Connect with Us!     Facebook     Twitter     Social Media    
Health Care

Action 8. Develop systems to guarantee continuity of skilled support for lactation between hospitals and health care settings in the community

Table of Contents

denotes a USBC member organization listing

Implementation Strategies

    • Create comprehensive statewide networks for home- or clinic-based follow-up care to be provided to every newborn in the state
    • Establish partnerships for integrated and continuous follow-up care after discharge from the hospital
    • Establish and implement policies and programs to ensure that participants in WIC have services in place before discharge from the hospital

      USBC Resources

      Back to Top

      National Activities

        American Academy of Family Physicians

      American Academy of Family Physicians

      Phone: 913-906-6000

      Email: contactcenter@aafp.org

      Website: http://www.aafp.org

      Action Activities: Family physicians should advocate for breastfeeding and provide education about breastfeeding throughout the course of life and for the entire family. Family physicians may provide prenatal care and labor support, deliver the infant, help in the prompt initiation and continuation of breastfeeding, and continue caring for the baby and family. Breastfeeding education and support can be integrated into these visits. Family physicians have the unique opportunity to emphasize breastfeeding education beginning with preconception visits and continuing through prenatal care, delivery, and postpartum care, and during ongoing care of the family.


      Supporting Link: https://www.aafp.org/about/policies/all/breastfeeding-support.html


        American Academy of Pediatrics

      American Academy of Pediatrics

      Phone: 800-433-9016

      Email: lactation@aap.org

      Website: http://www.aap.org

      Action Activities: The American Academy of Pediatrics published the 3rd edition of the Breastfeeding Telephone Triage and Advice book. The publication was created by a leading breastfeeding and phone care practitioner, this newly revised problem-solver helps nurses, lactation professionals, and other medical staff confidently advise breastfeeding mother.


      Supporting Link: https://shop.aap.org/breastfeeding-telephone-triage-and-advice-3rd-edition-paperback/


        American Public Health Association

      American Public Health Association

      Phone: 202-777-2742

      Email: info@apha.org

      Website: http://www.apha.org

      Action Activities: 1. Host conference sessions to share best practices and science on support of mothers and families.


      Supporting Link:


        Association of State Public Health Nutritionists

      Association of State Public Health Nutritionists

      Phone: 814-255-2829

      Email: asphn@asphn.org

      Website: http://www.asphn.org

      Action Activities: ASPHN’s “The Intersection of Public Health, Community, and Clinical Dietetics” describes ideas for innovative strategies combining the strengths of each discipline and creating a synergistic effect.


      Supporting Link: https://asphn.org/wp-content/uploads/2018/07/The-Intersection-of-Public-Health-Community-and-Clinica


        Baby Café USA

      Baby Café USA

      Phone: 781-507-1980

      Email: lucia@babycafeusa.org

      Website: http://www.babycafeusa.org

      Action Activities: Cafes combine peer-support with IBCLC and skilled counselor care, and satisfy step 10 requirements of BFHI.A majority of Cafes are connected to a hospital or health-care organization.


      Supporting Link: http://babycafeusa.org http://www.bcusa.dreamhosters.com/files/STAFFING%20GUIDELINES%202017.pdf


        Black Mothers' Breastfeeding Association

      Black Mothers' Breastfeeding Association

      Phone: 800-313-6141

      Email: info@bmbfa.org

      Website: http://www.bmbfa.org

      Action Activities: Created a community-based doula program. This program supported women with community birth workers allowed for doulas to work along side midwives and other Medical professionals for the support of the mother. This also helped with initial lactation questions after the births


      Supporting Link: http://www.bmbfa.org


        Carolina Global Breastfeeding Institute

      Carolina Global Breastfeeding Institute

      Phone: 919-966-3774

      Email: cgbi@unc.edu

      Website: http://cgbi.sph.unc.edu

      Action Activities: CGBI has created a resource toolkit for supporting mothers in complex emergency situations. CGBI has updated and revised Ready Set Baby, a comprehensive evidenced-based prenatal education curriculum that includes a 24-page patient booklet and matching educator flip chart with suggested conversational text. An online version is in process.


      Supporting Link: https://sph.unc.edu/cgbi/ready-set-baby/ and https://sph.unc.edu/cgbi/cgbi-resources-l-i-f-e-support


        Center for Health Equity, Education and Research

      Center for Health Equity, Education and Research

      Phone: 617 414 6466

      Email: anne.merewood@bmc.org

      Website: https://www.cheerequity.org/

      Action Activities: CHEER’s CHAMPS projects promote prenatal and postpartum breastfeeding education as per Baby-Friendly USA guidelines.


      Supporting Link: https://www.cheerequity.org/champs.html


        Every Mother, Inc.

