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Improving Breastfeeding rates at West Suffolk Hospital. Colleen Greenwood Infant Feeding Co-ordinator West Suffolk Hospital. Where we have come from?.
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Improving Breastfeeding rates at West Suffolk Hospital Colleen Greenwood Infant Feeding Co-ordinator West Suffolk Hospital
Where we have come from? • We applied for assessment for the UNICEF Baby Friendly Certificate of Commitment in August 2011, and we were awarded the Certificate of Commitment in February 2012. • This involved us committing to having a newborn feeding policy and to train all staff having any contact with breastfeeding mothers.
Statistics 2010-2011 • Our breastfeeding initiation rate for the year April 2010 –March 2011 was 71% • At handover of care from Midwife to health visitor the breastfeeding rate was 58% • At the 6 week visit the breastfeeding rate was 45%
Where we have come from • In February 2013 we had our Stage 1 assessment. • This involved assessment of the newborn feeding policy, assessment of staff training, assessment of information given to pregnant women and new mothers. • The Infant feeding lead had 7.5 hours per week
Statistics April 2011 –March 2012 • Our breastfeeding initiation rate for the year was 74% (71%) • At handover from Midwife to health visitor the breastfeeding rate was 65% (58%) • At the 6 week visit the breastfeeding rate was 48% (45%)
Staff Training • By the time we had our stage 1 assessment we had trained: • 92% of Midwives and Maternity Care assistants • 82% of Neonatal nurses • 66% of our Paediatricians • 55% of our Obstetricians
Where are we now? • Since July 2013 the WSCCG has funded a full time infant feeding co-ordinator. • We are working towards Stage 2 accreditation which has to be before February 2015 • We are auditing staff, processes, pregnant women and postnatal mothers to see where we need to improve the service
Where we are now • I visit the children’s ward, neonatal unit, labour suite and birthing unit and the postnatal ward every day to give support to staff and see any women requiring help with breastfeeding. • I am contactable on a designated bleep • We are still training staff, and now see all doctors on their induction
Statistics for Quarter 1 2013 • Our breastfeeding initiation rate for quarter 1 was 77.7% (74%) • At handover of care from Midwife to health visitor the breastfeeding rate was 62% (65%) • At the 6 week visit the breastfeeding rate was 48% (48%)
Plans for the future • Our targets • Breastfeeding initiation 80% • Breastfeeding at 6-8 weeks 49% • To continue to train staff on UNICEF training • To audit, audit, audit and make changes in practice where necessary • To ensure that pregnant women get clear information on the benefits of breastfeeding
Peer Support Service • We have just commissioned a peer support service from FAB. The aim of the peer support service is: • To increase emphasis on areas of deprivation, most notably Haverhill, Brandon and Sudbury • To increase the number of women who breastfeed exclusively for the first six months. • To raise public awareness of the benefits of breastfeeding • To reduce inequalities and access to breastfeeding support for women in low income areas • To increase choice by providing a range of services across different settings
Community Setting • Work within the community midwifery team as part of an integrated service. • To introduce the service to the women antenatally, raising awareness of the peer support programme provided at home and in Children Centres post-natally • Supportat breastfeeding workshops and in antenatal clinics, giving parents information on the benefits of breastfeeding, allowing them to make an informed choice about feeding their baby. • Contact all breastfeeding women within 48 hours of discharge from the hospital to offer a home visiting service providing a minimum of 2 home visits
Hospital setting • To provide peer support on the antenatal/postnatal ward, neonatal unit and paediatric ward to help women successfully breastfeed their baby within the first 48 hours. • The peer supporter would also provide support on the neonatal unit and the paediatric ward for women who are expressing breast milk to maintain lactation.