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
- 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
- Key Website Features: News Room, Advocacy HQ, and Coalitions Directory
- Learning Community: Continuity of Care Learning Community
- Webinar & Conference Archives: Continuity of Care
- Toolkit: Continuity of Care Connections (with Appendix A & B) and Appendix C
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
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.
Action Activities: 1. Host conference sessions to share best practices and science on support of mothers and families.
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.
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.
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
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.
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
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
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/
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
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
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
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/
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
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.
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.
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
Action Activities: Provide links on our website for where mothers in Florida can seek breastfeeding help.
Supporting Link: http://flbreastfeeding.org/finding_help.htm
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.
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/
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/
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/
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/
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
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.
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.
Action Activities: Offers a weekly community based drop in breastfeeding clinic at a local WIC center.
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.