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Is Suffolk following best practice for breastfeeding support?. Linda Page Breastfeeding Coordinator . What is recommended? . LA’s to prioritise support for breastfeeding Increase rates as measured at birth & 6 weeks.
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Is Suffolk following best practice for breastfeeding support? Linda Page Breastfeeding Coordinator
What is recommended? • LA’s to prioritise support for breastfeeding Increase rates as measured at birth & 6 weeks. • To achieve this NICE (2013) continues to recognise that breastfeeding support should be from a service which uses an evaluated, structured programme with UK BFI programme as a minimum standard. • NICE (2008) also recommends provision of local, easily accessible breastfeeding peer support programme with peer supporters as part of a multidisciplinary team. • Peer supporters should be trained using a recognised, externally accredited training course
Contact new mothers directly within 48 hours of their transfer home (or within 48 hours of a home birth) Offer mothers ongoing support according to their individual needs. This could be face to face, via text, telephone or through local groups. • Peer supporters should be able to consult with an appropriate Health professional. • This support should be deliveredand co-ordinatedacross all providers including hospital, primary care, community services and children’s centres.
How far have we come? Before 2011 • No Compulsory breastfeeding training for all staff in either acute or Community settings. • Training ad hoc & variable. Many staff with limited or no formal training. • No training offered to GP’s or Paediatric staff. • Peer support in Suffolk but limited contact with HV teams and not in all locations. • Breastfeeding Policies did not reflect best practice standards. • Data collection not robust.
What has changed? • With commitment to BFI at both acute Trusts compulsory breastfeeding management training put in place. Stage 1 BFI achieved 2013 in both acute Trusts. • SCH / CYP Health adopted BFI model & trained all health staff and now CC staff. • NHS Suffolk offered BFI e learning to all Suffolk GP’s to support vision . • Peer support contact with HV teams has grown and BfN now offering support in over 50 locations. Peer supporters introduced onto postnatal wards to give information & signpost to community groups.
Le Lecherun breastfeeding support group at one CC and Baby Cafes now in 3 locations. Arrival CIC supports parents in one CC locality. • Breastfeeding policies updated. Users informed of the service to expect via Parents Guides. • CYP data collection improved. Now report no unknowns at 6 weeks. Monthly figures to allow closer scrutiny. We Now report partial & exclusive at 14 days and 6 weeks. Drop off rates calculated for each part of the service.
Comparison with 2011/12 data: • 55 more births than 2011/12 • 312 more mothers initiating breastfeeding • 6.4% increase in initiation • 372 more mothers breastfeeding at NBV • 8% increase in breastfeeding at NBV • 0.1% loss in prevalence of mother’s breastfeeding at 6-8 week check.
Suffolk overall breastfeeding performance including Waveney for 2012/13