10 steps to support breastfeeding mothers. quotes from professionals “as a neonatologist i have...

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10 STEPS to support breastfeeding mothers

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Page 1: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

10 STEPSto support breastfeeding mothers

Page 2: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

QUOTES FROM PROFESSIONALS

“As a neonatologist I have always strongly encouraged the mothers of all of my patients to provide their breastmilk for their babies.A mother’s own milk is always the best feeding option.”

Susan Sward-Comunelli, MDFounder of the Mothers’ Milk Bank of North Texas

Page 3: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Recognizes hospitals and birth centers that provide optimal breastfeeding support to new mothers

Offers trainings and updates

Supports facilities in reaching the Healthy People 2020 goals.

THE TEXAS TEN STEP PROGRAM

Page 4: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Increase Texas breastfeeding initiation rates to 82%

Increase the percent of Texas infants breastfeeding at 6 months to 61%

Increase the percent of Texas infants breastfeeding at 12 months to 34%

Increase the percent of Texas infants exclusively breastfeeding at 3 months to 44%

Increase the percent of Texas infants exclusively breastfeeding at 6 months to 24%

THE HEALTHY PEOPLE 2020 GOALS

Page 5: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

• Reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life to 16%

• Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies to 8%

• Increase the proportion of employers that have worksite lactation support programs to 38%

THE HEALTHY PEOPLE 2020 GOALS

Page 6: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Over 75% of women in the state of Texas are choosing to breastfeed their infants

These women are seeking medical care that will support them in this decision

The Texas Ten Step designation will help you advertise as a breastfeeding friendly facility

WHY SHOULD WE BECOME

A TEXAS TEN STEP FACILITY?

Page 7: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Enthusiastic support and involvement of pediatricians in the promotion and practice of breastfeeding is essential to the achievement of optimal infant and child health, growth, and development. – AAP

The American College of Obstetricians and Gynecologists strongly supports breastfeeding and calls upon its Fellows, other health professionals caring for women and their infants, hospitals and employers to support women in choosing to breastfeed their infants.

All should work to facilitate the continuation of breastfeeding in the work place and public facilities. Breastfeeding is the preferred method of feeding for newborns and infants. Health professionals have a wide range of opportunities to serve as a primary resource to the public and their patients regarding the benefits of breastfeeding and the knowledge, skills and support needed for successful breastfeeding. – ACOG

QUOTES FROM PROFESSIONALS

Page 8: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

The TTS designation can be used to advertise the expert care your facility provides to breastfeeding women

Your facility will be provided with a variety of itemsto advertise your commitment to offering infants the very best care. The Texas Department of State Health Services will provide you a unique log-in that will allow you to order breastfeeding materials for your patients free of charge.

HOW WILL MY FACILITY BENEFIT

FROM RECEIVING THE DESIGNATION?

Page 9: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Create policies that protect and promote breastfeeding

Applications are located at: www.texastenstep.org/apply

HOW DO I APPLY?

Page 10: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Free on-site breastfeeding trainings

Free breastfeeding materials for patient education

Additional training for staff off-site

DSHS WILL SUPPORT EFFORTS TO MEET THE TTS CRITERIA BY

PROVIDING:

Page 11: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients
Page 12: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

STEP 1

Make breastfeeding the preferred method of infant feeding.

Page 13: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

All interventions and care plans should protect this valuable resource

Decisions to interrupt breastfeeding or withhold human milk should be evidence based

Policies should be communicated to staff upon employment and updated on a regular basis

Sample Policies can be found at http://bfmed.org/ace-files/protocol/mhpolicy_ABM.pdf.

DEVELOP POLICIES THAT PROMOTE BREASTFEEDING AS THE

PREFERRED METHOD OF INFANT NUTRITION

Page 14: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

STEP 2

Employees who care for mothers and infants should receive breastfeeding training within six months of employment, with updates provided on a regular basis.

Page 15: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Training can be offered in house by the Department of State Health Services at no charge. CE’s are available for:-Breastfeeding Management-Breastfeeding the Compromised Infant-Managing Breastfeeding Complications

To schedule a training through DSHS please contact:Hellen [email protected](512) 341-4591

Page 16: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

STEP 3

Breastfeeding is presentedas the feeding choice for all mothers, including those

that must be separated from their infant.

