Self-inspection report of five baby-friendly hospitals</p><p>Self-inspection report of baby-friendly hospital 1</p><p>The baby-friendly leading group of our hospital, under the leadership of Dean Dang

Self-inspection report of five baby-friendly hospitals

Self-inspection report of baby-friendly hospital 1

The baby-friendly leading group of our hospital, under the leadership of Dean Dang

Self-inspection report of five baby-friendly hospitals

Self-inspection report of baby-friendly hospital 1

The baby-friendly leading group of our hospital, under the leadership of Dean Dang Zhiren, conducted a self-examination on the baby-friendly work, and now the self-examination situation is summarized and reported as follows:

First, leaders attach importance to, organize and practice according to law.

1996 baby-friendly hospital was established in our hospital. It has been 10 years now. For more than ten years, due to the attention of leaders at all levels, the leaders of our hospital have attached great importance to the construction and development of obstetrics and pediatrics, and the environmental facilities in the ward have been greatly improved. The maternity ward is warm and comfortable, with strict training of professional and technical personnel, standardized management of departments, sound system and strong sense of service according to law.

Two, to carry out maternal and child health care services, to ensure the smooth development of hospital work.

There are 5 doctors in the Department of Obstetrics and Gynecology in our hospital, including 3 attending doctors and 2 doctors, all of whom have obtained the certificates of practicing doctors. Obstetrics and Gynecology Department is fully equipped to provide special technical services for maternal and infant health care, and emergency drugs can be replaced in time to ensure that emergency drugs can be used at any time within the validity period. Skilled operation of various obstetric techniques ensures the safety of mother and infant, and further reduces the perinatal mortality of pregnant women and infants.

Thirdly, according to the Guide to the Management and Supervision of Baby-friendly Hospitals, the publicity of breastfeeding should be carried out, and baby-friendly work should be taken as a regular work.

Ten standards of the World Health Organization to promote the success of breastfeeding, the International Marketing Code of Breast-milk Substitutes and the breastfeeding regulations of Puji Health Care Center were posted on the walls and billboards of maternity wards. A leading group for breastfeeding was set up, a breastfeeding work plan was formulated, the relevant regulations on breastfeeding were distributed and trained to every medical staff, and the on-the-job staff were trained in breastfeeding knowledge. Knowledge tests on breastfeeding and the Maternal and Child Health Law were conducted, and pregnant women were educated and demonstrated on the benefits, knowledge and skills of breastfeeding. At the same time, an outline of breastfeeding education was distributed to pregnant women.

Early contact, early breastfeeding and early sucking are achieved for postpartum mothers and infants, ensuring that mothers and infants are in the same room for 24 hours. Teaching mothers how to feed and nurse, so that mothers can have enough milk and not eat food and drinks other than breast milk, thus achieving exclusive breast-feeding and putting an end to the phenomenon of bottles of milk powder in hospitals. After umbilical cord treatment, skin contact and early mother-to-child contact were also carried out for newborns undergoing cesarean section. Several problems found in the inspection:

This self-examination found that the quality of medical record writing needs to be further standardized, and the training of professional knowledge and technology needs to be further improved to increase the number of education and ensure that pregnant women are familiar with breastfeeding and maternal health care knowledge.

Through this self-examination, strict technical operation, actively publicize and popularize the appropriate technology of breastfeeding, protect, promote and support natural delivery, reduce the rate of cesarean section, and ensure the safety and health of mother and baby.

Yuanping second people's hospital

August 20, xx

Self-inspection report of baby-friendly hospital II

Zhenjiang Baby-friendly Hospital Evaluation and Evaluation Leading Group: According to the requirements of Zhenjiang Health Bureau's Notice on Carrying out Baby-friendly Hospital Management Evaluation and Evaluation, the leaders of our hospital actively deployed the evaluation and evaluation work and held a "Baby-friendly Hospital Evaluation and Evaluation Work Arrangement Meeting" to raise awareness, unify thinking, check and rectify the evaluation standards one by one, and supervise the implementation, so as to make the baby-friendly hospital management reach a new level. The work carried out by our hospital is summarized as follows:

First of all, there are written breastfeeding regulations, which are regularly communicated to all health personnel. There are written breastfeeding regulations, which are regularly communicated to all health care personnel.

