hutchinson/reno county breastfeeding project jeanne ritter, ms, rd, ld reno county health department
TRANSCRIPT
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Hutchinson/Reno County Breastfeeding Project
Jeanne Ritter, MS, RD, LD
Reno County Health Department
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Introduction to the Community
• Hutchinson: population 42,000
• Reno County: population 65,000
• Promise Regional Medical Center– 200 bed hospital– 700 deliveries annually
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Reno County Breastfeeding Coalition
• Established in 2000• Community partners
– Health department– Hospital – La Leche League– Physician offices– Local mothers
• Projects include Kansas State Fair nursing mothers rooms, breastfeeding continuing education for health care providers, local health fairs
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Breastfeeding Grant Opportunity:Identifying Community Needs
Identified strengths:– Good breastfeeding initiation rate – 78%
– Good immediate follow-up after birth
– La Leche League groups
– WIC Breastfeeding Peer Counselor
• Identified weaknesses:– Lack of lactation consultant services
– Lack of referral resources for older babies, especially for in-person assistance
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Our Project• Walk-In Breastfeeding Clinic
– Two locations– Available Monday through Friday
• Hospital 3 days per week• Health Department 2 days per week
– Open 2 hours per day– Modeled on Topeka Stormont-Vail Clinic as
presented in the CDC Guide to Breastfeeding Interventions
– Set-up conducive to mother-to-mother support
• Home visits from health department nurses
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Implementation of Project
• Visit Stormont-Vail Clinic
• Identify locations
• Identify personnel
• Remodel clinic room at the hospital
• Purchase equipment and supplies
• Develop and print brochures
• Open clinics
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Getting the Word Out
• Letter to physicians• Press release / Newspaper article• Brochures
– New mothers– Physician offices– Birthing center at hospital– Health department
• Prenatal classes
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The First Six Months
Hospital Clinic
– 46 infants
– 44 mothers
– 98 visits
– 52 days of clinic
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The First Six Months
Health Department –Home visits offered to all new mothers–128 initial nurse newborn home visits–39 days of clinic–Clinic has not caught on yet
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Possible Reasons for the Better Turn Out at the Hospital Clinics
• Health Department offers home visits: more convenient for family, private, no travel for new mother and baby.
• Hospital offered free two day post partum weight checks to all infants born there.
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Possible Reasons for the Better Turn Out at the Hospital Clinics
• Pediatricians accustomed to refer clients to hospital for this post partum weight.
• Afternoon time frame more convenient.
• Women who delivered at hospital know the location.
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Evaluation• Follow-up phone calls
• Clerk time included in grant expenditures
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Survey Results From First Two Quarters
Of the 32 women who attended clinics and agreed to follow up calls, 21 responded to calls (66%).
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Survey Results From First Two Quarters, continued
Why did mother attend hospital clinic?–Time and days were convenient: 62%–Hospital is where delivered: 57%–Wanted an IBCLC: 48%–My doctor told me to go to the hospital: 33%
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Survey Results From First Two Quarters, continued
Six women who did not attend clinics completed survey.
Reasons given for not attending a clinic:
– No questions about breastfeeding: 2– Asked doctor her questions: 1– Did not know about clinics: 1– No answer: 2
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Survey Results From First Two Quarters, continued
Of those who attended the Clinics:
– Very satisfied with the Clinic: 86%
– Somewhat satisfied: 9%
– Satisfied: 5%
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