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Beyond BFHI

The Spatz 10-Step and Breastfeeding Resource Nurse Model to Improve Human Milk and Breastfeeding Outcomes

Spatz, Diane L. PhD, RN-BC, FAAN

The Journal of Perinatal & Neonatal Nursing: April/June 2018 - Volume 32 - Issue 2 - p 164–174
doi: 10.1097/JPN.0000000000000339
Feature Articles

A report released by the World Health Organization states that worldwide less than 10% of birth occur in hospitals certified through the Baby-Friendly Hospital Initiative. Furthermore, the Baby-Friendly Hospital Initiative's primary focus is on breastfeeding for healthy, mother-infant dyads. This article provides alternative models for implementing evidence-based care during maternal-infant separation so that mothers can achieve their personal breastfeeding goals. These include the Spatz 10-step model for human milk and breastfeeding in vulnerable infants and the Breastfeeding Resource Nurse model. Clinical outcome data are provided to demonstrate the effectiveness of the models as well as a road map of strategies to implement the models and measure outcomes.

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and Family & Community Health Department, University of Pennsylvania School of Nursing, Philadelphia.

Corresponding Author: Diane L. Spatz, PhD, RN-BC, FAAN, Family & Community Health Department, University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104 (

Disclosure: The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Submitted for publication: February 14, 2018; accepted for publication: February 14, 2018.

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.