babies", and other promotional materials, in the Obstetrics Outpatient Clinic, Pediatrics Outpatient Clinic, Obstetrics and Gynecology inpatient department to distribute to the hands of each of the pregnant women who come to the hospital and their families, so that women and their families to understand the knowledge of breastfeeding and the importance of breastfeeding. The importance of breastfeeding.

4. Create a social atmosphere of love for babies and mothers. Use of publicity on the streets during holidays, to help hospitals and "three rural" activities, the distribution of women's health, child health, breastfeeding knowledge and other information.

Second, the equipment and training and improve the quality of medical personnel

First, the hospital departments were organized to study the review of the baby-friendly hospital documents and systems, study the review of the baby-friendly hospital implementation plan, refine the tasks, and clarify their responsibilities. Secondly, the hospital's medical staff are given necessary management and technical training. Every year, all medical and nursing staff are trained at least once in baby-friendly hospital management and breastfeeding knowledge. No less than 18 hours of baby-friendly knowledge training and assessment are conducted for new staff since 20xx, with a passing rate of 100%. Every year, the staff of obstetrics, pediatrics, administration, logistics and other functional departments are retrained in breastfeeding knowledge for no less than 3 hours. Thirdly, the backbone is actively selected to participate in various trainings. In order to improve the clinical skills of obstetrics and pediatrics medical staff, the hospital has sent personnel out for study and further training many times. Efforts to improve the diagnosis and treatment level of obstetrics and pediatrics, providing scientific and reasonable medical treatment and health care for pregnant women and newborns, as well as the performance appraisal of the clinical skills of our obstetrics and pediatrics medical staff.

C. Strengthen the quality control of breastfeeding and improve the service level

1. Tell all pregnant women about the benefits and methods of breastfeeding. Our hospital in the obstetrics outpatient clinic, maternity school, obstetrics wards through the viewing of educational films, knowledge lectures, props and other multi-channels, multi-methods to promote breastfeeding knowledge and skills to pregnant and lactating mothers.

2. Help pregnant women to start breastfeeding within one hour after delivery. Strictly in accordance with the hospital's 11 rules of breastfeeding to help mothers start breastfeeding within one hour after delivery, early skin contact, early sucking and eye contact and timely warmth, so that babies are always with their mothers. Maternal knowledge and education have been strengthened to promote natural childbirth and reduce non-medical cesarean sections. Developed a system and measures to reduce the rate of cesarean section in Xifeng County People's Hospital.

3. Instructing mothers how to breastfeed, as well as preserving good lactation. Strengthen the training of obstetrics and pediatrics medical staff in breastfeeding knowledge and ability to make them more proficient in breastfeeding knowledge and skills, in order to better guide mothers to breastfeed their babies.

4. It is forbidden to give any food or drink to the newborn except breast milk, unless there is a medical instruction. Strengthen the maternal education, strictly require every mother to carry out breastfeeding; in the case of medical indications of pregnant women and infants really need to carry out mixed feeding, in strict accordance with the operating procedures to use milk cups, milk spoons, and strict breast milk substitutes configuration system and the use of management system. There is a special milk dispensing area, and formula is given in strict accordance with medical instructions. Infants need milk powder provided by the hospital.

5. The implementation of 24-hour mother and baby room. Adhere to the breastfeeding system, the implementation of 24-hour mother and baby room system, the development of holistic care, to help normal delivery and cesarean section delivery of mothers and babies to do a good job of early contact, early sucking. Instructing mothers on the correct feeding position, holding position and milking technique.

6. Encourage breastfeeding on demand. Strengthened the obstetrics and gynecology, pediatrics medical staff to maternal awareness of breastfeeding on demand education, emphasizing the importance of breastfeeding on demand. Familiar with the newborn hunger or maternal milk rise recognition, milk rise can be fed.

7. Do not give breastfed newborns artificial pacifiers or use pacifiers as comforters. Obstetrics, gynecology and pediatrics staff are familiar with the dangers of bottles, pacifiers and comforters, and encourage mothers to build confidence in breastfeeding.

