{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:13:13Z","timestamp":1778083993498,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic caused considerable organisational changes in maternity facilities. We investigated adherence to the Baby Friendly Hospital Initiative (BFHI) standards in Croatian maternity hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional online survey targeted participants of the only Croatian antenatal course available during the pandemic. Women aged 18+ years, resident in Croatia, who had given birth in a Croatian maternity facility between February 2020 and December 2021 were eligible. A 75\u2010item questionnaire was created including BFHI adherence statements and open\u2010ended items. Quantitative data were analysed descriptively and content analysis was used for qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 3288 responses from across Croatia, 2130 were valid. Two\u2010thirds (1473; 69%) had skin\u2010to\u2010skin contact (SSC) within 5 min of birth. Only 45% (795) held their baby for an hour, and 49% (1047) of babies latched during SSC. Just 29% (558) received breastfeeding help within 6 h, and 27% (582) exclusively breastfed in the first 2\u2009days. Only 42% (886) were with their baby 24\/7. Four qualitative themes are reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>BFHI standards were not followed during the pandemic, leading to unnecessary separations and low exclusive breastfeeding rates. Prioritising breastfeeding is essential for the optimal health of mothers and newborns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70425","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T07:57:40Z","timestamp":1766563060000},"page":"932-941","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adherence to Baby Friendly Hospital Initiative Global Standards During the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic: A Nationwide, Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3618-6017","authenticated-orcid":false,"given":"Irena","family":"Zakarija\u2010Grkovi\u0107","sequence":"first","affiliation":[{"name":"University of Split School of Medicine  Split Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Drandi\u0107","sequence":"additional","affiliation":[{"name":"Roda, Parents in Action  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Pavi\u010di\u0107 Bo\u0161njak","sequence":"additional","affiliation":[{"name":"University Hospital Zagreb  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Vidovi\u0107 Rogulji\u0107","sequence":"additional","affiliation":[{"name":"Split\u2010Dalmatia Community Health Centre  Split Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3392-8182","authenticated-orcid":false,"given":"Gill","family":"Thomson","sequence":"additional","affiliation":[{"name":"University of Central Lancashire  Preston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2510-1399","authenticated-orcid":false,"given":"Lisa H.","family":"Amir","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre, School of Nursing and Midwifery La Trobe University and Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01044-2"},{"key":"e_1_2_11_3_1","unstructured":"WHO\/UNICEF \u201cBaby Friendly Hospital Initiative \u201d[cited 2025 Jan 12] https:\/\/www.who.int\/publications\/i\/item\/9789241513807."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2005.tb02038.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12294"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.13114"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3325\/cmj.2010.51.396"},{"key":"e_1_2_11_8_1","unstructured":"WHO\/UNICEF \u201cGlobal Breastfeeding Collective \u201d[cited 2025 Jan 12] https:\/\/www.globalbreastfeedingcollective.org\/about\u2010collective."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334415625872"},{"key":"e_1_2_11_10_1","unstructured":"Croatian National Institute of Public Health \u201cCroatia Health Statistics Yearbook 2019 \u201d[cited 2025 Mar 24] https:\/\/www.hzjz.hr\/wp\u2010content\/uploads\/2021\/02\/Ljetopis_Yerabook_2019.pdf."},{"key":"e_1_2_11_11_1","unstructured":"WHO\/UNICEF \u201cAccreditation 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