Abstract
Breastfeeding Medicine provides an open forum for publishing critical comments regarding articles previously published in the Journal. As such, it welcomes the series of Letters to the Editor1–3 that raise questions regarding the content and conclusion of the Editorial published in the November 2018 issue. 4 A detailed reply 5 from the Editor-in-Chief has already been published in the January–February (14/1) 2019 issue of Breastfeeding Medicine in response to similar critical comments of Drs. Bartick and Hernández-Aguilar, 6 and I thus refer the readers to that reply for details.
Suffice to summarize that it is the opinion of the Editor-in-Chief of Breastfeeding Medicine that the Baby-Friendly Hospital Initiative (BFHI) program is the “most established, structured, comprehensive bundle program for improving breastfeeding rates and thus, currently should be endorsed and fully supported.” No less so, in the long run, is the need to continue to evaluate and compare both the BFHI program and other support programs so as to delineate what achieves the best patient outcome.