      Every Mother, Inc.

      Phone: 662-931-6368

      Email: info@everymother.org

      Website: http://www.everymother.org

      Action Activities: Provides community-based workshops for WIC agencies, Healthy Start agencies, and community groups to engage partners and develop action plans to address continuity of care issues. This includes working with the USDA Food and Nutrition Service to develop breastfeeding curricula for training WIC staff (see Action 9 for more details).


      Supporting Link: https://www.everymother.org/training


        Healthy Children Project, Inc.

      Healthy Children Project, Inc.

      Action Activities: The Healthy Children Project, Inc. works to increase continuity of breastfeeding care through training, consultation and research.


      Supporting Link: https://centerforbreastfeeding.org/education/lactation-courses/


        Human Milk Banking Association of North America

      Human Milk Banking Association of North America

      Phone: 817-810-9984

      Email: sybil@hmbana.org

      Website: http://www.hmbana.org

      Action Activities: HMBANA regularly publishes two guidelines for donor milk and milk banking, these are: "Best Practices for Expressing, Storing, and Handling Human Milk in Hospitals, Homes" and "Child Care Settings and Guidelines for the Establishment and Operation of a Donor Human Milk Bank". HMBANA also convenes a biennial international conference on donor milk and a biennial membership symposium on milk banking.


      Supporting Link: https://www.hmbana.org/publications


        International Childbirth Education Association

      International Childbirth Education Association

      Phone: 919-863-9487

      Email: info@icea.org

      Website: http://www.icea.org

      Action Activities: ICEA provides breastfeeding information on the web site for resources for both parents and profession as well as a regularly updated facebook page and blog with current, evidence-based information


      Supporting Link: http://icea.org


        La Leche League International

      La Leche League International

      Phone: 919-459-2167

      Email: info@llli.org

      Website: http://www.llli.org

      Action Activities: LLL provides both prenatal and postpartum skilled support in the communities serving as a resouce to hospitals. LLL offers skilled support throughout the entire breastfeeding experience from preparation during pregnancy through weaning. LLL support encompasses returning to employment, the introduction of complementary food and gradual weaning, to name just a few areas of LLL expertise.


      Supporting Link: http://www.llli.org


        La Leche League USA

      La Leche League USA

      Phone: 877-452-5324

      Email: Council@lllusa.org

      Website: https://www.lllusa.org/

      Action Activities: LLL USA provides both prenatal and postpartum skilled support in the communities serving as a resource to local hospitals. LLL offers skilled support throughout the entire breastfeeding experience from preparation during pregnancy through weaning. LLL support encompasses returning to employment, the introduction of complementary food and gradual weaning, including the stages of breastfeeding as baby grows.


      Supporting Link: http://www.lllusa.org/about-us/


        Mom2Mom Global

      Mom2Mom Global

      Phone: 910-401-3566

      Email: info@mom2momglobal.org

      Website: http://www.mom2momglobal.org

      Action Activities: Mom2Mom Global Chapter Board Directors and Ambassadors are required to hold or obtain a LEAARC-accredited credential to hold leadership positions within our organization. As leaders of community support groups and trainers of peer supporter, and often volunteers within the MTFs in their local communities, Mom2Mom leadership bridges the gap between medical care settings and mothers in their local military communities.


      Supporting Link: http://www.mom2momglobal.org


        National Association of Pediatric Nurse Practitioners

      National Association of Pediatric Nurse Practitioners

      Phone: 917-746-8300

      Email: pnp.representative@napnap.org

      Website: http://www.napnap.org

      Action Activities: The National Association of Pediatric Nurse Practitioners has a representative on the National Advisory Council on Maternal, Infant and Fetal Nutrition. This council advises the USDA regarding WIC and Commodity Supplemental Food Programs.


      Supporting Link: http://www.fns.usda.gov/wic/national-advisory-council-maternal-infant-and-fetal-nutrition


      Back to Top

      State/Community Activities

        BreastfeedLA

      BreastfeedLA

      Phone: 3232108505

      Email: apalmer@breastfeedla.org

      Website: http://BreastfeedLA.org

      Action Activities: BreastfeedLA hosts four community meetings a year in Los Angeles. Community Meetings are attended by hospital staff and community partners and are a way for the two to engage, share resources, and best practices.


      Supporting Link:


        Connecticut Breastfeeding Coalition

      Connecticut Breastfeeding Coalition

      Action Activities: CBC works closely with maternity care nurses through our Ten Step Collaborative that meets monthly to engage practitioners in conversations related to lactation support and overcoming obstacles to breastfeeding in the hospital setting.


      Supporting Link: http://a


        Florida Breastfeeding Coalition

      Florida Breastfeeding Coalition

      Action Activities: Provide links on our website for where mothers in Florida can seek breastfeeding help.


