Breastfeeding Workgroup Nancy Bacon, MS, RD/LD, CDE MCH Nutrition Consultant Maternal and Child Health Service Oklahoma State Department of Health [email protected] 405-271-4480 Adrianna Halstead, RD/LD WIC Breastfeeding Peer Counseling Specialist WIC Service Oklahoma State Department of Health [email protected] 405-271-4676 or 1-888-655-2942 Increase the % of mothers who breastfeed their infants at 6 months of age. Outline specific breastfeeding activities that will improve maternal & infant outcomes. Coordinate with WIC to plan and promote the annual WIC Breastfeeding Conference. Provide consistent breastfeeding messages. Maintain the Breastfeeding Website http://bis.health.ok.gov Support the OK Breastfeeding Hotline ◦ 1-877-271-MILK (6455) Support the OK Hospital Breastfeeding Education Project Increase the number of Baby-Friendly hospitals in Oklahoma Rebecca “Becky” Mannel, BS, IBCLC, FILCA Clinical Instructor Department of OB/GYN University of Oklahoma Health Sciences Center [email protected] 405-271-4350 Ensure that maternity care practices around the United States are fully supportive of breastfeeding. Provide education and training in breastfeeding for all health professionals who care for women and children. Maternity Practices & Infant Nutrition/Care (mPINC) Survey 2009 US Average: 65 out of 100 ◦ Oklahoma score: 55 Staff breastfeeding education: 51 out of 100 ◦ Oklahoma score: 38 These are failing grades! How did your hospital score? Objective U.S. Baseline HP 2020 Goal Worksite Lactation Support Programs 25% of employers 38% of employers Reduce Formula Supplementation in 1st 2 days of life 24.2% of breastfed newborns 14.2% of breastfed newborns Increase # of Baby-Friendly Hospitals 4% of U.S. hospitals 8.1% of US hospitals Purpose Increase breastfeeding initiation and duration rates through change in breastfeeding related maternity care policies and practices in Oklahoma hospitals Contract approved Oct 2010 ◦ CDC “ARRA” funding ◦ Title V funding Ongoing curriculum review/development Data collection and collaboration ◦ Office of Perinatal Quality Improvement ◦ OK Hospital Association ◦ Rising Star Education’s Breastfeeding Continuing Education Program (BCEP) Initial phase launched in Dec 2010 13 Site visits conducted 42 participating birthing hospitals 7 BCEP trainer sessions provided ◦ 520 BCEP books provided to 42 hospitals Full day staff training class provided statewide Website developed ◦ ◦ ◦ ◦ Resources – modules, videos, policies Recognition for hospitals www.oumedicine.com/breastfeeding http://iio.health.ok.gov – For Hospitals “We put our formula in the supply pyxis” Implementing skin to skin in first hour “We have changed our HR policy so our staff can use break times for milk expression” “We have provided BCEP to ALL our staff and our doctors” We have decided to pursue Baby-Friendly!” ◦ “most of our nurses did this at previous jobs!” Purpose: Provide OK Birthing hospitals support to work toward Baby-Friendly Hospital designation Offer a statewide Baby-Friendly Hospital Summit (winter 2013) to educate maternity care leaders and promote steps toward the Baby-Friendly designation Goals: Improve exclusive breastfeeding rates at hospital discharge Improve duration rates Reduce Oklahoma infant mortality and child/adult obesity rates Two main components: ◦ Ten Steps to Successful Breastfeeding ◦ No marketing of breastmilk substitutes in the hospital Baby-Friendly hospitals do not accept or distribute free or low-cost supplies of breastmilk substitutes, nipples or pacifiers. Every facility providing maternity services and care for newborn infants should: 1. Have a written breastfeeding policy that is routinely communicated to all health care staff. 2. Train all health care staff in skills necessary to implement this policy. 3. Inform all pregnant women about the benefits and management of breastfeeding. 4. Help mothers initiate breastfeeding within one hour of birth. 5. Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants. 6. 7. 8. 9. 10. Give newborn infants no food or drink other than breastmilk, unless medically indicated. Practice rooming-in – allow mothers and infants to remain together – 24 hours a day. Encourage breastfeeding on demand. Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic. Year One - Recruit first group of 10 hospitals Hospitals will: ◦ Sign a commitment letter to implement 4 of the 10 Steps in 1st year ◦ Participate in kickoff conference call/webinar ◦ Complete Baby-Friendly USA Discovery phase (1st 2 months) Register, CEO support letter, self-assessment ◦ Begin Baby-Friendly USA Development phase Policy, staff training, patient education Baby-Friendly Oklahoma provides: ◦ ◦ ◦ ◦ ◦ Website Resources Model Policy Baby-Friendly Curriculum (15 nursing contact hours) Regional Train the trainer skills labs (verify competency) Regularly scheduled conference calls for hospital teams Hospital Maternity Leadership Summit – Winter 2013 Nationally known speakers Hospitals invited to send a MCH Leadership team (up to 3) to learn ways to implement the 10 Steps Participating Hospitals receive: ◦ $500 travel reimbursement for team attending Summit ◦ $3,000 stipend for part of Baby-Friendly Fees ◦ Ongoing support, resources, and breastfeeding education for all healthcare staff to promote adoption of evidencebased breastfeeding policies ◦ On site and regional trainings, and regularly scheduled conference calls Recruit second group of 10 hospitals ◦ Repeat first year steps First group of 10 hospitals to complete Development and Dissemination phases ◦ Collect data and address gaps in implementation of 10 steps Baby-Friendly Oklahoma ◦ Provides team for mock surveys ◦ Calculates fair market value of formula/supplies purchasing for hospitals 1st group of hospitals will complete Designation Phase ◦ Schedule readiness telephone interview with Baby-Friendly USA ◦ Conduct mock surveys with OK Baby-Friendly team ◦ Schedule Baby-Friendly USA assessment Recruit third group of 10 hospitals ◦ Repeat first and second year steps Join your peers in eliminating the negative practice of giving commercial formula “gift” bags to new families! Bag-Free Going Bag-Free Interested Great Plains Regional Claremore Indian Duncan Regional Jackson County Memorial Deaconess Hillcrest Medical Center OU Medical Center, OKC ALL Integris Hospitals Mercy Health Center OU Medical Center, Edmond Mercy Memorial Norman Regional Healthplex system Weatherford Regional OSU Medical Center St. John’s St Anthony’s Unity Health Center To join the effort, contact Becky Mannel or OPQI office Goal: Bag free in August for US Breastfeeding Month/World Breastfeeding Week Get your hospital included in the press release which is sure to generate national attention! Hospitals should market health, and nothing else!