1. Our hospital readjusted the leading group for the implementation of the Breastfeeding Regulations, which consists of the dean of business, the nursing department, the director group of obstetrics and gynecology and the head nurse, formulated the work responsibilities, distributed the Breastfeeding Regulations to all members of the group, and organized the study.

2. Posting ten standards to promote the success of breastfeeding, hospital breastfeeding regulations and the international marketing code of breast-milk substitutes in obstetric clinics, pediatric clinics, delivery rooms, wards and neonatal rooms, and requiring medical personnel to master these standards;

3. Post the ten standards of the World Health Organization to promote the success of breastfeeding, the regulations on breastfeeding in hospitals and the international marketing code of breast-milk substitutes in a prominent position;

4. Make a detailed breast-feeding work plan, check, record and improve it from time to time;

5. It is forbidden for all departments to post advertisements and materials for the sale of breast milk substitutes and sell breast milk substitutes on a commission basis;

6. Health education publicity materials and materials provided by producers and sellers of breast milk substitutes in our hospital; Provide all health personnel with necessary technical training,

Second, provide all health workers with necessary technical training and tell all pregnant women the benefits and treatment of breastfeeding. Tell all pregnant women about the benefits and treatments.

1. Conduct pre-job training on breast-feeding knowledge for new employees and conduct assessment. Qualified to mount guard;

2. Formulated the post responsibility system for promoting breastfeeding as the post responsibility of breastfeeding;

3. Conduct breast-feeding knowledge training for each medical staff regularly, twice a year for more than 3 hours each time;

4, prenatal clinics, prenatal wards through the distribution of promotional materials, prenatal wards regularly use rest forums to educate mothers and their families about breastfeeding;

5. A breastfeeding manual (including seven breastfeeding indicators) should be issued to hospitalized women;

6. All parturients are educated on breastfeeding by the responsible nurses in the ward; Help mothers start breastfeeding within half an hour after delivery and guide mothers how to breastfeed.

Third, help mothers start breastfeeding within half an hour after delivery, instruct mothers how to breastfeed and how to keep breastfeeding when they need to be separated from newborns. And how to maintain lactation when it needs to be separated from its newborn.

1. Responsibility should be assigned to people. After cesarean section and 30 minutes after delivery, the midwife will instruct the mother and son to touch and suck the skin. After returning to the ward, the responsible nurse will further guide the techniques and skills of breastfeeding.

2. During the observation period of the mother, the baby and the mother are together;

3. Carry out the responsibility to the people. After cesarean section and 30 minutes after delivery, the midwife will guide the mother and baby to touch and suck the skin. After returning to the ward, the responsible nurse will further guide the breastfeeding techniques and skills until the mother fully grasps the breastfeeding knowledge;

4. Through breast-feeding education and the guidance of medical staff, let the mother master the correct posture of holding the chest and the posture of the newborn, and let the mother master enough breast-feeding knowledge; . The time when the mother and the baby share the same room; Encourage breastfeeding on demand; A new baby who doesn't feed.

Fourth, implement a 24-hour mother-infant sharing room; Encourage breastfeeding on demand; Do not suck artificial nipples for breast-fed newborns, or use nipples as comfort; In addition to breast milk, babies suck artificial nipples or use nipples as comfort; Except breast milk, it is forbidden to give newborns any food or drink unless there is a medical indication. Any food or drink unless there is a medical indication.

1. Except for newborns with medical indications, 80% of newborns have never eaten any food or drink other than breast milk after birth and have been exclusively breast-fed.

2, strengthen the nursing work, do early breast-feeding, breast-feeding on demand, the responsibility to people, 30 minutes after cesarean section, the midwife will guide the mother and baby to contact and suck the skin, after returning to the ward, the responsible nurse will further guide the breast-feeding technology and skills until the mother fully grasps the breast-feeding knowledge;

Mom and baby are in the same room, and there is no nursery. Mother and baby are together for 24 hours;

Five, to carry out the prevention of mother-to-child transmission of AIDS. Carry out prevention of mother-to-child transmission of AIDS. Mother-to-child transmission of AIDS All pregnant women were tested for hiv antibody before delivery, and no pregnant women with hiv antibody were found.

