10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have...
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10 STEPS to support breastfeeding mothers
10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have always strongly encouraged the mothers of all of my patients
Text of 10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS “As a neonatologist I have...
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10 STEPS to support breastfeeding mothers
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QUOTES FROM PROFESSIONALS As a neonatologist I have always
strongly encouraged the mothers of all of my patients to provide
their breastmilk for their babies. A mothers own milk is always the
best feeding option. Susan Sward-Comunelli, MD Founder of the
Mothers Milk Bank of North Texas
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Recognizes hospitals and birth centers that provide optimal
breastfeeding support to new mothers Offers trainings and updates
Supports facilities in reaching the Healthy People 2020 goals. THE
TEXAS TEN STEP PROGRAM
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Increase Texas breastfeeding initiation rates to 82% Increase
the percent of Texas infants breastfeeding at 6 months to 61%
Increase the percent of Texas infants breastfeeding at 12 months to
34% Increase the percent of Texas infants exclusively breastfeeding
at 3 months to 44% Increase the percent of Texas infants
exclusively breastfeeding at 6 months to 24% THE HEALTHY PEOPLE
2020 GOALS
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Reduce the proportion of breastfed newborns who receive formula
supplementation within the first 2 days of life to 16% Increase the
proportion of live births that occur in facilities that provide
recommended care for lactating mothers and their babies to 8%
Increase the proportion of employers that have worksite lactation
support programs to 38% THE HEALTHY PEOPLE 2020 GOALS
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Over 75% of women in the state of Texas are choosing to
breastfeed their infants These women are seeking medical care that
will support them in this decision The Texas Ten Step designation
will help you advertise as a breastfeeding friendly facility WHY
SHOULD WE BECOME A TEXAS TEN STEP FACILITY?
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Enthusiastic support and involvement of pediatricians in the
promotion and practice of breastfeeding is essential to the
achievement of optimal infant and child health, growth, and
development. AAP The American College of Obstetricians and
Gynecologists strongly supports breastfeeding and calls upon its
Fellows, other health professionals caring for women and their
infants, hospitals and employers to support women in choosing to
breastfeed their infants. All should work to facilitate the
continuation of breastfeeding in the work place and public
facilities. Breastfeeding is the preferred method of feeding for
newborns and infants. Health professionals have a wide range of
opportunities to serve as a primary resource to the public and
their patients regarding the benefits of breastfeeding and the
knowledge, skills and support needed for successful breastfeeding.
ACOG QUOTES FROM PROFESSIONALS
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The TTS designation can be used to advertise the expert care
your facility provides to breastfeeding women Your facility will be
provided with a variety of items to advertise your commitment to
offering infants the very best care. The Texas Department of State
Health Services will provide you a unique log-in that will allow
you to order breastfeeding materials for your patients free of
charge. HOW WILL MY FACILITY BENEFIT FROM RECEIVING THE
DESIGNATION?
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Create policies that protect and promote breastfeeding
Applications are located at: www.texastenstep.org/apply HOW DO I
APPLY?
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Free on-site breastfeeding trainings Free breastfeeding
materials for patient education Additional training for staff
off-site DSHS WILL SUPPORT EFFORTS TO MEET THE TTS CRITERIA BY
PROVIDING:
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STEP 1 Make breastfeeding the preferred method of infant
feeding.
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All interventions and care plans should protect this valuable
resource Decisions to interrupt breastfeeding or withhold human
milk should be evidence based Policies should be communicated to
staff upon employment and updated on a regular basis Sample
Policies can be found at
http://bfmed.org/ace-files/protocol/mhpolicy_ABM.pdf. DEVELOP
POLICIES THAT PROMOTE BREASTFEEDING AS THE PREFERRED METHOD OF
INFANT NUTRITION
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STEP 2 Employees who care for mothers and infants should
receive breastfeeding training within six months of employment,
with updates provided on a regular basis.
