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8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?
http://slidepdf.com/reader/full/pqcnc-human-milk-well-baby-learning-session-2-why-now 1/9
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?
http://slidepdf.com/reader/full/pqcnc-human-milk-well-baby-learning-session-2-why-now 2/9
8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?
http://slidepdf.com/reader/full/pqcnc-human-milk-well-baby-learning-session-2-why-now 3/9
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
8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?
http://slidepdf.com/reader/full/pqcnc-human-milk-well-baby-learning-session-2-why-now 5/9
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
8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?
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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!
8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?
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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
8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?
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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!!
8/7/2019 PQCNC Human Milk Well Baby Learning Session 2 - Why Now?
http://slidepdf.com/reader/full/pqcnc-human-milk-well-baby-learning-session-2-why-now 9/9
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!!