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Birth & Beyond California: Breastfeeding Training & QI Project

Continuity of Care for Breastfeeding Families. Birth & Beyond California: Breastfeeding Training & QI Project. Objectives. Identify three pre-discharge infant breastfeeding issues requiring follow up care Identify three pre-discharge maternal breastfeeding issues requiring follow up care

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Birth & Beyond California: Breastfeeding Training & QI Project

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  1. Continuity of Care for Breastfeeding Families Birth & Beyond California: Breastfeeding Training & QI Project

  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

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

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

  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

  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

  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

  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

  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

  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

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

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

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