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Every Week Counts Learning Collaborative
July 13, 2012
Preparing for a Lifetime, It’s Everyone’s Responsibility
Breastfeeding Workgroup
Nancy Bacon, MS, RD/LD, CDEMCH Nutrition Consultant Maternal and Child Health ServiceOklahoma State Department of [email protected]
Adrianna Halstead, RD/LDWIC Breastfeeding Peer Counseling SpecialistWIC ServiceOklahoma State Department of [email protected] or 1-888-655-2942
Breastfeeding Workgroup Co-Leads
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.
Breastfeeding Workgroup Purpose
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 ofBaby-Friendly hospitals in Oklahoma
Breastfeeding Workgroup Purpose
Rebecca “Becky” Mannel, BS, IBCLC, FILCAClinical InstructorDepartment of OB/GYNUniversity of Oklahoma Health Sciences [email protected]
Oklahoma Hospital Breastfeeding Education Project Leader
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.
Surgeon General’s Call to Action: Health Care System
CDC’s Breastfeeding “Report Card”
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?
New Breastfeeding Goals from Healthy People 2020
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
Oklahoma Hospital Breastfeeding Education Project
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)
Activities to Date
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
Activities to Date
“We put our formula in the supply pyxis”
Implementing skin to skin in first hour◦ “most of our nurses did this at previous jobs!”
“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!”
Hospital Stories
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
Baby-Friendly Oklahoma
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.
Baby-Friendly Hospital = Optimal Breastfeeding Care
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.
Ten Steps to Successful Breastfeeding
6. Give newborn infants no food or drink other than breastmilk, unless medically indicated.
7. Practice rooming-in – allow mothers and infants to remain together – 24 hours a day.
8. Encourage breastfeeding on demand.9. Give no artificial teats or pacifiers (also called dummies or
soothers) to breastfeeding infants.10. Foster the establishment of breastfeeding support groups
and refer mothers to them on discharge from the hospital or clinic.
Ten Steps to Successful Breastfeeding
Year One - Recruit first group of 10 hospitalsHospitals 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
Baby-Friendly Oklahoma July 2012 – June 2013
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 evidence-based breastfeeding policies
◦ On site and regional trainings, and regularly scheduled conference calls
Baby-Friendly Oklahoma (Year 1)
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
Baby-Friendly Hospital Initiative (Year 2 ) July 2013- June 2014
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
Baby-Friendly Hospital Initiative (Year 3 )July 2013 - July 2014
Join your peers in eliminating the negative practice of giving commercial formula “gift” bags to new families!
Oklahoma Hospitals Doing the Right Thing
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!
Oklahoma Hospitals Doing the Right Thing
Hospitals should market health, and nothing else!
