Transcript Bestfed Beginnings (PowerPoint)
Baby Friendly Hospital Initiative Through Bestfed Beginnings
2 Why Pursue Baby Friendly Certification?
✤ The Baby Friendly Hospital Initiative is a global program to encourage and recognize hospitals that offer an optimal level of care for breastfeeding.
✤ Scientific evidence overwhelmingly indicates breastfeeding is optimal method of infant feeding ✤ Breastfeeding is single most powerful preventative modality to reduce risk of common causes of infant morbidity ✤ Breastfeeding creates significant savings in health care dollars ✤ Recognition as a Baby Friendly institution has national and international credibility and prestige
Why Pursue Baby Friendly Certification?
• Numerous professional organizations actively encourage programs for support and management of breastfeeding – AAP recommends exclusive breastfeeding up to 6 months of age, and continued breastfeeding with complementary foods up to one year – Who recommends breastfeeding up to two years of age and beyond 2010 had a goal of 75% early postpartum breastfeeding. This goal is suggested to go to 85% 3
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How Did We Get To This Point
• Best Fed Beginnings is a project of the National Initiative for Children’s Healthcare Quality (NICHQ), with support from the Centers for Disease Control and Prevention (CDC) and in close partnership with Baby Friendly USA • • • Made aware grant offered to assist hospitals to pursue Baby Friendly designation 20,000 hospitals accredited world wide but only 200 hospitals accredited in USA • Team was quickly assembled to meet the grant application deadline • The grant was awarded now working towards 2014 accreditation
5 Baby Friendly Hospital Initiative at St. Vincent
Team includes:
administrative leader department leader lactation staff midwife peds and OB providers nursing educator clinic leadership staff nurses mother advocate
How Do We Achieve Baby Friendly Status?
NICHQ - Change managers
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Utilize proven techniques to achieve successful healthcare change Hospital accountable to implement the specific steps with help through
regional learning sessions webinars ilab where stats shown group sharing 6
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The 10 Steps
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Written infant feeding policy 2.
Train health care staff in skills to implement policy 3.
Inform pregnant women of benefits/management of breastfeeding 4.
Skin to skin immediately following birth 5.
Assist mothers with breastfeeding even when separated from infant 6.
Exclusive breastfeeding except when medically necessary 7.
Rooming-in 24 hours a day 8.
All babies feeding on cue 9.
No pacifiers or artificial nipples for breastfeeding infants 10.
Refer mothers to breastfeeding support at discharge
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The 10 Steps
• Use the Guidelines and Evaluation for Baby Friendly Designation – Really 64 steps – Sounds simple but very difficult » Requires change in culture, attitude and work flow » Significant training for nurses and providers – Done in collaboration with Prevea OB Department – Actual survey with 2 nurses over 2 days » Interview nurses and mothers, review records
Training Tools 9
In Pursuit of Baby Friendly Designation •
Questions
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