The Colorado Baby-Friendly Hospital Collaborative helps Colorado improve breastfeeding rates and support by assisting hospitals with maternity services to implement evidence-based policies and practices. The end goal is supporting hospitals to achieve and maintain Baby-Friendly designation.
The Collaborative supports participating hospitals by providing training, resources and opportunities to improve policies and processes that impact breastfeeding outcomes.
The Colorado Celebrate 6 Award for Breastfeeding Excellence
The Colorado Baby-Friendly Hospital Collaborative awards hospitals for having a written policy demonstrating implementation of at least six of the Baby-Friendly Hospital Initiative’s (BFHI) evidence-based Ten Steps to Successful Breastfeeding. Learn more about the Colorado Celebrate 6 Award for Breastfeeding Excellence.
Members of the Colorado Baby-Friendly Hospital Collaborative
*Hospitals that are Baby-Friendly designated by Baby-Friendly USA, Inc.
- Aspen Valley Hospital*, Aspen
- Avista Adventist Hospital, Louisville
- Boulder Community FoothillsHospital*, Boulder
- Centura St. Elizabeth Hospital*, Fort Morgan
- Centura St. Francis Medical Center*, Colorado Springs
- Community Hospital, Grand Junction
- Delta Health*, Delta
- Denver Health, Denver
- Estes Park Health, Estes Park
- Evans Army Community Hospital, Fort Carson
- Good Samaritan Medical Center*, Lafayette
- Gunnison Valley Hospital*, Gunnison
- Intermountain Health Lutheran Hospital*, Wheat Ridge
- Littleton Adventist Hospital, Littleton
- Longs Peak Hospital, Longmont
- McKee Medical Center, Loveland
- Mercy Regional Medical Center, Durango
- Memorial Hospital Central, Colorado Springs
- Memorial Hospital North, Colorado Springs
- Parker Adventist Hospital, Parker
- Parkview Medical Center, Pueblo
- Platte Valley Medical Center*, Brighton
- St. Anthony North Medical Center, Westminster
- St. Joseph Hospital*, Denver
- St. Mary’s Medical Center*, Grand Junction
- UC Health Memorial Hospital North*, Colorado Springs
- University of Colorado Hospital*, Aurora
- Valley View Hospital*, Glenwood Springs
- Wray Community District Hospital, Wray
Any hospital may join the Collaborative, regardless of whether the facility is pursuing or maintaining a Baby-Friendly designation.
Steps to Join the Collaborative
- Review the Collaborative information letter and Baby-Friendly info handout for hospitals.
- Share materials with hospital leadership.
- Review the Collaborative Charter and have it signed by a member of hospital leadership.
- Email the signed Charter to Stacy.Miller@state.co.us and provide contact information for all staff interested in being included in email contacts from the Collaborative.
Baby-Friendly Hospital Initiative (BFHI)
- The Baby-Friendly Hospital Initiative (BFHI) is a global program started in 1991 by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) to assist and recognize hospitals that offer an optimal level of care for parents and babies. Baby-Friendly USA implements the BFHI in the United States. Currently, more than 600 hospitals and birthing centers in the United States and more than 22,000 facilities worldwide are Baby-Friendly designated.
BFHI follows three core principles
- Human milk fed through direct breastfeeding is the optimal way for human infants to be nurtured and nourished.
- The precious first days in the birth facility should be protected as a time of bonding and support not influenced by commercial interests.
- Every mother should be informed about the importance of breastfeeding and respected to make her own decision.
Guidelines and recognition
- To adhere to guidelines and become recognized as Baby-Friendly, facilities must implement the Ten Steps to Successful Breastfeeding and the International Code of Marketing of Breast-milk Substitutes.
- The Ten Steps includes procedures important for the health and well-being of parents and babies.
- With an educated staff, a facility can inform all parents and give them the confidence and skills necessary to successfully begin and continue breastfeeding or safely feed formula.
- BFHI is about education, allowing each parent to make an informed decision about what is best for their own family.
- Other aspects of the Ten Steps include practicing rooming-in, where parent and baby remain together during the hospital stay, breastfeeding initiation within the first hour after birth, and breastfeeding education and discharge support to help parents know where to get help.
- The Ten Steps includes procedures important for the health and well-being of parents and babies.
Handouts & resources
- Baby-Friendly Info for Hospitals (PDF handout)
- Baby-Friendly Info for Families-to-Be (PDF handout)
- The Baby-Friendly Hospital Initiative (Baby-Friendly USA website)
Webinars
- The Business Case for Baby-Friendly: Building A Family-Centered Birthing Environment (mp4)
- 2020 Colorado Hospital Breastfeeding Summit
- Lori Feldman-Winter, MD, MPH
- 2020 Colorado Hospital Breastfeeding Summit
- Greatest Impact for Good (mp4)
- 2020 Colorado Hospital Breastfeeding Summit
- Susan Callaway, BSN, RN, IBCLC
- 2020 Colorado Hospital Breastfeeding Summit
- Breastfeeding and Health Equity in the Maternity Care Setting (mp4)
- 2020 Colorado Hospital Breastfeeding Summit
- Rose St. Fleur, MD, FAAP, FABM, IBCLC
- 2020 Colorado Hospital Breastfeeding Summit
Webinars
Please note: All CBFHC webinar recording mp4s are available in one Google folder.
