Advancing excellence in breastfeeding support in a community hospital
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Advancing Excellence in Breastfeeding Support in a Community Hospital. What does it cost? What is the return on investment?. What is so hot about FF Thompson?. Thompson is a community hospital with a Level I nursery We deliver 650-700 babies a year

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Advancing Excellence in Breastfeeding Support in a Community Hospital

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Advancing Excellence in Breastfeeding Support in a Community Hospital

What does it cost?

What is the return on investment?


What is so hot about FF Thompson?

  • Thompson is a community hospital with a Level I nursery

  • We deliver 650-700 babies a year

  • Our breastfeeding initiation rate runs just under 80%, the highest rate in the region for the past two years


How are we doing post-hospital?

  • Survey of 57 moms between 3 and 12 months postpartum

  • 72% breastfed more than 3 months and planned at least 6-12 months

  • 28% breastfed less than 3 months, but only two breastfed less than 6 weeks


Why did moms stop?

  • Returned to work

  • Put on medication incompatible with nursing

  • Stress

  • Discomfort

  • Severe mastitis

  • Pediatrician encouraged supplementation


Did they use the Thompson program?

  • Of the moms who nursed more than three months, 75% utilized the support services. Of the 8 moms who did not, 4 were multiparas who had successfully nursed before.

  • Of moms who stopped before three months, only 48% accessed the support services


Yes, we give diaper bags with a powder formula sample

  • But we DON’T give formula to babies

  • Bag is given at mom’s request

  • Moms who breastfed > 3 months used the bag but not the formula and all said the powder did not influence their practice

  • Moms who stopped before three months did not use the formula until after they had made the decision to stop nursing


What makes our program comprehensive?

  • Prenatal class taught by a lactation specialist

  • Commitment by the OB medical staff to encourage breastfeeding, and encourage attendance at class. Commitment by peds to use consultation before supplementation

  • Seven certified nurse specialists: one Lactation Consultant and six Breastfeeding Counselors

  • Staff education for consistent, evidence-based practice


What makes our program comprehensive?

  • Lactation consultant has 0.3 FTE dedicated to patients

  • Nursery “hotline” and Lactation Consultant voicemail

  • Consistent follow-up by phone

  • Lactation consultations provided postpartum for outpatients

  • “First Time Around” group meets monthly

  • Parent Review website with special section on breastfeeding

  • Lactation room available for breastfeeding staff to pump at work


What does it cost?

  • Approximately $1,000 per certification

  • Dedicated hours for the Lactation Consultant, about $18,000/year

  • Instructors for lactation class and First Time Around group, about $1,500/year

  • Parent Review website, about $4,000/year


How do you get organizational support?

  • Do it gradually

  • Use research to demonstrate the health benefits of breastfeeding

  • Show results

  • Healthy People 2010

  • Share the cost among departments


Why are we so successful?

  • Commitment

  • Staff education in evidence-based practice / expectation of compliance

  • Celebration of success

  • Problem solving / knowing the goal

  • Give moms the tools and the control


What’s in the future?

  • Breastfeeding blog

  • E-mail surveys for follow-up

  • Retail store

  • Research


  • Login