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Continuity of Care for Breastfeeding Families

Continuity of Care for Breastfeeding Families. Birth & Beyond California: Breastfeeding Training & QI Project With funding from the federal Title V Block Grant. Objectives. Identify three pre-discharge infant breastfeeding issues requiring follow up care

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Continuity of Care for Breastfeeding Families

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  1. Continuity of Care for Breastfeeding Families Birth & Beyond California: Breastfeeding Training & QI Project With funding from the federal Title V Block Grant

  2. Objectives Identify three pre-discharge infant breastfeeding issues requiring follow up care Identify three pre-discharge maternal breastfeeding issues requiring follow up care Identify two follow-up resources available for breastfeeding families 2

  3. Pre-Discharge Breastfeeding Assessment – Baby Issues Excessive weight loss Lack of output Difficulty with latch Difficulty with suckling Lethargy 3

  4. Pre-Discharge Breastfeeding Assessment – Baby Issues • Jaundice • Preterm/late preterm • Anatomical concerns • Health concerns 4

  5. Pre-Discharge Breastfeeding Assessment – Mother Issues Sore nipples Unusual nipple size/shape Engorgement Questionable milk supply History of breastfeeding problems History of breast surgery History of infertility Health concerns 5

  6. Pre-Discharge Breastfeeding Assessment – Mother Issues Lack of social support Maternal-infant attachment concerns Potential for postpartum depression Lack of confidence Inability to breastfeed without help 6

  7. Follow Up Care Avoid “Zone of No Professional Contact” Infants and mothers with identified pre-discharge breastfeeding issues need a documented plan of care and discharge follow up All breastfeeding women and infants should receive contact within the first week 7

  8. Pediatric Appointment “All breastfeeding newborn infants should be seen by a pediatrician, or other knowledgeable and experienced health care professional, at 3 to 5 days of age.” AAP, Breastfeeding and the Use of Human Milk, 2005 8

  9. Breastfeeding Resources Activity • Create a list of resources in your community • WIC Agency • Public Health Department • Home Visitation Nurses • Pediatric Clinics/Pediatricians • OB Clinics/CPSP/OBs • Mothers’ Support Groups • Lactation Clinics/Lactation Consultants • OT/PT/RD • Sweet Success • Urgent/Emergency Care • Others 9

  10. Online Resources • La Leche League • www.lalecheleague.org • International Lactation Consultants Association • www.ilca.org • California Department of Public Health • www.cdph.ca.gov/programs/breastfeeding • Office on Women’s Health • www.womenshealth.gov • Breastfeeding Task Force of Greater Los Angeles • www.breastfeedla.org 10

  11. Breastfeeding Support Groups Model Hospital Policy Recommendations, 2005 http://cdph.ca.gov/Breastfeeding “Foster the establishment of breastfeeding support groups and refer mothers to them on discharge” 11

  12. Safe Discharge for Breastfeeding Mothers and Babies Prevent a cascade of breastfeeding complications Pre-discharge assessment Appropriate referrals 12

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