"Show-Me 5" Initiative
The benefits of breastfeeding are well established and medical authorities agree breastfeeding is the optimal way to feed an infant. Birth facility policies and practices significantly impact whether women choose to breastfeed and how successful they are in reaching their infant feeding goals. The U.S. Surgeon General’s 2011 Call to Action to Support Breastfeeding cited hospital practices as a leading barrier to successful breastfeeding.
Missouri "Show-Me 5" Hospital Initiative
Taking the First Steps to Being Baby Friendly
Evidence-based maternity care practices are shown to support breastfeeding initiation and duration. Adherence to the Ten Steps to Successful Breastfeeding of the Baby Friendly Hospital Initiative is associated with increased breastfeeding rates around the world. While Missouri hospitals should strive to achieve all ten steps, research shows that adopting the five (5) steps of the Missouri “Show-Me 5” Hospital Initiative will assist mothers in meeting their feeding goals, and may offer an effective path to an incremental adoption of evidence-based maternity care practices.
The Missouri “Show-Me 5” hospital practices are:
- Help mothers initiate breastfeeding within the first hour of birth.
- Practice “rooming-in”, allowing infants to stay in the same room as their mothers.
- Give infants no food or drink other than breast milk, unless medically indicated.
- Do not give pacifiers or artificial nipples to breastfeeding infants.
- Foster the establishment of breastfeeding support groups and refer mothers to them on discharge.
The Guidelines and Evaluation Criteria provides specific information on each of the Missouri “Show-Me 5” hospital practices and how to evaluate that a birthing facility meets the criteria. The Self-Appraisal Tool is used for birthing facilities to review current maternity care policies and practices in optimal feeding and help assess where their facility is in the process.
Missouri “Show-Me 5” Hospitals
Hannibal Regional Hospital* - May 2012
6000 Hospital Drive, Hannibal
Capital Region Medical Center - January 2014
1125 Madison, Jefferson City
Mercy Hospital - March 2014
1235 E. Cherokee, Springfield
Truman Medical Center Hospital Hill * - May 2014
2301 Holmes Street, Kansas City
Fitzgibbon Hospital * - July 2014
2305 South 65 Highway, Marshall
Women's and Children's Hospital* - October 2014
404 Keene Street, Columbia
Liberty Hospital - October 2014
2525 Glenn Hendren Drive, Liberty
Lake Regional Health System - January 2015
54 Hospital Drive, Osage Beach
SSM St. Mary’s Hospital - October 2015
2505 Mission Drive, Jefferson City
Mercy Hospital Lebanon - February 2016
100 Hospital Drive, Lebanon
Barnes Jewish Hospital* - October 2016
One Barnes-Jewish Hospital Plaza, St. Louis
- Cox Medical Center South - January 2018
3801 S National, Springfield
- Cox Medical Center Branson - January 2018
525 Branson Landing Blvd., Branson
St. Luke’s East - May 2018
100 NE Saint Luke’s Blvd, Lee’s Summit
Truman Medical Center Lakewood* - June 2018
7900 Lee’s Summit Road, Kansas City
Poplar Bluff Regional Medical Center* - September 2018
3100 Oak Grove Rd, Poplar Bluff
St. Luke’s North - November 2018
5830 NW Barry Rd, Kansas City
- Hedrick Medical Center - June 2019
2799 N Washington St, Chillicothe
* Hospital has also completed the Ten Steps to Successful Breastfeeding through the Baby Friendly Hospital Initiative.
Facilities ready to apply should complete the Application for the Missouri “Show-Me 5” Hospital Initiative and send to the contact on the application. If you have questions or would like a printed copy of the Missouri “Show-Me 5” Resource Kit, please contact Lisa Schlientz, State Breastfeeding Coordinator, at Lisa.Schlientz@health.mo.gov or by phone at 573-751-6468.