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Is Suffolk following best practice for breastfeeding
support?
Linda Page
Breastfeeding Coordinator
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What is recommended? • LA’s to prioritise support for breastfeeding Increase rates as
measured at birth & 6 weeks. • To achieve this NICE (2013) continues to recognise that
breastfeeding support should be from a service which uses an evaluated, structured programme with UK BFI programme as a minimum standard.
• NICE (2008) also recommends provision of local, easily accessible breastfeeding peer support programme with peer supporters as part of a multidisciplinary team.
• Peer supporters should be trained using a recognised, externally accredited training course
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• Contact new mothers directly within 48 hours of their transfer home (or within 48 hours of a home birth) Offer mothers ongoing support according to their individual needs. This could be face to face, via text, telephone or through local groups.
• Peer supporters should be able to consult with an appropriate Health professional.
• This support should be delivered and co-ordinated across all providers
including hospital, primary care, community services and children’s centres.
•
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How far have we come? Before 2011 • No Compulsory breastfeeding training for all staff in either acute or Community settings. • Training ad hoc & variable. Many staff with limited or no formal training. • No training offered to GP’s or Paediatric staff. • Peer support in Suffolk but limited contact with HV teams and not in all locations. • Breastfeeding Policies did not reflect best practice standards. • Data collection not robust.
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What has changed?
• With commitment to BFI at both acute Trusts compulsory breastfeeding management training put in place. Stage 1 BFI achieved 2013 in both acute Trusts.
• SCH / CYP Health adopted BFI model & trained all health staff and now CC staff.
• NHS Suffolk offered BFI e learning to all Suffolk GP’s to support vision .
• Peer support contact with HV teams has grown and BfN now offering support in over 50 locations. Peer supporters introduced onto postnatal wards to give information & signpost to community groups.
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• Le Leche run breastfeeding support group at one CC and Baby Cafes now in 3 locations. Arrival CIC supports parents in one CC locality.
• Breastfeeding policies updated. Users informed of the service to expect via Parents Guides.
• CYP data collection improved. Now report no unknowns at 6
weeks. Monthly figures to allow closer scrutiny. We Now report partial & exclusive at 14 days and 6 weeks. Drop off rates calculated for each part of the service.
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What has happened to breastfeeding rates?
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How about the numbers?
Year Births BF /Birth Percentage BF 6 wks Percentage
2009-10 6566 4200 64% 2750 45%
2010-11 6778 4326 64% 3015 46%
2011-12 6809 4441 65% 3419 48.9%
2012-13 6874 4932 71.7% 3176 46.9%
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East/Ipswich CCG 2012/13
Q1 Q2 Q3 Q40.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
% of Infants being breastfed at birth% of Infants being breastfed at new-birth visit% of infants being breastfed at 6-8 week checkTarget BF at 6-8 weeks (51%)
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Comparison with 2011/12 data:
• 55 more births than 2011/12• 312 more mothers initiating breastfeeding• 6.4% increase in initiation• 372 more mothers breastfeeding at NBV• 8% increase in breastfeeding at NBV• 0.1% loss in prevalence of mother’s breastfeeding at
6-8 week check.
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Suffolk overall breastfeeding performance including Waveney for 2012/13
Q1 Q2 Q3 Q441
42
43
44
45
46
47
48
Overall Breastfeeding rates for Suffolk at 6-8 weeks
% Total BF at 6-8 weeks
Date % Total BF at 6-8 weeksQ1 45.6%Q2 46.1%Q3 47.5%Q4 43.8%
Total 45.8%