Six, improve the quality of delivery health care, protect, promote and support natural delivery, strictly control and improve the quality of delivery health care, protect, promote and support natural delivery and uterine rupture rate. Prevention and treatment of obstetric complications, establishment of maternal death and obstetrical difficult medical records, and discussion of uterine rupture rate. Prevention and control of obstetric complications. On the system.

1, regularly carry out breastfeeding week activities, and encourage pregnant women to give birth naturally by taking to the streets, entering the community to publicize breastfeeding knowledge and distributing publicity materials; And promote breastfeeding knowledge through newspapers, internet and other media;

2. High-risk screening for pregnant women and referral according to regulations;

3. Medical staff have mastered the adverse effects of cesarean section on parturient and newborn, and strictly abide by the indications of cesarean section;

4, there are maternal death medical records and obstetrical difficult cases discussion system, and organize their implementation.

Seven, strictly implement the information management system of maternal and child health care We adhere to the maternal and child health care law as the basis, with the implementation of the "China Women's Development Program" and "China Children's Development Program" as the goal, strengthen the leadership of statistical work, stabilize and improve the three-level medical and health care network, conscientiously implement the statistical monitoring system, standardize the statistical management of maternal and child health care, and achieve the correspondence between tables and cards to avoid all kinds of mistakes; Adhere to the statistical work system and strive to improve the level of statistical work. Our hospital actively cooperated with the Municipal Health Bureau to carry out the information management of women and children, and there was no omission of maternal death and birth defects.

Eight, strictly implement the "Jiangsu province birth medical certificate management measures" strictly implement the "Jiangsu province birth medical certificate management measures" provincial birth medical certificate management measures. The management of "Birth Medical Certificate" is implemented in accordance with the management process requirements stipulated in "Jiangsu Province Birth Medical Certificate Management Measures", and the "Birth Medical Certificate" is issued free of charge, and there is no violation. Jurong city Tianwang Central Health Center 20xx May 24th

Baby-friendly Hospital Self-inspection Report 3

In order to continuously create a social atmosphere of loving babies and mothers, and improve the quality of obstetric and pediatric services, according to the requirements of the Notice of the National Health and Family Planning Commission on Carrying out the Evaluation of Baby-friendly Hospitals (Guo Wei Maternal and Child LetterNo. 65438+20xx), our hospital actively deployed the evaluation work, raised awareness, unified thinking, checked and rectified one by one, and urged the implementation, so that all the work of baby-friendly hospitals reached a new level and basically reached the standards of baby-friendly hospitals (. The self-evaluation report on the achievements of consolidating baby-friendly hospitals in our hospital is as follows:

I. Main practices and developments

1. In order to consolidate the achievements of baby-friendly hospitals, our hospital has re-enriched and adjusted the leading group and technical guidance group of baby-friendly hospitals, and refined the work tasks.

2. According to the requirements of "Baby-friendly Hospital Evaluation Scheme" and "Baby-friendly Hospital Standard 20xx Edition", comprehensively revise and improve the working system of baby-friendly hospitals, and establish and improve the breastfeeding working system, breastfeeding education system and breastfeeding routine.

3. At least once a year, all medical staff should be trained in baby-friendly hospital management and breastfeeding knowledge. Conduct baby-friendly knowledge training and assessment for new employees for at least 18 hours, and the qualified rate reaches 100%. Every year, the staff of obstetrics, pediatrics, administration, logistics and other functional departments shall be retrained in breastfeeding knowledge for not less than 3 hours.

4. Reorganize and revise the knowledge manual of breastfeeding in xxxx hospital, so that each person has one.

5. Register pregnant women who come to the hospital for examination every time, and distribute pregnancy health care manuals and breast-feeding leaflets, so that the knowledge of pregnancy health care and breast-feeding can be popularized among every pregnant woman.

6. Spread the knowledge and skills of breastfeeding to pregnant women in various forms. Constantly broaden the teaching content of pregnant women's schools, including health education knowledge such as pre-pregnancy, early pregnancy, second pregnancy, third pregnancy, puerperium, characteristics of newborns and health care.

