5/15/17 prenatal breaseeding educaon · pdf file5/15/17 1 prenatal breaseeding educaon •...
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5/15/17
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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,FABMastuebe@med.unc.edu
CarolinaGlobalBreas/eedingIns6tuteEventstab:3rdannualHospitalLeadershipSummit
Step 3 Inform ALL pregnant women about the benefits and management of breastfeeding
Baby-FriendlyUSAGuidelinesandEvaluaConCriteriaforFaciliCesSeekingBaby-FriendlyDesignaCon(2016Revision):
Guidelines:theserepresentthestandardofcarethatfacili6esshouldstrivetoachieveforallpa6entsEvaluaConCriteria:theserepresenttheminimumstandardthatafacilitymustachieveinordertobecomeBaby-Friendlydesignated
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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
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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?
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Thetoolkitcanbedownloadedat:www.mnbreas5eedingcoali7on.org
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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
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Prenatal Education, S. Humphrey May 25 '17
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