10 STEPS to support breastfeeding mothers. QUOTES FROM PROFESSIONALS. “As a neonatologist I have always strongly encouraged the mothers of all of my patients to provide their breastmilk for their babies. A mother’s own milk is always the best feeding option.” Susan Sward-Comunelli, MD
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to support breastfeeding mothers
“As a neonatologist I have always strongly encouraged the mothers of all of my patients to provide their breastmilk for their babies.A mother’s own milk is always the best feeding option.”
Susan Sward-Comunelli, MD
Founder of the Mothers’ Milk Bank of North Texas
Offers trainings and updates
Supports facilities in reaching the Healthy People 2020 goals.
the texas ten step program
Increase the percent of Texas infants breastfeeding at 6 months to 61%
Increase the percent of Texas infants breastfeeding at 12 months to 34%
Increase the percent of Texas infants exclusively breastfeeding at 3 months to 44%
Increase the percent of Texas infants exclusively breastfeeding at 6 months to 24%
the healthy people 2020 goals
Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies to 8%
Increase the proportion of employers that have worksite lactation support programs to 38%
the healthy people 2020 goals
These women are seeking medical care thatwill support them in this decision
The Texas Ten Step designation will help you advertise as a breastfeeding friendly facility
WHY SHOULD WE BECOMEA TEXAS TEN STEP FACILITY?
Enthusiastic support and involvement of pediatricians in the promotion and practice of breastfeeding is essential to the achievement of optimal infant and child health, growth, and development. – AAP
The American College of Obstetricians and Gynecologists strongly supports breastfeeding and calls upon its Fellows, other health professionals caring for women and their infants, hospitals and employers to support women in choosing to breastfeed their infants.
All should work to facilitate the continuation of breastfeeding in the work place and public facilities. Breastfeeding is the preferred method of feeding for newborns and infants. Health professionals have a wide range of opportunities to serve as a primary resource to the public and their patients regarding the benefits of breastfeeding and the knowledge, skills and support needed for successful breastfeeding. – ACOG
Your facility will be provided with a variety of itemsto advertise your commitment to offering infants the very best care. The Texas Department of State Health Services will provide you a unique log-in that will allow you to order breastfeeding materials for your patients free of charge.
HOW WILL MY FACILITY BENEFIT FROM RECEIVING THE DESIGNATION?
Applications are located at: www.texastenstep.org/apply
How do I apply?
Free breastfeeding materials for patient education
Additional training for staff off-site
DSHS WILL SUPPORT EFFORTS TO MEET THE TTS CRITERIA BY PROVIDING:
Make breastfeeding the preferred method of infant feeding.
Decisions to interrupt breastfeeding or withhold human milk should be evidence based
Policies should be communicated to staff upon employment and updated on a regular basis
Sample Policies can be found at http://bfmed.org/ace-files/protocol/mhpolicy_ABM.pdf.
DEVELOP POLICIES THAT PROMOTE BREASTFEEDING AS THE PREFERRED METHOD OF INFANT NUTRITION
Employees who care for mothers and infants should receive breastfeeding training within six months of employment, with updates provided on a regular basis.
Training can be offered in house by the Department of State Health Services at no charge.
CE’s are available for:
-Breastfeeding the Compromised Infant
-Managing Breastfeeding Complications
To schedule a training through DSHS please contact:
Breastfeeding is presentedas the feeding choice for all mothers, including those that must be separated from their infant.
Principles of milk establishment and supply
Importance of skin-to skin contact
Maintaining lactation if mother and infant are separated
PRENATAL CLASSES AND HOSPITALTEACHINGS SHOULD INCLUDE:
Mothers are encouraged to breastfeed their newborn within one hour of birth, within 30 minutes is ideal.
Mothers should have the opportunity for earlyskin-to-skin contact regardless of type of delivery
*Protocols for skin-to-skin after birth and research supporting this contact can be found at: http://bfmed.org/ace-files/protocol/peripartum.pdf
Breastfeeding should be assessed within six hours after birth and at least once per shift.
Additional training could include staff that have attended Principles of Lactation Management and Lactation Counseling and Problem Solving (Trained Breastfeeding Educators) or staff that have clinical breastfeeding training. Staff can register for these trainings at: http://www.dshs.state.tx.us/wichd/lactate/courses.shtm.
Newborns should be given artificial human milk only if it is medically indicated and ordered by the physician or requested by the parent.
If infant needs supplementation staff should protect breastfeeding while offering the supplement
Protocols on supplementation and methods of supplementation can be found at: http://bfmed.org/ace-files/protocol/supplementation.pdf
Mothers and newborns should be encouraged to room-in unless separation is medically indicated.
Nurses should help families plan for periods of rest during their hospital stay.
If the mother requests newborn be brought to the nursery, the infant should be brought to the mother when hunger cues are evident.
Additional information on peripartum breastfeeding management can be found at: http://bfmed.org/ace-files/protocol/peripartum.pdf
Mothers should be encouraged to breastfeed their newborns without restriction and breastfeeding should take priority over non-emergent events.
Recognize early hunger cues
Assess latch and adequate feed
Monitor wet and soiled diapers
Recognize normal feeding patterns of a newborn
Recognize changes in the infants feeding patterns as the infant goes through growth spurts and starts solids
Artificial Nipples should be discouraged for the healthy newborn.
Expressed breastmilk should be the first choice if supplementation is necessary.
Mothers should not be given discharge packs that include formula or formula advertisements.
Protocols for supplementing a breastfeeding infant can be found at the Academy of Breastfeeding Medicine’s website:
Breastfeeding mothers should receive support following discharge.
- Online resources such as www.breastmilkcounts.com
- Telephone hotlines
- Area Mother-to-Mother support meetings
- IBCLCs’ in the area
Hospitals can provide a lactation clinic, in-home visitation or follow-up phone calls to support breastfeeding moms.
This designation shows that you supportyour staff in giving their infants the very best.
MOTHER FRIENDLY WORKSITE