Transcript Golden Start Breastfeeding Initiative

Golden Start
Breastfeeding Initiative
Leslie Anderson RN, PHN
Laura Pearson RN, PHN
Overview
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Public Health Agencies in 9 counties and 10
Hospitals in our region have partnered together
to form the Golden Start Initiative
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Becker, Clay Douglas, Grant, Otter Tail, Pope,
Stevens, Traverse, and Wilkin
Grant Region
Education
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This project focuses on educating healthcare staff, in
order to provide families with current, correct,
evidence-based information regarding feeding their
babies
Evergreen Perinatal
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Two 3-day courses
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One 5- day Train-the-trainer
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Over 120 nurses trained
Ability to reach 42,000 women of childbearing age
Clinic education
Policies
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This project focuses on developing or
enhancing lactation friendly policies in the
clinic, hospital, and public health arenas by
encouraging our partners to work towards
achieving the “Ten Steps” of the Baby
Friendly Hospital Initiative and the
Breastfeeding Friendly Public Health
Department project
Businesses and Daycares
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This project focuses on connecting with local
businesses in order to assist them in complying
with state and federal statutes regarding
lactating employees
Business Case for Breastfeeding
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All partner counties have PHNs trained
Will connect with businesses and daycares in
region
History of Golden Start
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The Golden Start Intervention, which was
fashioned after a NICU study done by Paula
Meier @ Rush University, encourages &
supports mothers to commit to at least 4 weeks
of mother’s milk for their infants
10 Steps to Successful Breastfeeding
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Step 1. Maintain a written breastfeeding policy
that is routinely communicated to all health care
staff.
Step 2. Train all health care staff in skills
necessary to implement this policy.
Step 3. Inform all pregnant women about the
benefits and management of breastfeeding.
Step 4. Help mothers initiate breastfeeding within
one hour of birth
Step 5. Show mothers how to breastfeed and how
to maintain lactation, even if they are separated
from their infants
10 Steps - continued
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Step 6. Give infants no food or drink other than
breastmilk unless medically indicated
Step 7. Practice rooming-in – allow mothers and
infants to remain together twenty-four hours a day
Step 8. Encourage breastfeeding on demand
Step 9. Give no pacifiers or artificial nipples to
breastfeeding infants
Step 10. Foster the establishment of breastfeeding
support groups and refer mothers to them on
discharge from the hospital or clinic
The Golden Start
Rush University Study
+
10 Steps to Successful Breastfeeding
=
Golden Start Initiative
Influences on Healthcare Setting
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Hospitals
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Baby Friendly Assessment
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www.babyfriendlyusa.org
Public Health Departments
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Breastfeeding Friendly Assessment
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Wisconsin Division of Health
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www.dhs.wisconsin.gov/health/Nutrition/Breastfeeding/departments.pdf
Assessment posted on MBC website
More Steps Count
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Maternity care practices: implications for
breastfeeding
DiGirolamo AM, Grummer-Strawn LM, Fein
S. Center for Disease Control
Conclusion: “Increased Baby-Friendly
Hospital Initiative practices improve the
chances of breastfeeding beyond 6 months.”
Baby/Breastfeeding Friendly
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Most important steps
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Step 3. Inform all pregnant women about the
benefits and management of breastfeeding.
Step 4. Help mothers initiate breastfeeding
within one hour of birth
Step 10. Foster the establishment of
breastfeeding support groups and refer mothers
to them on discharge from the hospital or clinic
Golden Start Intervention
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Prenatal intervention at first WIC appointment
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Prenatal intervention at third trimester WIC
appointment
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Golden Start Brochure given and discussed
Colostrum Brochure given and discussed
Follow-up Phone Calls
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Immediate post-partum
10 days after first call
Golden Start Intervention
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Originated in Otter Tail County WIC
population
Shared at PH Directors meeting
Other counties wanted to replicate
Grant application written to include 9 counties
Brochures
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Golden Start Brochure
Colostrum Brochure
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www.noodlesoup.com
Distribution Times
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WIC appointments
Clinic visits
Hospitals – post-partum teaching
Post-partum PH contact
Golden Start Focus
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Support
Follow-up
Connection with resources in the community
Customized brochures for each county with
contact phone numbers
Evaluation
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Focus Groups
Clinic Surveys
Baby Friendly Hospital Initiative Assessments
Breastfeeding Friendly Public Health
Department Assessments
Pre-training surveys
Connection/Networking
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MN Breastfeeding Coalition
SHIP Conference & QI Collaborative
Believers in Breastfeeding—Douglas County
Becker County Breastfeeding Coalition
Fargo/Moorhead Breastfeeding Coalition
Golden Start Initiative
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Laura Pearson, RN, PHN
Leslie Anderson, RN, PHN
Project Coordinators
218-736-8625
712 Cascade St. S. Fergus Falls MN 56537
[email protected]