Regarding the administration of feeding the premature newborns in intensive care areas, the written breastfeeding policy should explicit issues related to the:
The International Code of Marketing of Human Milk Substitutes requires appropriate actions to enforce its principles and objectives, including the adoption of national laws and regulations or other relevant measures. All actions should be made public. Since the code is a minimum requirement, governments can adopt additional measures - potentially more stringent than those set out in the code - and make them legally binding.
Conveying the right information, for the informed decision of mothers and families, is correct and ethical.
Considerable scientific evidence is available on breastfeeding and human milk feeding as a public health strategy given its myriad benefits for both newborns and breast feeders. However, breastfeeding is often perceived by some health care professionals as simply a lifestyle choice. They fear creating guilt in those who choose not to breastfeed by "pushing" for breastfeeding.
Since 1991, the Baby-Friendly Hospital Initiative (BFHI) has sought to motivate healthcare teams caring for newborns to provide the best support for successful breastfeeding, based on the Ten Steps.
In gestations with high risk of prematurity or potentially needing admission to the Neonatal Care Unit, prenatal admission is an opportunity for communication with the pregnant women.
Evidence-based counseling about the benefits of human milk feeding is a public health intervention that improves breastfeeding rates. Repeated prenatal informational interviews are more effective than isolated interventions and should be documented in the medical record.