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  • 5/15/17

    1

    PrenatalBreas/eedingEduca6on

    SheilaHumphreyBScRNIBCLCHennepinCountyMedicalCenterMinneapolis

    AmandaReedRNCLCEssen6aHealthGrandRapids/Deer River/

    RemerClinics

    ElizabethShortBSNPHNCLSAitkinCountyPublicHealth/WIC

    PrenatalBreas/eedingEduca6on

    1. Describekeybreas/eedingmessageforfamiliestohearduringprenatalcarecounseling

    2. ExplainhowtoimplementteachingresourcesincludingtheMinnesotaBreas/eedingCoali6onPrenatalToolkitintheprenatalclinicseRng

    3. Outlinecontentthatisimportanttoreviewduringprenataleduca6onaboutbreas/eedinganddiscussclinicworkflow

    4. Discussmul6culturalapproachestoprenatalbreas/eedingeduca6oninadiversecommunity

    BFHI Hospital and the Community

    Collabora6onchannels Step3prenataleduca6oninclinicsStep10hospitaldischargeplanning

    Consistentmessaginghelpsmoms Joinyourlocalbreas/eeding

    coali6on

    A Hidden gem on MN Bf Coalition website

    Howobstetricproviderscanenablewomentoachievetheirbreas4eedinggoals AlisonStuebe,MD,MSc,FACOG,[email protected]

    CarolinaGlobalBreas/eedingIns6tuteEventstab:3rdannualHospitalLeadershipSummit

    Step 3 Inform ALL pregnant women about the benefits and management of breastfeeding

    Baby-FriendlyUSAGuidelinesandEvaluaConCriteriaforFaciliCesSeekingBaby-FriendlyDesignaCon(2016Revision):

    Guidelines:theserepresentthestandardofcarethatfacili6esshouldstrivetoachieveforallpa6entsEvaluaConCriteria:theserepresenttheminimumstandardthatafacilitymustachieveinordertobecomeBaby-Friendlydesignated

    Prenatal Education, S. Humphrey May 25 '17

  • 5/15/17

    2

    Prenatal Education should cover

    Theimportanceofexclusivebreas/eeding Non-pharmacologicalpainreliefmethodsforlabor Theimportanceofearlyskin-to-skincontact,earlyini6a6onofbreas/eeding

    Rooming-inona24-hourbasis Feedingondemandorbaby-ledfeeding Frequentfeedingtohelpassureop6malmilkproduc6on

    Effec6veposi6oningandacachment Exclusivebreas/eedingforthefirst6months Breas/eedingcon6nuestobeimportantaeer6monthswhenotherfoodsaregiven

    Baby Friendly Hospital Initiative Step 3

    Step3guidelineconCnuedNote:Individualizededuca6ononthedocumentedcontraindica6onstobreas/eedingandotherspecialmedicalcondi6onsshouldbegiventopregnantwomenwhenindicated

    MBCPrenatalToolkitcanbeusedasaguidetoindividualcounselingpersonalizewith3stepcounseling

    Prenatal Education what works?

    Patnodeetal2016-confirmseffec6venessofcombinedprenatalandpost-partuminterven6ons

    Cochranereview2016prenataleduca6onaloneisnoteffec6ve

    WouketalJHL2017-prenataleduca6onalonecanworkwhencombinedwithinterpersonalsupportandwhenfamilymembersareincluded

    Effec6vePrenatalEduca6on

    NoconsensusonwhichmodalityisbestClass,handouts,one-to-one

    Handoutalonehasnoimpactonoutcomes

    Hawkinsetal2015-Significantgainforlowincomepopula6onsatthesystemlevel(BFHI)

    Non-Western women and prenatal care Borleider et al. 2013

    Majorbarrierstoprenatalcare Language LackofknowledgeaboutWesternmedicalcare Fewcareprovidersofsamecultureandlanguage Perceivedlackofrespectorinterestbyprovider

    Facilita6ngcare useinterpretersAddressfearsandconcerns(3step,1:1) Payacen6ontotransporta6onandaccessissues 16dbit:Renameclassesprenatalsessions

    Prenatal Education, S. Humphrey May 25 '17

  • 5/15/17

    3

    Inspiration for MBC Prenatal Toolkit

    ColoradoCanDo5Basedonresearchonmostimpac/ulstepsofBFHI(BirthSeptember2007)

    WashingtonCountyBreas/eedingCoali6onKeystoSuccessfulBreas/eedinghandouthcp://www.livinghealthywc.org/images/Keys%20to%20Successful%20Breas/eeding%20WCBFC.pdf

    Keys to Successful Breastfeeding

    WashingtonCountyBFcoali6onMBCwebsite Prac6ceskin-to-skincaretohelpbreas/eeding Keepbabywithyouinyourroom Breas/eedfrequently(i.e.nopacifierorbocle) Plantofeedonlybreastmilk(i.e.noformula) Askforhelpwithbreas/eeding

    InspiredbyColoradoCanDo5programandMABfcoali6onhandoutMakingMilk

    Inspira6onPiece2

    SucerDavisHospital-clinicalteachingtool fulfillsrequirementsforBFHIStep3SimplelayoutaclinicteachingtoolMN Breas/eeding Coali6on Prenatal Toolkitadaptedoriginalversionwithpermission

    Currentedi6onhas7topicsonseparatepdfs hcp://www.sucerdavis.org/services/birthing/new-mothers/

    MNPrenatalToolkit

    Versa6leOBclinic IndividualpagehandoutsforPediatricclinic

    OriginalEnglishandSpanishversions S6llavailableonMBCwebsite

    NewEdi6onseveralsizeversions Lowresolu6onfordial-upinternetconnec6ons Publishableversionforprofessionalprin6ng

    Need:translatedversionsvolunteers?

    17

    Thetoolkitcanbedownloadedat:www.mnbreas5eedingcoali7on.org

    Prenatal Education, S. Humphrey May 25 '17

  • 5/15/17

    4

    WhatsNew?

    NewlayoutbyLoriLorenz TableofContents-pagenumbersmatchthetopics

    Newphotosbypermission greaterdiversityofwomenso

    allcanseethemselvesreflected photosmodeleffec6veposi6on,deeplatches,orhappymoms- Helpfulimagestobemirroredbymomslater

    - Na6onalCoali6onphotolibraryandothersources

    NewTopics,NewInforma6on

    Newtopicsbasedonhcpuserfeedback S6mula6ngmilkflow,geRngthroughengorgement

    Handexpression,pumpingintroducetheidea PasteurizedhumanmilkfromDonorMilkpacket

    Newinforma6on importanceofremovingmilkinfirsthouraeerbirth-an6cipatoryguidance-highriskdelivery

    BasicStrategies

    Mother-babytogethernessWhattoexpectinhospital:STS,familyroom

    Whybreas/eed,Whyexclusivelybreas/eed HowtoBreas/eed

    EarlyandoeenWhatisnormalinfantbehavior,milkvolumes Skillsconceptsnotdetails

    Whentogethelpyes,problemscanbefixed OBstaffeduca6onlearnrecommendedprac6ces

    Prenatal Education, S. Humphrey May 25 '17

  • 5/15/17

    5

    Prenatal Education, S. Humphrey May 25 '17

  • 5/15/17

    6

    Prenatal Education, S. Humphrey May 25 '17

  • 5/15/17

    7

    Prenatal Education, S. Humphrey May 25 '17


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