Office Received
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Site ID
Minnesota Breastfeeding Friendly Maternity Center Designation
STEP 7 Application
To apply for completion of STEP 7:
Complete this form electronically using Adobe Acrobat or Adobe Reader 10.0 or later.
Save this PDF form to your computer and submit by email as an attachment to
[email protected], along with the Cover Sheet, any supporting documentation,
and the other applications for additional steps that your facility has completed. See the
Application Instructions on the MDH web page for more details.
Note: When asked to attach a document or enter text, it is acceptable to provide a link to
a current web page. An attachment is also an acceptable alternative to entering text
directly on this form. For all attachments, provide a file name and a brief description in
the Supporting Documents Table at the end of this application form.
STEP 7: Practice “rooming-in” – allow mothers and infants to remain together 24 hours
a day.
Keeping mothers and infants together 24 hours a day is the standard for mother-baby
care, regardless of feeding choice. At least 80% of mothers and babies room together at
least 23 hours per day or, if not, have medically justifiable reasons for being separated.
Medical and nursing staff perform medical procedures in the mother's room whenever
practical. If separation is necessary, the infant is not away from its mother for more than 1
out of 24 hours.
When mothers request to have their infant cared for out of the room, they are educated
about the advantages of rooming-in 24 hours a day. If after the education the mother
wishes to proceed with the separation, the education provided and reason for separation
are documented. In the case of separation, infants are returned to their mothers for
feedings at the earliest hunger cues, except in the rare case of clinical contraindication.
NOTE: Facilities that are interested in pursuing designation from Baby-Friendly USA, Inc.
should refer to their specific guidelines and criteria here.
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7.1 a. What percent of mothers and infants remain together (i.e. start
rooming-in) right after birth (or if cesarean birth, as soon as mother is
able to respond to her newborn), unless separation is medically
indicated?
%
b. This percentage is based on:
an Estimate - Explain Method:
a Patient Chart Review
an Alternative System - Specify:
c. How are separations documented? Explain below.
7.2 a. What percent of healthy mothers and infants remain together
("room-in") at least 23 hours a day, unless separation is medically
indicated?
%
b. This percentage is based on:
an Estimate - Explain Method:
a Patient Chart Review
an Alternative System - Specify:
STEP 7: Supporting Documents Table
File Name
Brief Description
Page of