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Abstract：
BACKGROUND: In 2017, a worldwide survey was conducted on compliance with the practices promoted by Neo-BFHI (Baby-friendly Hospital Initiative expansion to neonatal wards).
OBJECTIVE: Present the results of the Spanish wards that participated in the global survey and compare them with those obtained internationally.
METHODS: Cross-sectional study through a survey on compliance with the Neo-BFHI (\"Three basic principles\", \"Ten steps adapted to neonatal wards\" and \"the compliance with the International Code of Marketing of Breast-milk Substitutes\" and subsequent relevant World Health Assembly resolutions). Compliance was calculated as the mean in each indicator and a final mean score for each neonatal unit. For the partial and final scores for each country and at the international level, the median was used. All score ranged between 0 and 100.
RESULTS: The response rate in Spain was 90%. The range of the national mean for neonatal wards were from 37 to 99, with no differences in the final score according to the level of care. The global score for Spain (72) is below the international median (77) and this also occurs in 8 of 14 items. The neonatal wards from BFHI designated hospitals, obtained a significantly higher mean global score, and in 9 of 14 items than the non-accredited ones.
CONCLUSIONS: Both international and national results indicate an improvement in breastfeeding practices in neonatal units. The benefits of the BFHI accreditation of maternity reach neonatal wards. Spain has several key points below the international score.
OBJECTIVE: Present the results of the Spanish wards that participated in the global survey and compare them with those obtained internationally.
METHODS: Cross-sectional study through a survey on compliance with the Neo-BFHI (\"Three basic principles\", \"Ten steps adapted to neonatal wards\" and \"the compliance with the International Code of Marketing of Breast-milk Substitutes\" and subsequent relevant World Health Assembly resolutions). Compliance was calculated as the mean in each indicator and a final mean score for each neonatal unit. For the partial and final scores for each country and at the international level, the median was used. All score ranged between 0 and 100.
RESULTS: The response rate in Spain was 90%. The range of the national mean for neonatal wards were from 37 to 99, with no differences in the final score according to the level of care. The global score for Spain (72) is below the international median (77) and this also occurs in 8 of 14 items. The neonatal wards from BFHI designated hospitals, obtained a significantly higher mean global score, and in 9 of 14 items than the non-accredited ones.
CONCLUSIONS: Both international and national results indicate an improvement in breastfeeding practices in neonatal units. The benefits of the BFHI accreditation of maternity reach neonatal wards. Spain has several key points below the international score.
摘要：
背景：2017年，对Neo-BFHI（婴儿友好医院倡议扩展到新生儿病房）推广的做法的遵守情况进行了全球调查。
目的：介绍参加全球调查的西班牙病房的结果，并将其与国际上获得的结果进行比较。
方法：通过对Neo-BFHI（“三个基本原则”，“适应新生儿病房的十个步骤”和“遵守国际母乳代用品销售守则”以及随后的世界卫生大会决议）。依从性计算为每个指标的平均值和每个新生儿单元的最终平均得分。对于每个国家和国际一级的部分和最终分数，使用中位数。所有得分范围在0和100之间。
结果：西班牙的反应率为90％。新生儿病房的全国平均范围为37至99，根据护理水平，最终得分没有差异。西班牙（72）的全球得分低于国际中位数（77），这也发生在14个项目中的8个。BFHI指定医院的新生儿病房，获得了明显更高的平均全球得分，在14个项目中，有9个项目比非认可项目高。
结论：国际和国家研究结果均表明新生儿病房母乳喂养实践有所改善。BFHI产妇认证的好处是新生儿病房。西班牙在国际得分以下有几个关键点。
目的：介绍参加全球调查的西班牙病房的结果，并将其与国际上获得的结果进行比较。
方法：通过对Neo-BFHI（“三个基本原则”，“适应新生儿病房的十个步骤”和“遵守国际母乳代用品销售守则”以及随后的世界卫生大会决议）。依从性计算为每个指标的平均值和每个新生儿单元的最终平均得分。对于每个国家和国际一级的部分和最终分数，使用中位数。所有得分范围在0和100之间。
结果：西班牙的反应率为90％。新生儿病房的全国平均范围为37至99，根据护理水平，最终得分没有差异。西班牙（72）的全球得分低于国际中位数（77），这也发生在14个项目中的8个。BFHI指定医院的新生儿病房，获得了明显更高的平均全球得分，在14个项目中，有9个项目比非认可项目高。
结论：国际和国家研究结果均表明新生儿病房母乳喂养实践有所改善。BFHI产妇认证的好处是新生儿病房。西班牙在国际得分以下有几个关键点。