7, in obstetrics, pediatrics and preventive health care clinics, wards, waiting areas and public * * * areas to display the specified content, it is forbidden to post advertisements and information on the sale of breast-milk substitutes in the department, and to sell breast-milk substitutes on a commission basis.

8. During the World Breastfeeding Week every year, our hospital organizes relevant personnel to take to the streets to carry out publicity and education on the benefits of breastfeeding and distribute breastfeeding publicity materials.

9. In recent years, the wards of obstetrics and gynecology and pediatrics have been renovated, new office desks and chairs and computers have been purchased, and air conditioning has been installed in each ward and office. Standardized laminar clean operating room, delivery room and baby shower room have created conditions for the normal and standardized development of obstetrics and pediatrics.

10, to guide parturient how to breastfeed and keep good lactation.

1 1, implementing a 24-hour mother-infant sharing room; Encourage breastfeeding on demand; Do not suck artificial nipples or use nipples as comfort for breastfeeding newborns; Except breast milk, it is forbidden to give newborns any food or drink unless there is a medical indication.

12. Promote the establishment of breastfeeding support organizations, set up a breastfeeding hotline (hotline: xxx) in our hospital and inform discharged women.

13. The leading group of baby-friendly work decomposes and assigns each quality requirement of baby-friendly work to the departments, and then the departments are responsible for it, so that everyone can make clear the quality standards and scoring methods, and the quality of baby-friendly hospitals can be improved.

14. The leading group adopts irregular rounds to supervise the baby-friendly work, timely feedback the problems existing in the baby-friendly work, and formulate improvement measures to ensure the effectiveness of the baby-friendly work.

Second, the main problems and corrective measures

1. Due to social factors, the increase in the proportion of parturients after cesarean section, wound pain after cesarean section, and late eating will all bring difficulties to the "three mornings" of breastfeeding (early contact, early milk opening and early sucking). In order to appease crying babies, a few parents will feed their babies with milk substitutes without medical staff.

2. Breastfeeding involves a wide range. Due to the uneven cultural quality and education level, there are still a few pregnant women or their families who secretly bring milk powder and bottles into the hospital during or after delivery and feed their babies in the old traditional way.

3. The form of publicity is relatively simple and not diversified. The public's desire for the right to know about breastfeeding is ominous, the responsibility of individual medical staff is unclear, and the propaganda of pregnant women is impatient and sloppy, which leads to the unskilled mastery of skills by individual pregnant women.

Baby-friendly Hospital Self-inspection Report 4

Xx Health and Family Planning Commission:

In order to continuously create a social atmosphere of loving babies and mothers, and improve the quality of obstetric and pediatric services, according to the requirements of the Notice of the National Health and Family Planning Commission on Carrying out the Evaluation of Baby-friendly Hospitals, our hospital actively arranged the evaluation work, and made self-examination and rectification one by one according to the standards, so that all the work of baby-friendly hospitals reached the requirements of the Baby-friendly Hospital Standards (20xx Edition). Based on the actual situation of our hospital, the self-examination is reported as follows:

First, careful organization, active deployment, and publicity in place.

(1) unify thoughts and raise awareness. Our hospital held a special conference on baby-friendly hospitals in 20xx, which enriched the leading group and technical guidance group of baby-friendly hospitals and refined the work tasks.

(2) Improve the working mechanism and strengthen publicity.

1. According to the requirements of Baby-friendly Hospital Evaluation Scheme, Baby-friendly Hospital Standard 20xx Edition and Midwives' Baby-friendly Guide 20xx Edition, the working system of Baby-friendly Hospital was comprehensively revised and improved, and the xx Provisions on Promoting Breastfeeding in xx Hospital was formulated. Re-rectify and modify the Handbook of Breast-feeding Knowledge in xx Hospital, and distribute it to every employee in the whole hospital, so that each employee can have one copy.