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Training can be offered in house by the Department of State
Health Services at no charge. CEs are available for: -Breastfeeding
Management -Breastfeeding the Compromised Infant -Managing
Breastfeeding Complications To schedule a training through DSHS
please contact: Hellen Sullivan [email protected]
(512) 341-4591
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STEP 3 Breastfeeding is presented as the feeding choice for all
mothers, including those that must be separated from their
infant.
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The health risks associated with not breastfeeding Principles
of milk establishment and supply Importance of skin-to skin contact
Maintaining lactation if mother and infant are separated PRENATAL
CLASSES AND HOSPITAL TEACHINGS SHOULD INCLUDE:
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STEP 4 Mothers are encouraged to breastfeed their newborn
within one hour of birth, within 30 minutes is ideal.
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Mothers with c-sections or complications should be assisted to
breastfeed as soon as possible Mothers should have the opportunity
for early skin-to-skin contact regardless of type of delivery
*Protocols for skin-to-skin after birth and research supporting
this contact can be found at:
http://bfmed.org/ace-files/protocol/peripartum.pdf SKIN-TO-SKIN
CONTACT
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Breastfeeding should be assessed within six hours after birth
and at least once per shift. STEP 5
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There should be staff with training beyond the basics of
breastfeeding to assist with unusual management concerns (IBCLC,
nurses or physicians with additional training). Additional training
could include staff that have attended Principles of Lactation
Management and Lactation Counseling and Problem Solving (Trained
Breastfeeding Educators) or staff that have clinical breastfeeding
training. Staff can register for these trainings at:
http://www.dshs.state.tx.us/wichd/lactate/courses.shtm.
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Newborns should be given artificial human milk only if it is
medically indicated and ordered by the physician or requested by
the parent. STEP 6
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Policy should state that the parents are advised on the impact
of introducing formula prior to establishing breastfeeding If
infant needs supplementation staff should protect breastfeeding
while offering the supplement Protocols on supplementation and
methods of supplementation can be found at:
http://bfmed.org/ace-files/protocol/supplementation.pdf
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Mothers and newborns should be encouraged to room-in unless
separation is medically indicated. STEP 7
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Limit time away from mother for medical procedures Nurses
should help families plan for periods of rest during their hospital
stay. If the mother requests newborn be brought to the nursery, the
infant should be brought to the mother when hunger cues are
evident. Additional information on peripartum breastfeeding
management can be found at:
http://bfmed.org/ace-files/protocol/peripartum.pdf
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Mothers should be encouraged to breastfeed their newborns
without restriction and breastfeeding should take priority over
non-emergent events. STEP 8
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Mothers should be instructed to: Recognize early hunger cues
Assess latch and adequate feed Monitor wet and soiled diapers
Recognize normal feeding patterns of a newborn Recognize changes in
the infants feeding patterns as the infant goes through growth
spurts and starts solids
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Artificial Nipples should be discouraged for the healthy
newborn. STEP 9
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Alternate feeding methods should be used if supplementation is
necessary. Expressed breastmilk should be the first choice if
supplementation is necessary. Mothers should not be given discharge
packs that include formula or formula advertisements. Protocols for
supplementing a breastfeeding infant can be found at the Academy of
Breastfeeding Medicines website:
http://bfmed.org/ace-files/protocol/supplementation.pdf
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STEP 10 Breastfeeding mothers should receive support following
discharge.
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Follow up should include a list of resources including: -Online
resources such as www.breastmilkcounts.comwww.breastmilkcounts.com
- Telephone hotlines -Area Mother-to-Mother support meetings
-IBCLCs in the area Hospitals can provide a lactation clinic,
in-home visitation or follow-up phone calls to support
breastfeeding moms. WIC Peer Counselors can be a great resource for
breastfeeding families and hospital staff. For information on this
program please contact: Jewell Stremler
[email protected] (512) 341-4593
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Texas Ten Step facilities must be designated as a Mother-
Friendly Worksite. This designation shows that you support your
staff in giving their infants the very best. Information on
applying to become a Mother Friendly Worksite can be found at:
http://www.dshs.state.tx.us/wichd/lactate/mother.shtmhttp://www.dshs.state.tx.us/wichd/lactate/mother.shtm
MOTHER FRIENDLY WORKSITE