Page 17: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

The health risks associated with not breastfeeding

Principles of milk establishment and supply

Importance of skin-to skin contact

Maintaining lactation if mother and infant are separated

PRENATAL CLASSES AND HOSPITAL

TEACHINGS SHOULD INCLUDE:

Page 18: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

STEP 4

Mothers are encouraged to breastfeed their newborn within one hour of birth, within 30 minutes is ideal.

Page 19: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Mothers with c-sections or complications should be assisted to breastfeed as soon as possible

Mothers should have the opportunity for early skin-to-skin contact regardless of type of delivery*Protocols for skin-to-skin after birth and research supporting this contact can be found at: http://bfmed.org/ace-files/protocol/peripartum.pdf

SKIN-TO-SKIN CONTACT

Page 20: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Breastfeeding should be assessed within six hours after birth and at least once per shift.

STEP 5

Page 21: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

There should be staff with training beyond the basics of breastfeeding to assist with unusual management concerns (IBCLC, nurses or physicians with additional training).

Additional training could include staff that have attended Principles of Lactation Management and Lactation Counseling and Problem Solving (Trained Breastfeeding Educators) or staff that have clinical breastfeeding training. Staff can register for these trainings at: http://www.dshs.state.tx.us/wichd/lactate/courses.shtm.

Page 22: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Newborns should be given artificial human milk only if it is medically indicated and ordered

by the physician or requested by the parent.

STEP 6

Page 23: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Policy should state that the parents are advised on the impact of introducing formula prior to establishing breastfeeding

If infant needs supplementation staff should protect breastfeeding while offering the supplement

Protocols on supplementation and methods of supplementation can be found at: http://bfmed.org/ace-files/protocol/supplementation.pdf

Page 24: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Mothers and newborns should be encouraged to room-in unless separation is medically indicated.

STEP 7

Page 25: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Limit time away from mother for medical procedures

Nurses should help families plan for periods of rest during their hospital stay.

If the mother requests newborn be brought to the nursery, the infant should be brought to the mother when hunger cues are evident.

Additional information on peripartum breastfeeding management can be found at: http://bfmed.org/ace-files/protocol/peripartum.pdf

Page 26: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Mothers should be encouraged to breastfeed their newborns without restriction and breastfeeding should take priority over non-emergent events.

STEP 8

Page 27: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Mothers should be instructed to:

• Recognize early hunger cues• Assess latch and adequate feed• Monitor wet and soiled diapers• Recognize normal feeding patterns

of a newborn• Recognize changes in the infants

feeding patterns as the infant goes through growth spurts and starts solids

Page 28: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Artificial Nipples should be discouraged for the healthy newborn.

STEP 9

Page 29: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Alternate feeding methods should be used if supplementation is necessary.

Expressed breastmilk should be the first choice if supplementation is necessary.

Mothers should not be given discharge packs that include formula or formula advertisements.

Protocols for supplementing a breastfeeding infant can be found at the Academy of Breastfeeding Medicine’s website: http://bfmed.org/ace-files/protocol/supplementation.pdf

Page 30: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

STEP 10

Breastfeeding mothers should receive support following discharge.

Page 31: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Follow up should include a list of resources including:- Online resources such as www.breastmilkcounts.com - Telephone hotlines- Area Mother-to-Mother support meetings- IBCLCs’ in the area

Hospitals can provide a lactation clinic, in-home visitation or follow-up phone calls to support breastfeeding moms.WIC Peer Counselors can be a great resource for breastfeeding families and hospital staff. For information on this program please contact:

Jewell Stremler [email protected] (512) 341-4593

Page 32: 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients

Texas Ten Step facilities must be designated as a Mother-Friendly Worksite.

This designation shows that you support your staff in giving their infants the very best.

Information on applying to become a Mother Friendly Worksite can

be found at: http://www.dshs.state.tx.us/wichd/lactate/mother.shtm

MOTHER FRIENDLY WORKSITE