2. By posting various systems in public areas and scrolling on the electronic screen, the awareness rate of patients and their families on the evaluation of baby-friendly hospitals in our hospital has been improved, and at the same time, the staff of our hospital has been constantly reminded to improve the service quality and strengthen the communication between doctors and patients. And actively carry out the "three good and one satisfaction" activities with the goal of "good service, good quality, good medical ethics and people's satisfaction" to improve service quality and service connotation.

3. Make publicity materials such as the benefits of breastfeeding, a letter to the parents of newborns, how to care for newborns scientifically, postpartum health care, healthy mothers and healthy babies. , and distributed it to every pregnant woman and her family who came to the obstetric clinic, pediatric clinic and inpatient department of obstetrics and gynecology in our hospital, so that pregnant women and their families can understand the knowledge and importance of breastfeeding.

4. Create a social atmosphere that loves babies and mothers. Take advantage of holidays to go to the streets to publicize, to help hospitals with free clinics and "going to the countryside" activities, and to distribute information on women's health care, children's health care, breastfeeding knowledge and so on.

Two, pay equal attention to equipment and training, improve the quality of medical personnel.

First, all departments in the hospital organized their own personnel to seriously study the evaluation documents and systems of baby-friendly hospitals, study the implementation plan of baby-friendly hospital evaluation, refine tasks, and clarify their respective responsibilities. The second is to provide necessary management and technical training for medical staff in our hospital. At least once a year, all medical staff will be trained in baby-friendly hospital management and breastfeeding knowledge. Starting from 20xx, new employees have been trained and assessed on baby-friendly knowledge for at least 18 hours, and the qualified rate has reached 100%. Every year, the staff of obstetrics, pediatrics, administration, logistics and other functional departments shall be retrained in breastfeeding knowledge for not less than 3 hours. Third, actively select key personnel to participate in various trainings. In order to improve the clinical skills of obstetricians and pediatricians, our hospital has sent staff to study and study abroad for many times. Strive to improve the diagnosis and treatment level of obstetrics and pediatrics, provide scientific and reasonable medical care for pregnant women and newborns, and also evaluate the performance of clinical skills of obstetric and pediatric medical staff in our hospital.

Third, strengthen the quality control of breastfeeding and improve the service level.

1. Tell all pregnant women the benefits and methods of breastfeeding. By watching audio-visual films, preaching knowledge and performing props, our hospital preached the knowledge and skills of breastfeeding to pregnant women in maternity clinics, pregnant women's schools and maternity wards.

2. Help pregnant women to start breastfeeding within 1 hour after delivery. In strict accordance with the regulations of breastfeeding 1 1 formulated by the hospital, help the parturient to start breastfeeding within 1 hour after delivery, so as to make early contact with the skin, early sucking, early eye contact, keep warm in time, and let the baby stay with the mother at all times. Strengthen the knowledge education of pregnant women, promote natural delivery and reduce non-medical cesarean section. Xifeng county people's hospital has formulated the system and measures to reduce the rate of cesarean section.

3. Instruct the parturient how to breastfeed and maintain good lactation. Strengthen the training of obstetricians and pediatricians on breast-feeding knowledge and ability, so that they can master breast-feeding knowledge and skills more skillfully, so as to better guide pregnant women to breast-feed their babies.

In addition to breast milk, it is forbidden to give newborns any food or drink unless there is a medical explanation. Strengthen the education of lying-in women and strictly require every lying-in woman to breastfeed; For pregnant women who really need mixed feeding and babies with medical guidance, use milk cups and spoons in strict accordance with the operating procedures, and strictly implement the allocation system and use management system of breast milk substitutes. There is a special milk distribution area, and the formula is prepared in strict accordance with the doctor's advice. The baby's milk powder is provided by the hospital.

5. Implement a 24-hour mother-infant sharing room. Adhere to the breastfeeding system, implement the 24-hour mother-infant sharing room system, carry out holistic nursing, and help normal delivery and cesarean section women to get in touch and suck early. Instruct lying-in women in correct feeding posture, holding posture and milking techniques.

6. Encourage breastfeeding on demand. Strengthen the awareness education of obstetrics and gynecology and pediatric medical staff on breastfeeding on demand, and emphasize the importance of breastfeeding on demand. Familiar with the identification of neonatal hunger or maternal milk increase, milk increase can be fed.

