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Welcome to Mass. Baby-Friendly Collaborative

Welcome to Mass. Baby-Friendly Collaborative. Phase 2: formula issues. Potential topics for PDSA. Hand expression and training around that Spoon /syringe/cup supplementation Eliminating /limiting unnecessary supplementation, esp on nights . Paced formula feeding Paying for formula

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Welcome to Mass. Baby-Friendly Collaborative

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  1. Welcome toMass. Baby-Friendly Collaborative Phase 2: formula issues

  2. Potential topics for PDSA • Hand expression and training around that • Spoon/syringe/cup supplementation • Eliminating/limiting unnecessary supplementation, esp on nights. • Paced formula feeding • Paying for formula • Creating a donor milk policy • Issues around consent • (e.g., human milk or donor milk as first line; formula could require an opt-out, at least in the NICU).

  3. BFHI Step 6 and Step 9 • Step 6: • Practice exclusive breastfeedingd or drink other than breast-milk, unless medically indicated

  4. Hand express colostrum- • None?- At least 2 minutes massage to start • Alternate breasts frequently • Teach partner how if ok w/mom Spoon feed Hand Expression http://www.mass.gov/eohhs/provider/guidelines-resources/services-planning/family-health/perinatal-early-child-special-needs/child-care-health-and-safety/obesity-prevention/health-education-obesity/breastfeeding/becoming-baby-friendly-practical-solutions-toolkit.html

  5. Advantages to hand expression • Helps moms know they have enough milk • Useful for augmentation/supplementation • Useful for swelling, engorgement and to empty breasts after pumping or feeding to build supply • Free, anytime, anywhere • Useful in emergencies without power

  6. Exclusivity Rates MWH

  7. Hand Expression Videos • http://www.bfmedneo.com/BreastMassageVideo.aspx (start at 1:06) • http://newborns.stanford.edu/Breastfeeding/HandExpression.html

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