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Elements of a Successful Breastfeeding Program San Marcos, California 760-752-4324

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Elements of a Successful Breastfeeding Program San Marcos, California 760-752-4324. NCHS WIC Agency Profile. 5 permanent sites and 3 satellite clinics throughout Northern San Diego County. 35 Full and Part Time Staff. Participation: 10,654 (2/08)

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Elements of a Successful Breastfeeding

Program

San Marcos, California

760-752-4324

nchs wic agency profile
NCHS WIC Agency Profile
  • 5 permanent sites and 3 satellite clinics throughout Northern San Diego County.
  • 35 Full and Part Time Staff.
  • Participation: 10,654 (2/08)
    • English 41.5%, Spanish 57.8% and <1% other Languages.
  • Number of Infants: 2358 (2/08)
  • 1 Part-time IBCLC
  • 10 CLE’s and 6 more in training
staff training pump loan and other elements
Staff Training, Pump Loan and Other Elements
  • Extensive Staff Training
    • Yearly in-house trainings for all other staff.
    • Thorough training for new staff.
    • Brought CLE training to our agency.
  • Breast Pump Loan Program
    • Over 200 electric breast Pumps to lend.
  • Breastfeeding Friendly Environment
  • Referral Systems
    • WIC staff can refer complex BF problems to the CLE or IBCLC.
    • NCHS providers refer BF problems back to WIC.
  • Breastfeeding promotion is everyone’s job!
comprehensive participant education and support
Comprehensive Participant Education and Support
  • Two prenatal breastfeeding classes.
    • A “Why To BF” and a “How To BF”.
  • All prenatal ppts. are made aware of our “No formula in the first month” policy.
  • Early post-partum BF support phone calls to ALL new mothers.
  • Breastfeeding Warm-Line for ppts to call with questions.
  • Breastfeeding support groups.
no formula in the first month
No Formula in the First Month
  • Set a date 9 months in advance to start policy.
  • Begin with extensive staff training, so all are comfortable discussing and supporting breastfeeding.
  • Start telling all pregnant women at enrollments, trimester checks and classes that WIC doesn’t routinely give formula to breastfed babies less than one month old.
  • Enroll baby then recertify post partum mother the following month, so they receive two contacts of BF support.
  • If they want to combo feed, tell them they can after exclusively breastfeeding for the first month.
  • We find after they get through the first month, they often don’t need the formula in the second month.
  • Formula is only given in extenuating circumstances with supervisor approval.
early postpartum phone call study
Early Postpartum Phone Call Study
  • Hypothesis: WIC mothers who received an early postpartum phone call to offer BF support will be more likely to exclusively breastfeed and breastfeed for a longer period of time than a control group.
  • Babies born to NCHS WIC from 10/03 and 11/03 were in study and FI’s were followed for a year.
  • Half received phone calls (intervention) and half did not (control).
we made a difference
We Made a Difference!

Statistically Significant at .05

why it worked
Why it Worked

Connected with Mothers at their time of need

  • The calls were beyond the normal WIC “clinic” services
  • They were reached at a “vulnerable” time in breastfeeding.

Mothers had 100% of our attention,

  • Staff were given time to make call, build rapport with women.
  • The intervention was individual and personal.

Well-trained staff

  • Open ended & closed questions were asked that allowed us to educate, guide and reassure.
  • WIC is a trusted resource.
conclusion
Conclusion
  • Early phone intervention helped the group of mothers have a better breastfeeding experience, and prevented them from quittingprematurely.
  • Using early postpartum phone intervention calls, we increased breastfeeding exclusivity and duration.
  • Early postpartum phone intervention fits within the “scope of WIC services”.
  • The calls could be easily replicated in other settings.
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NCHS WIC Program

Policies

and

Procedures