PQCNC Human Milk Well Baby Learning Session 2 - Why Now?

8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?

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WHY WHY

and WHY NOW??? and WHY NOW??? 

PQCNC

May 2011

Miriam H Labbok, MD, MPHFACPM, IBCLC, FABM

Professor of the Practice of Public Health

Director, Carolina Global Breastfeeding InstituteDepartment of Maternal and Child Health

www.sph.unc.edu/breastfeeding

8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?

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8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?

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WHYMAKE CHANGES TO SUPPORT EXCLUSIVE

BREASTFEEDING NOW NOW ??

At least 15 REASONS!

1. Exclusive breastfeeding has the greatest

health impact2. Significant improvements in

breastfeeding initiation across all

populations

8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?

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WHYMAKE CHANGES TO SUPPORT EXCLUSIVE

BREASTFEEDING NOW NOW ??

At least 15 REASONS!

3. Quality of Care

4. AAP and many other professional

organizations endorse the Ten Steps5. The Joint Commission Perinatal Care Core

Measure

6. The Surgeon Generals Call to Action to

Support Breastfeeding

7. New Growth Standards

8. Impact on the environment

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WHYMAKE CHANGES TO SUPPORT EXCLUSIVE

BREASTFEEDING NOW NOW ??

At least 15 REASONS!

9. Health care costs escalating

10. Minimal cost

11. Pharma/Ethical considerations12. Magnet Status

13. Patient Satisfaction

14. Return hospitalizations15. WE KNOW WHAT TO DO

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The TEN STEPS to Successful Breastfeeding1. Written breastfeeding policy that is routinely communicated to all health

care staff.

2. Train all health care staff in skills necessary to implement this policy.3. Inform all pregnant women about the benefits and management of 

breastfeeding.

4. Help mothers initiate breastfeeding within one half-hour of birth.

5. Show mothers how to breastfeed and maintain lactation, even if 

they should be separated from their infants.6. Give newborn infants no food or drink other than breastmilk, unless

medically indicated.

7. Practice rooming in - that is, allow mothers and infants to remaintogether 24 hours a day.

8. Encourage breastfeeding on demand.

9. Give no artificial teats or pacifiers (also called dummies or soothers)to breastfeeding infants.

10.Foster the establishment of breastfeeding support groups and refermothers to them on discharge from the hospital or clinic.

� Immediate postpartum skin-to-skin

� Continued skin-to-skin with 24 hour rooming-in� Cues and Frequency

� Comfortable position and latch

�

Mom can hand-express her milk� Nothing but moms breast in babys mouth!

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To achieve action:

� Be Sensational and Inspirationaland

� Get the administration on board from the start with

these 15+ reasons

� Cannot do an end-run around the docs new

research confirms that having the docs on board is

essential for sustainable policy change

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Suppose that we have an

available intervention that

- would create a wellnourished, healthy and

intelligent next generation

- would save thousand s of livesand billi ons of d ollar s, and,

- can be addressed with an

available and proven set of 

practices

And then suppose that no one

used it

Oh no! I can·t believeI forgot to protect,promote and support

breastfeeding!!

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There is no finer investment forany community than putting milk

into babies

Winston Churchill (18741965)

Radio broadcast, March 21, 1943

AND YOU CAN MAKE IT HAPPEN!!