assessing readiness to breastfeed in the prenatal visit perinatal services coordination...

Assessing Readiness to Breastfeed in the Prenatal Visit

Perinatal Services Coordination

Family,Maternal & Child Health Programs

Public Health

Nancy Hill, MS, RD, IBCLC

Nutrition and Lactation Consultant


At the end of this presentation participants will be able to: List two common barriers to exclusive breastfeeding

readiness. Describe a brief intervention for clinicians to use during

prenatal visits to assess and promote breastfeeding readiness

Describe some tools that would help them to promote breastfeeding during prenatal visits

List one resource for breastfeeding support for low-income women in Contra Costa.


What do you think about promoting breastfeeding during prenatal medical visits?


Clinician promotion of breastfeeding is effective Structured prenatal breastfeeding

education is recommended in a recent USPS Task Force report.

The CDC Guide to Breastfeeding Intervention: http:www.cdc.gov/breastfeeding


1. Have a written breastfeeding policy that is routinely communicated to all health care staff.

2. Train all health care staff in skills necessary to implement this policy.

3. Inform all pregnant women about the benefits and management of breastfeeding.

4. Help mothers initiate breastfeeding within 1 hour of birth.

5. Show mothers how to breastfeed and maintain lactation, even if separated from infants.

Hospital Policies to Support Breastfeeding


6. Give newborn infants nothing other than breastmilk, unless medically indicated.

7. Practice rooming-in 24 hours a day. 8. Encourage breastfeeding on demand. 9. Give no artificial nipples or pacifiers.10. Foster the establishment of breastfeeding support

groups.

Hospital Policies to Support Breastfeeding


CCRMC “Baby Friendly In-hospital practices

• Skin-to-Skin

• Reducing supplementation Staff education Patient and family prenatal education Coordination of outpatient

breastfeeding services Policies and procedures


Why is it so hard to get women to exclusively breastfeed?

What have you heard patients say about breastfeeding in your practice?


Common obstacles to breastfeeding Lack of confidence Early breastfeeding problems/pain Depression Return to work Hospital supplementation Embarrassment ( breastfeeding in public)


You can do it.You can do anything.

Women just likeyou breastfeed.

It is the thing to do.CONFIDENCE


What opportunities do you have to promote breastfeeding during the prenatal visits?


Perform breast examination.

Discuss normal anatomy and physiology.

Assess previous surgeries, scars, biopsies.

Talk about previous breastfeeding experiences.

Provide positive support for benefits of breastfeeding.


What kind of tool would help you talk with patients about breastfeeding?


Personal commitment:

“How do you feel about breastfeeding?”

Knowledge

“What have you heard about breastfeeding?”

Environmental support

“What does your family/partner think about breastfeeding this baby?”


Medical issues

Does the pregnant woman have hormonal, surgical or medical conditions that affect breastfeed or for which breastfeeding is contraindicated?


How can you document breastfeeding promotion in the medical visit?


Breastfeeding support resources for your patients WIC Breastfeeding

support Clinic services Public

Health Field Nursing CCRMC lactation

consultants


http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT


Breastfeeding is preferred feeding for almost all infants.

Mothers should be informed of the benefits of breastfeeding.

Supplementation is rarely indicated and interferes with successful lactation.

Breastfeeding should be actively supported and promoted in the medical community and society.

Women should feel comfortable continuing to breastfeed for as long as desired.

Copyright © 2003, Rev 2005 American Academy of Pediatrics

AAP recommendations

assessing readiness to breastfeed in the prenatal visit perinatal services coordination...

Documents