7. Don't suck the artificial nipple, and don't use the nipple as a comfort for breastfeeding the newborn. Medical staff in obstetrics and gynecology and pediatrics are familiar with the dangers of bottles, pacifiers and quilts, and encourage pregnant women to build confidence in breastfeeding.

8. Promote the establishment of breastfeeding support organizations, transfer discharged women to these organizations, and provide follow-up services. Inform the discharged parturient of the breast-feeding consultation telephone number (xxxx) in our hospital, and go to the township or community for consultation service after discharge to solve the difficulties encountered in breast-feeding.

Baby-friendly Hospital Self-inspection Report 5

On May 20th, 20 1x, the baby-friendly female leaders of our hospital, under the leadership of President xxx, conducted a self-examination on the baby-friendly work in our hospital, and now the self-examination is summarized and reported as follows:

First, leaders attach importance to, organize and practice according to law:

It has been more than 10 years since the baby-friendly hospital was established in our hospital. 10 for many years, due to the attention of leaders at all levels, phased results have been achieved. The leaders of our hospital attach great importance to the construction and development of obstetrics and pediatrics, and the environmental facilities in the ward have been greatly improved. The maternity ward is warm and comfortable, with strict training of professional and technical personnel, standardized management of departments, sound system, strong sense of service according to law, good informed consent and effective implementation of superior documents.

Second, the conditions and facilities for developing maternal and child health care technical services are perfect, which ensures the smooth development of hospital work.

There are 3 doctors in the Department of Obstetrics and Gynecology in our hospital, including attending doctor 1, 2 doctors, and 3 doctors who have obtained the certificate of practicing doctor. Obstetrics and Gynecology Department is fully equipped to provide special technical services for maternal and infant health care, and the first-aid drugs can be replaced in time to ensure that the first-aid drugs are available at any time within the validity period. Skilled operation of various obstetric techniques ensures the safety of mother and infant, and further reduces the perinatal mortality of pregnant women and infants.

Three, according to the "guide to the management and supervision of baby-friendly hospitals" to carry out breast-feeding publicity work, the baby-friendly work as a regular work to grasp:

Our hospital has an outpatient publicity classroom, and the place where publicity is concentrated is the hospital conference room.

Complete facilities further reflect the baby-friendly work. Ten Standards of the World Health Organization for Promoting the Success of Breastfeeding, the International Marketing Code of Breast-milk Substitutes and the Breastfeeding Regulations of Puji Health Center are posted on the walls of obstetrics and gynecology clinics, wards and publicity classrooms. A breastfeeding leading group was established, a breastfeeding work plan was worked out, the relevant regulations on breastfeeding were distributed and trained to every medical staff, and new employees were trained on breastfeeding knowledge for 18 hours. On-the-job staff will be trained for another 3 hours every year, and will be tested for breast-feeding knowledge and legal knowledge of maternal and child health care. Educate and demonstrate the benefits, knowledge and skills of breastfeeding for pregnant women, and distribute the breastfeeding education outline to the first pregnant woman. Early contact, early breastfeeding and early sucking are realized for postpartum mothers and infants, so that mothers and infants can stay in the same room for 24 hours, and mothers are taught how to feed and milk, so that mothers have enough milk and newborns do not eat food and drinks other than breast milk, thus achieving pure breast feeding and putting an end to the phenomenon of bottle milk powder in hospitals. After the umbilical cord treatment of newborns by caesarean section is completed,

After her mother returned to the ward, she made up for the skin contact and early sucking between mother and baby, and strengthened the postoperative care and guidance for cesarean section women. She handed over the discharged mothers and infants to village-level women who had been trained in breastfeeding, and provided them with the breastfeeding consultation hotline of our hospital: xxxxxxxx, which enabled more than 95% of newborns to successfully breastfeed exclusively.

Four, several problems found in the inspection:

This self-examination found that the quality of medical record writing needs to be further standardized, and the training of professional knowledge and technology needs to be further improved. Classes should be held regularly for many times and for a long time to ensure that pregnant women are familiar with breastfeeding and maternal health care knowledge.

1. year-end summary report of hospital director

2. Excerpts from the model essay of self-examination and self-correction summary report