slide1 l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Mary Foley RN, BSN, IBCLC Lactation Program Coordinator Maternal-Newborn Service Melrose-Wakefield Hospital PowerPoint Presentation
Download Presentation
Mary Foley RN, BSN, IBCLC Lactation Program Coordinator Maternal-Newborn Service Melrose-Wakefield Hospital

Loading in 2 Seconds...

play fullscreen
1 / 19

Mary Foley RN, BSN, IBCLC Lactation Program Coordinator Maternal-Newborn Service Melrose-Wakefield Hospital - PowerPoint PPT Presentation


  • 286 Views
  • Uploaded on

Mary Foley RN, BSN, IBCLC Lactation Program Coordinator Maternal-Newborn Service Melrose-Wakefield Hospital. Melrose-Wakefield Hospital. 10 miles north of Boston 1200 births per year No VBACs CS rate 20% primary, 20% repeat Culture mix: Caucasian, Asian, Indian, Haitian, Hispanic

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Mary Foley RN, BSN, IBCLC Lactation Program Coordinator Maternal-Newborn Service Melrose-Wakefield Hospital' - isleen


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1
Mary FoleyRN, BSN, IBCLCLactation Program CoordinatorMaternal-Newborn ServiceMelrose-Wakefield Hospital
melrose wakefield hospital
Melrose-Wakefield Hospital

10 miles north of Boston

1200 births per year

No VBACs

CS rate 20% primary, 20% repeat

Culture mix: Caucasian, Asian, Indian, Haitian, Hispanic

Socioeconomic: middle-to-low income

Average age of nurses: 50

Certificate of Intent for Baby-Friendly x 4 years

baby friendly hospital certificate of intent 2007
Baby Friendly Hospital Certificate of Intent 2007

On our journey to becoming a Baby Friendly Hospital, we found one of our more difficult challenges to be Step 7…Rooming-In

step 7 rooming in

Step 7Rooming-In

AKA…

How to Get Your Night Staff

to Hate You

rooming in x 16 months
Rooming-In x 16 Months

Rooming-In

  • Prior to 2009 there were very few mothers requesting rooming-in
  • Infants were routinely separated from mothers following birth and throughout the hospital stay
  • Supplementation at night was not unusual
  • Rates of exclusive breastfeeding were low
obstacles to rooming in @ night
Obstacles to Rooming-In @ Night
  • Nursery
  • Parent Fatigue
  • Unrealistic expectations Staff/Parents
  • Physicians
  • Family/Friends/Father
  • Hospital Procedures
  • Low supervision/modeling
  • Night Culture
slide7

Melrose-Wakefield Hospital

Maternal-Newborn Service

What is Rooming-In

&

Why are We Doing It?

Beginning in January, 2010 MWH

Maternal-Newborn Service will be transitioning to the “rooming-in”

model of mother-baby care. Healthy mothers and babies will be cared for together in the same room. Come and join us for dinner and discussion at the:

Rooming-In Summit

Thursday, November 12th 2009

6-8 PM

Perkins Lecture Hall

RSVP: mfoley@hallmarkhealth.org

how it helped
How it Helped:
  • Attended by physicians and nurses together
  • Everyone hears the same message
  • Allows a peek into another practice style
  • Helped LCs to not feel like the “crazies”
  • Influence of MGH was effective
  • Influence of competitor was effective
  • RNs were able to ask tough questions and get real answers
physicians family friends culture
Physicians, Family, Friends, Culture
  • “Get your sleep in the hospital while you have the luxury of the nursery!”
  • Parent Sleep a Major Issue in first 3 months
  • Educated physicians and offices by doing visits to every OB office & speaking at OB meetings
  • Newspaper & Hospital Publications/Rooming-In
slide12

Rooming In:

Because the best place for baby

is with mom. 

Rooming-In

Rooming-in means that your

baby stays with you in your

room throughout your hospital stay.

Why is rooming-in best?

* Babies sleep better and cry less

* Baby gains weight better

* You get to know your baby sooner

* You are better prepared to take care of

your baby when you go home

What about sleep?

Research shows mothers often sleep better when

Rooming-In than when the baby is out of the room.

What about special circumstances?

The nursery is available if you should need

assistance in special circumstances.

“Having my son with me was a wonderful experience. I felt closer to him every minute and was glad I had him with me.”

~ Leanne

Baby will be with you throughout the day & night, except for short visits to the nursery for medical procedures. The nursery nurse will be on the maternity unit teaching and assisting you with the care of your baby as needed.

by Rooming-In.

updates april 2011
Updates….. April 2011

Higher incidence of rooming-in

Supplementation down

Exclusivity rates up

More mothers aware of rooming-in model of care

Physicians supporting rooming-in

Nurses are beginning to see rooming-in as the norm

Labwork being drawn in room

Hearing screenings done in room

Baths done in room

lessons learned
Lessons Learned
  • Education is Key! Physicians, Staff, Parents, Community
  • Prepare in Advance – Set a Target Date
  • Build Relationships with Night Staff
  • Positive Reinforcement
  • Expect Change to be Gradual
  • Communicate Expectations in a Variety of Ways (e-mail, direct, staff meetings, signs etc)
slide18

If your baby is "beautiful and perfect, never cries or fusses, sleeps on schedule and burps on demand, an angel all the time," you're the grandma."-- Theresa Bloomingdale