continuity of care for breastfeeding families
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Continuity of Care for Breastfeeding Families. Birth & Beyond California: Breastfeeding Training & QI Project With funding from the federal Title V Block Grant. Objectives. Identify three pre-discharge infant breastfeeding issues requiring follow up care - PowerPoint PPT PresentationTRANSCRIPT
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Continuity of Care for Breastfeeding Families
Birth & Beyond California: Breastfeeding Training & QI ProjectWith funding from the federal Title V Block Grant
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Objectives
• Identify three pre-discharge infant breastfeeding issues requiring follow up care
• Identify three pre-discharge maternal breastfeeding issues requiring follow up care
• Identify two follow-up resources available for breastfeeding families
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Pre-Discharge Breastfeeding Assessment – Baby Issues
• Excessive weight loss
• Lack of output
• Difficulty with latch
• Difficulty with suckling
• Lethargy
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Pre-Discharge Breastfeeding Assessment – Baby Issues
• Jaundice
• Preterm/late preterm
• Anatomical concerns
• Health concerns
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Pre-Discharge Breastfeeding Assessment – Mother Issues
• Sore nipples• Unusual nipple size/shape• Engorgement• Questionable milk supply• History of breastfeeding problems• History of breast surgery• History of infertility• Health concerns
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Pre-Discharge Breastfeeding Assessment – Mother Issues
• Lack of social support
• Maternal-infant attachment concerns
• Potential for postpartum depression
• Lack of confidence
• Inability to breastfeed without help
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Follow Up Care
• Avoid “Zone of No Professional Contact”• Infants and mothers with identified pre-
discharge breastfeeding issues need a documented plan of care and discharge follow up
• All breastfeeding women and infants should receive contact within the first week
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Pediatric Appointment
“All breastfeeding newborn infants should be seen by a pediatrician, or other knowledgeable and experienced health care professional, at 3 to 5 days of age.”
AAP, Breastfeeding and the Use of Human Milk, 2005
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Breastfeeding Resources Activity
• Create a list of resources in your community– WIC Agency– Public Health Department– Home Visitation Nurses– Pediatric Clinics/Pediatricians– OB Clinics/CPSP/OBs– Mothers’ Support Groups– Lactation Clinics/Lactation Consultants– OT/PT/RD– Sweet Success– Urgent/Emergency Care– Others
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Online Resources• La Leche League
– www.lalecheleague.org
• International Lactation Consultants Association – www.ilca.org
• California Department of Public Health– www.cdph.ca.gov/programs/breastfeeding
• Office on Women’s Health– www.womenshealth.gov
• Breastfeeding Task Force of Greater Los Angeles– www.breastfeedla.org
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Breastfeeding Support Groups
“Foster the establishment ofbreastfeeding support groups and refer
mothers to them on discharge”
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Model Hospital Policy Recommendations, 2005
http://cdph.ca.gov/Breastfeeding
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Safe Discharge for Breastfeeding Mothers and Babies
• Prevent a cascade of breastfeeding complications
• Pre-discharge assessment• Appropriate referrals
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