      Supporting Link: http://flbreastfeeding.org/finding_help.htm


        Georgia Breastfeeding Coalition

      Georgia Breastfeeding Coalition

      Action Activities: GBC is involved in initiating conversations and collaboration to address the issues surrounding the "breastfeeding desert"- the time from day 3 until week 6 to 8. There is little discussion or clinical support available to mothers readily offered and covered by all systems, (private pay, Medicaid, etc), and we are working to raise awareness of this issue.


      Supporting Link:


        Kansas Breastfeeding Coalition

      Kansas Breastfeeding Coalition

      Action Activities: Using tools developed by the USBC, the KBC assists hospitals working towards the Baby-Friendly Hospital designation to fully implement Steps 3 & 10 to improve breastfeeding support prenatally and postpartum. These same tools have also been used on the community level to identify gaps in the landscape of breastfeeding support and to "tighten-up" the continuity of breastfeeding care that a parent receives in that community. The KBC offers "Continuity of Breastfeeding Care" meeting facilitation for local communities interested in evaluating their local continuity of care.


      Supporting Link: http://ksbreastfeeding.com/cause/continuity-of-care/


      Michigan Breastfeeding Network

      Michigan Breastfeeding Network

      Action Activities: When medical providers, nurse practitioners, physician assistants, and other care providers provide basic support for breastfeeding it ensures continuity of care for mothers and families. In addition, any health care professional that provides care to breastfeeding women, whether a dentist, surgeon, radiologist, or pharmacist, should also receive basic breastfeeding education in order to provide evidence-based care in clinical practice. The long-term goal should be to include breastfeeding in the curriculum for all health and medical professional programs but a short-term solution is to provide training that supports breastfeeding
      with appropriate avenues for referral to lactation professionals when necessary.


      Supporting Link: https://www.mibreastfeeding.org/maternity-care/


        Minnesota Breastfeeding Coalition

      Minnesota Breastfeeding Coalition

      Action Activities: The Minnesota Breastfeeding Coalition has developed downloadable prenatal and pediatric toolkits for improving patient outcomes through enhanced lactation support.


      Supporting Link: http://mnbreastfeedingcoalition.org/pediatric-toolkit/


      Missouri Breastfeeding Coalition

      Missouri Breastfeeding Coalition

      Action Activities: The Regional Resource Guides on the "resources" page of the coalition website provides contact information for families looking for classes, support groups, private lactation support, or need referrals for health care providers who are knowledgeable about breastfeeding.


      Supporting Link: http://www.mobreastfeeding.org/resources/


        Nebraska Breastfeeding Coalition

      Nebraska Breastfeeding Coalition

      Phone: (888) 976-9319

      Email: info@nebreastfeeding.org

      Website: http://nebreastfeeding.org

      Action Activities: Our Addressing Gaps work force, a part of our Second Goal Task Force, hopes to
      •Work with collaborating organizations to develop a training continuum or career path so those starting out as Continuing Breastfeeding Educators are encouraged and empowered to keep learning, growing as breastfeeding advocates, educators, supporters.
      •Visit with OB offices, provide more up to date information from WHO and other resources as to the best breast feeding practices to encourage women and their families to persue breastfeeding
      •Continue to offer webinars and seminars to keep up to date on the most current information in regards to breastfeeding.
      •Enlist the help of the NE AAP, NE Acad Fam Physicians, NE Acad OB (?).
      •Address gaps from evidence-based practices
      •Offer continuing education for providers


      Supporting Link: http://nebreastfeeding.org/wp-content/uploads/2016/05/Two-Year-Goals.pdf


        New Hampshire Breastfeeding Task Force

      New Hampshire Breastfeeding Task Force

      Action Activities: The NH Ten Steps to Successful Breastfeeding Collaborative Subcommittee has conducted education and outreach in outpatient prenatal settings and facilitated relationship-building between those settings and hospitals.


      Supporting Link:


        New Jersey Breastfeeding Coalition

      New Jersey Breastfeeding Coalition

      Action Activities: We promote and support Zipmilk.org , which is a web site that can be utilized to locate providers , support groups and other breastfeeding services through out the state of New Jersey.


      Supporting Link:


        Precious Jewels Moms Ministries

      Precious Jewels Moms Ministries

      Action Activities: Offers a weekly community based drop in breastfeeding clinic at a local WIC center.


      Supporting Link:


        Wisconsin Breastfeeding Coalition

      Wisconsin Breastfeeding Coalition

      Action Activities: WBC is working with the Wisconsin Department of Health Services, Wisconsin WIC Program, and Coffective to support local breastfeeding coalitions and community partners improve local coordination and collaboration to better serve moms and families.


      Supporting Link:


      Back to Top