- State of Breastfeeding in Colorado 2017
- Formula for Success 2016 webinar (mp4)
- Introduction slides (PDF)
- Formula Attestation slides (PDF)
- Education is Key 2016 webinar (mp4)
- CBFHC slides (PDF)
- St. Francis Baby-Friendly (PDF)
- Sustainability (PDF)
- St. Francis Post Test Answer Key (PDF)
- St. Francis Post Test Answer Key (Word doc)
- Designation Dreams 2016 webinar (mp4)
- Slides (PDF)
- Data Collection (PDF)
- Ensuring Safe Skin-to-Skin Contact (PDF)
- Hot Topics & Research Updates in Maternity Care 2016 webinar (mp4)
- Wrap It Up!: Finalizing Your Baby-Friendly Journey webinar (mp4)
- Anticipating the Finish Line: Preparing for the Site Visit and Final Barriers 2015 webinar (mp4)
- Setting the Course: Implementing Guidelines and Overcoming Barriers on Your Journey 2015 webinar (mp4)
- Sharing Best Practices for Accomplishing Skills Competencies for Maternity Staff 2014 webinar (mp4)
- Step 3: Prenatal Connections, Dec. 2013(PDF)
- Data Collection: The Joint Commission and Baby-Friendly Requirements (PDF)
- Breastfeed LA, September 2013
- Karen Peters, MBA, RD, IBCLC, executive director
Additional Resources
- Lactation toolkits & resources. (webpage)
- Colorado breastfeeding data. (webpage)
- Hospital & health care provider resources. (webpage)
- Celebrate 6 Awards of Breastfeeding Excellence. (webpage)
- Breastfeeding parents and families. (webpage)
Journal articles and additional hospital and health care provider resources are available in the Google folder.
- Baby-Friendly Hospital Initiative Is Associated with Lower Rates of Neonatal Hyperbilirubinemia - 2020. (PDF)
- Trends in Breastfeeding Interventions, Skin-to-Skin Care, and Sudden Infant Death in the First 6 Days after Birth - 2019. (PDF)
- Addressing Racial Inequities in Breastfeeding in the Southern United States - 2018. (PDF)
- Baby-Friendly Practices Minimize Newborn Infants Weight Loss - 2018. (PDF)
- Systematic Review of Evidence for Baby-Friendly Hospital Initiative Step 3: Prenatal Breastfeeding Education - 2017. (PDF)
- Baby-Friendly Hospital Initiative and Breastfeeding Among WIC-Participating Infants in Los Angeles County - 2017. (PDF)
- Impact of the Baby-Friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review - 2016. (PDF)
- Baby-Friendly Hospital Practices and Meeting Exclusive Breastfeeding Intention - 2012.(PDF)
- Cost Comparison of Baby Friendly and Non-Baby Friendly Hospitals in the United States - 2011. (PDF)
- Breastfeeding Rates in U.S. Baby-Friendly Hospitals: Results of a National Survey - 2005. (PDF)
Additional reports and articles
- Colorado Black Breastfeeding Report - 2021. (PDF)
- Voices of Black Mothers: The Baby-Friendly Experience - 2021. (PDF)
- Racial and Ethnic Disparities in Breastfeeding Initiation - United States, 2019- CDC Morbidity and Mortality Weekly Report, 2021. (PDF)
- The Business Case for Baby-Friendly: Building A Family-Centered Birthing Environment (PDF)
- 2020 Colorado Hospital Breastfeeding Summit
- Lori Feldman-Winter, MD, MPH
- The Business Case for Becoming a Baby-Friendly Hospital for Hospital CEOs (YouTube video)
- Marianne Neifert, M.D.
- FAAP, 2013
- Speaker handout. (PDF)
- The Business Case for Becoming a Baby-Friendly Hospital, Parts 1 & 2 (YouTube video)
- Marianne Neifert, M.D.
- FAAP, 2013
- Speaker handout. (PDF)
- Linking Direction and Motivation to Engender Staff Buy-In (YouTube video)
- Marianne Neifert, M.D.
- FAAP, 2013
- Speaker handout. (PDF)
- Hiking the Mountain One Step at a Time: The Path to Baby-Friendly (YouTube video)
- Karen Peters, MBA, RD, IBCLC, executive director, Breastfeed LA
- 2013
- Speaker handout. (PDF)
- Influencing Behavior Change
- 2013
- Hand Washing video. (YouTube video)
- Visit the hospital and health care provider webpage for additional hospital and health care resources.
- Lactation toolkits and resources. (CDPHE webpage)
- World Health Organization (WHO)
- Baby-Friendly Hospital Initiative. (WHO webpage)
- BFHI Tools, Ten Steps Guide, and Infographics (PDF, WHO website)
- National Institute for Children’s Health Quality (NICHQ website)
- Quality Improvement Initiative Brings National Change to Breastfeeding Support. (NICHQ website)
- Cultural Sensitivity for Better Breastfeeding Outcomes. (NICHQ website)
- Best Fed Beginnings Initiative 2011-2015.
- Best Fed Beginnings: A Nationwide Quality Improvement Initiative to Increase Breastfeeding. (American Academy of Pediatrics website)
- Centers for Disease Control and Prevention (CDC)
- CDC's Work and Support to Promote Breastfeeding in Hospitals, Worksites, and Communities (PDF)
- Safety in Maternity Care. (CDC website)
- EMPower Breastfeeding
- The Surgeon General’s Call to Action to Support Breastfeeding. (National Libray of Medicine website)
- Breastfeeding: Primary Care Interventions, 2016. (U.S. Preventative Services Task Force website)
- The Baby-Friendly Hospital Initiative: Improving Maternity Care and Increasing Breastfeeding Rates. (American Hospital Association (AHA) website)
- Texas 10-Step Program. (Texas Ten Step website)
- Identifying and Addressing Implementation Issues presentation. (PDF)
Donor human milk
- Mothers’ Milk Bank, Colorado. (Rocky Mountain Children's Health Foundation website)
- Human Milk Banking Association of North America (HMBANA). (HMBANA website)
- Breast milk sharing handout for families. (PDF)