STE TEPP PPING NG U UP YOUR UR BABY F Y FRIEND ENDLY GAME - - PowerPoint PPT Presentation

STE TEPP PPING NG U UP YOUR UR BABY F Y FRIEND ENDLY GAME

Buildin Building Mom Momentum Through gh P Par artner erships ps

AAP S STATEME TEMENT NT

“ Breastfeeding and human milk are the normative standards for infant feeding and

• nutrition. Given the documented short-

and long-term medical and neurodevelopmental advantages of breastfeeding, infa infant nt nut nutrit itio ion sho n should uld be consid nsidered a pub ublic lic he healt lth h issue issue and nd no not

• nl

nly a lif lifest style le c cho hoic ice”

Breastfeeding and the Use of Human Milk. Pediatrics, March 2012.

HOSPITAL PEER COUNSELOR PROGRAM

YEAR AR HOS OSPITAL NA NAME LOG LOGO

1994 Park rkland nd Memori rial 2000 Metho hodist D Dallas 2000 Metho hodist C Charl rlton 2006 Mesqui uite Communi nity 2007 Baylor I Irving 2009 Doctor

• rs Hospi

pital 2014 Clements Hospi pital

Ch Chall allenge D Defin fined

Baby Friendly Hospital Initiative – Step Two “Train all health care staff in skills necessary to implement policy.”

Planni lanning

Goa Goal:

 To provide at least 3 hours of

hands on experience for staff that met the requirements for Baby Friendly

 Workshop format  Initially ~ 1000 nurses targeted  Share resources

Timelin line

Spring g 2013 2013

• Initia

iated P Plannin ing

• WIC, PHHS, M

MHS Sum ummer 2013 2013

• CE

CEU a approval

• Cr

Create D DVD VD

• Meet

etin ing g 2-3 3 times/month Sept 2013 2013

• Started t

train inings gs

• 4 s

ses essions/month Sin ince t then en

• Presen

sentatio ions s at: U USBC, T TX S Star Achiever, NICHQ Q

• Repl

eplication o

• f train

ining g modules les in in o

• ther

er s states! Les essons Learned

Six ix Co Content A Areas as

 Safe skin to skin care  Hand expression  Use of breast pumps  Position and latch assessment  Supplementation  Positive messaging

Dissemin inatio ion P Phase

Whe

here L Life S Shi hine nes Br Bright ht Mentori ring g Facilit ity

WI WIC C Peer Co Counselors

Ski Skin-to-Ski Skin

Define various terms used for skin-

to-skin

Stress safe skin-to-skin positioning Define Sudden Unexpected Postnatal

Collapse (SUPC)

5 Criteria for SUPC Risk Factors for SUPC

Ski Skin-to-Ski Skin

Students demo safe STS Critique pictures of babies STS Used principles of “The Magical

Hour”

“Growing Your Baby’s Brain” by Dr.

Nils Bergman

Dr. Susan Ludington & USIKC

website

Pra racticing g Sa Safe Ski e Skin to n to Ski Skin

Han and E d Exp xpressi sion

 Describe benefits of hand

expression

 Review literature citing increase in

milk volume when using hand expression at the end of pumping session

 Describe effective steps to hand

expression

Han and E d Exp xpressi sion

 Describe and demonstrate “hands-

• n-pumping”

 Each participant performed hand

expression with a hand expression model

 Provided links to video clips of Jane

Morton’s demonstration of hand expression and hand’s-on-pumping

Han and E d Exp xpressi sion

Posi sition & & Lat Latch

Posi sition an and d Lat Latch

 Define aspects of an asymmetrical

latch

 Signs of successful milk transfer

for infant/mother

 Review positive messaging for

assisting breastfeeding couplet

 Discuss common latch challenges

Posi sition an and d Lat Latch

 Observe pictures of proper

position and latch

 Demonstrate position and latch

with a doll

 Role play with participants and

dolls

 Review LATCHES documentation

tool

Par arkl klan and H Healt alth & & Hospit pital S l Syst ystem

Suppl pplementatio ion To Tools ls

Suppl pplementatio ion

Eviden dence ce-based c ed care

 Step 5: Show mothers how … to

maintain lactation, even if they are separated from their infants

 Step 6: Give the newborn infant

no food or drink other that breast milk, unless medically indicated

 Step 9: No artificial nipples

What to Us Use a and How?

What? How

• w?



Mother’s milk



Banked milk



Formula

Ot Other T r Tools



Nipple shields



Breast shells

 Supplemental nursing system

(SNS)

 Cup feeding  Finger feeding  Syringe  Finger-syringe feeding  Spoon  Bottle

Reasons

• ns t

to Supplement ement

Infa nfant nt I Issue ssues Materna nal I l Issue ssues

 Baby unable to achieve an

effective latch

 Prematurity  Poor tone  Anatomical

abnormalities

 Fussy/ Sleepy  Medically baby cannot

breast feed

 Galactosemia 

Illness

 Too sick  Radiation therapy  Certain medications 

Infectious diseases

 Active or untreated

TB, HtLV -1, HIV



Illicit drug use



History of some breast surgeries



Non-glandular breast development

Breast Pu Pumps

 Verbalize reasons for mother/baby

separation

 Reasons for the use of manual &

electric breast pumps

 Review set-up and use of manual,

single-user and hospital grade pumps

Breast Pu Pumps

 Hands-on interactive practice

assembling manual and electric pumps

 Participants identify proper uses

for hospital grade, single-user and manual pumps

Shown various flange sizes and how

to ensure proper fit

Han ands ds-on Tr Train aining

The Power o

• f Posit

sitive Messa sagi ging

Posi sitive M Messa ssagi ging

 Stress that change is hard for staff,

patients and providers

 Use concrete examples  Discuss “new” ways of talking to

patients and peers

 Role Play/Problem Solve

LO LOVE Te VE Techniqu que

 L ~ Listen  O~ Observe  V~ Validate  E~ Educate,

Empower, Encourage

Baby by-Frien iendly D y Design gnat atio ion Febr bruary 10 10, 20 2015 15!!!

Succ Successes

1500 participants  Increased visibility of Hospital

Peer Counselor Program

 Increased exclusive breastfeeding

rates in the partnering hospitals

 Reaching beyond

Dallas

Than ank k You ! !

 Christine Wiseman, RN, IBCLC

Cit ity o

• f Dall

llas W WIC

 Reba Godfrey, RNC-MNN, IBCLC, LCCE

Methodist C Charl rlton M Medi dical C Center

 Janice Ballou, DNP, PPCNP, IBCLC

Parkl kland H d Healt lth & & Hospit ital S l System

 Dani Cagle, BA, IBCLC

Methodis dist D Dalla las M Medical C l Center

 Linda Jackson, MA, IBCLC, LCCE

Methodist R Ric ichardson M Medic dical C l Center