Texas Ten Step

CHRISTUS Spohn is proud to be designated as a Texas 10 Step facility. 

The Department of State Health Services (DSHS) in collaboration with the Texas Hospital Association developed the Texas Ten Step Program in 1999 as a method to improve maternity care practices in birthing facilities. Policy development, education of staff, and provision of discharge resources for breastfeeding mothers are key initiatives of the program.

Endorsed by the Texas Medical Association, the program is based on the World Health Organization (WHO)/ United Nations Children's Fund's (UNICEF) Ten Steps to Successful Breastfeeding, a bundle of evidence-based practices proven to increase breastfeeding exclusivity and duration and reduce racial and ethnic disparities.

The 10 steps are:

  1. Have a written breastfeeding policy that is routinely communicated to all health-care staff.
  2. Train all health care staff in the skills necessary to implement this policy.
  3. Inform all pregnant women about the benefits and management of breastfeeding.
  4. Help mothers initiate breastfeeding within an hour of birth. Place babies in skin-to-skin contact with their mothers immediately following birth for at least an hour. Encourage mothers to recognize when their babies are ready to breastfeed and offer help if needed.
  5. Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants.
  6. Give infants no food or drink other than breastmilk unless medically indicated.
  7. Practice rooming-in- Allow mothers and infants to remain together 24 hours a day.
  8. Encourage breastfeeding on demand. Teach mothers cue-based feeding regardless of feeding method.
  9. Give no artificial nipples or pacifiers to breastfeeding infants.
  10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from hospital or clinic.

Learn more about the Texas 10 Step program: http://texastenstep.org