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Learn how an interdisciplinary collaboration at Texas Children's Hospital successfully increased exclusive breastfeeding rates through education, innovative interventions, and improved reporting. Discover the strategies and resources used to support breastfeeding mothers and infants.
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An Interdisciplinary Collaboration to Increase Exclusive Breastfeeding Rates at Texas Children’s Hospital Deepa Joseph RN, MSN, IBCLC and Sarah Yarbrough RN, BSN, IBCLC Texas Children's Pavilion for Women
Conflicts of Interest • No conflicts of interest to report
Background on Exclusive Breastfeeding Rates • World Heath Organization: Healthy People 2020 includes objectives specifically related to maternity practices that support breastfeeding • In 2010, the Joint Commission included exclusive breastfeeding (EBF) during the maternity hospital stay as one of their perinatal core measures
Common Theme: Education Target Audience: Adult learners • Adult learning theory: • Need to know why they are learning something • Learn best when the topic is seen as valuable and relevant in their life (what’s in it for me) • Learn through experience • Approach learning as problem solving
Flyer Format • Quick points/ easy to read • Posted in commonly frequented areas • Daily huddles with interactive questions and props • “bite sized” information
Milk Minutes- determining topics • Areas in need of improvement • Interventions with highest impact on EBF rates = Supplementation • Most urgent topics- new donor milk process • Areas of interest for nurses and staff
Milk Minute Topics • New donor milk process • Hand expression • Symphony pump set up and use • Breastfeeding the late preterm infant • Engorgement interventions • Nursing care that supports breastfeeding Alternatives to formula feeding
Improved Breastfeeding Rates Introduction of Milk Minutes
Improved Rates • Multiple factors: • “Milk Minutes” education • Addition of night shift lactation consultants • Reporting of breastfeeding rates to Women’s Services staff
Sustainability • Suggestion box • Discussion with nurses on how they would like information to be presented • Feedback from leadership