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

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
What is so hot about FF Thompson? Hospital

  • 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
How are we doing post-hospital? 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
Why did moms stop? Hospital

  • Returned to work

  • Put on medication incompatible with nursing

  • Stress

  • Discomfort

  • Severe mastitis

  • Pediatrician encouraged supplementation


Did they use the thompson program
Did they use the Thompson program? Hospital

  • 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
Yes, we give diaper bags with a powder formula sample Hospital

  • 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
What makes our program comprehensive? Hospital

  • 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 comprehensive1
What makes our program comprehensive? Hospital

  • 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
What does it cost? Hospital

  • 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
How do you get organizational support? Hospital

  • 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
Why are we so successful? Hospital

  • 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
What’s in the future? Hospital

  • Breastfeeding blog

  • E-mail surveys for follow-up

  • Retail store

  • Research


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