8. Promote the establishment of breastfeeding support organizations and refer discharged mothers to these organizations for follow-up. Inform mothers discharged from the hospital of our breastfeeding counseling phone number (xxxx), and visit their township or community after discharge to provide counseling services to resolve difficulties encountered in breastfeeding.

Baby Friendly Hospital Self-Inspection Report Part 5

On May 20, 201x our hospital baby-friendly leading lady under the leadership of President xxx, our hospital baby-friendly work carried out self-inspection, and now the self-inspection is summarized and reported as follows:

First, the leadership attaches importance to the organization is sound, and the practice of the law:

My hospital In the creation of baby-friendly hospitals, as of today has been more than 10 years, more than a decade, due to the attention of leaders at all levels, achieved milestones, our hospital leadership on the construction and development of obstetrics and pediatrics pay considerable attention to the environment and facilities of the wards before a great improvement in the obstetrics ward warm and comfortable, the professional and technical staff have been strictly trained, standardized management of the Department of a sound system, a strong sense of service in accordance with the law, the informed consent to implement a good The company's management is standardized, the system is sound, the sense of service is strong according to the law, the informed consent is well implemented, and the requirements of higher-level documents can be effectively implemented.

Second, to carry out maternal and child health care technology services conditions, facilities and perfect, to ensure the smooth implementation of the work of the hospital.

Our hospital obstetrics and gynecology existing three physicians, including an attending physician, two physicians, three have obtained a practicing physician's certificate, obstetrics and gynecology to carry out maternal and child health care special technical services are well-equipped, first aid drugs can be replaced in a timely manner to ensure that first aid medicines are in the expiration date of the ready-to-use, the obstetrics skilled operation to ensure the safety of mothers and infants, and to further reduce the maternal, infant perinatal mortality rate. The company's products and services have been widely recognized as the best in the world.

Third, in accordance with the "Baby-friendly Hospital Management Supervision Guide" to put the breastfeeding publicity work into practice, the baby-friendly work as a regular work to pay attention to:

I have an outpatient clinic mission classroom, centralized missionary place for the hospital conference room, missionary

complete facilities, so that the work of the baby-friendly further embodied. Obstetrics and gynecology outpatient clinics, wards, missionary classrooms are posted on the wall of the World Health Organization to promote the success of breastfeeding ten standards, the International Code of Marketing of Breastmilk Substitutes, Puji Health Hospital breastfeeding regulations, etc., the establishment of a breastfeeding leadership group, the development of a breastfeeding work plan and breastfeeding regulations issued training to each of them to the medical staff, to the new staff to carry out 18 hours of training in breastfeeding knowledge. The staff of the hospital has been given 18 hours of training on breastfeeding, and the staff on duty has been retrained for three hours a year, and an examination on breastfeeding and the Maternal and Infant Health Care Act has been conducted. Pregnant women have been taught the benefits of breastfeeding and the knowledge and skills of breastfeeding and demonstrated, and an outline of breastfeeding education has been given to the first pregnant woman. The postnatal mother and baby to do early contact, early breastfeeding, early sucking, to ensure that 24 hours mother and baby in the same room, and to teach mothers how to breastfeed, how to milk, to do early breastfeeding, breastfeeding on demand, so that mothers have enough milk, do not give the newborn baby to eat other than breastfeeding food and drink, to achieve the exclusive breastfeeding to eliminate the phenomenon of the phenomenon of the bottle of powdered milk in the hospital, for the cesarean section of newborn babies in the umbilical cord after the treatment of the completion of

also by their newborns to the hospital. p>

Also by their mothers back to the ward to make up the mother-infant skin contact and early sucking, and cesarean section mothers to strengthen the postoperative care and guidance, the mother and baby discharged from the hospital to the village women and children trained in breastfeeding, and provide them with the hospital's breastfeeding hotline: xxxxxxxxxx, so that more than 95% of the newborns successfully achieved exclusive breastfeeding.

Fourth, a few problems found in the inspection:

In this self-inspection found that the quality of medical record writing should be further standardized, and the technical training of business knowledge should be further improved, and the classroom should be opened many times and for a long time routinely, to ensure that mothers are familiar with breastfeeding and health care knowledge during pregnancy and childbirth.