4/14/2016 1 Hiking the Mountain: One Step at a Time The Path to Baby Friendly The Path to Baby-Friendly Karen Peters, MBA, RD, IBCLC August 2013 2 Karen Peters Disclosures • No financial disclosures • Represents BreastfeedLA • Does NOT represent – Baby-Friendly USA – The Joint Commission 3 4
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4/14/2016
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Hiking the Mountain: One Step at a Time
The Path to Baby FriendlyThe Path to Baby-FriendlyKaren Peters, MBA, RD, IBCLC
August 2013
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Karen Peters Disclosures
• No financial disclosures
• Represents BreastfeedLA
• Does NOT represent – Baby-Friendly USA
– The Joint Commission
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Ten Steps to Successful Breastfeeding
1. Policy
2. Staff Education
6. Exclusive breast milk
7. Rooming in
3. Prenatal Education
4. Skin-to-skin
5. Hand expression
8. Cue based feeding
9. No artificial nipples/pacifiers
10.Follow up care
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Ten Steps to Successful Breastfeeding
1. Policy
2. Staff Education
3. Prenatal Education
6. Exclusive breast milk*
7. Rooming in*
8 C b d f di4. Skin-to-skin*
5. Hand expression
*Colorado Can Do 5!
8. Cue based feeding
9. No artificial nipples/pacifiers*
10.Follow up care*
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Los Angeles County
57 birthing hospitals
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Approx. 130,000 births in
2011
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Baby-Friendly:Continuous Quality Improvement
• Evaluate current practices
• Adopt new policies and practices
• Monitor improvements over time
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Baby-Friendly
Baby-Friendly Hospitals
13Not pursuing Baby-Friendly
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Currently
18%of our births are at Baby-Friendly hospitals
Pursuing Baby-Friendly
Designation29
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LA Baby-Friendly Hospitals
• Glendale Memorial Hospital and Health Center• Harbor UCLA Medical Center• Henry Mayo Newhall Memorial Hospital• Kaiser Permanente Medical Center, Baldwin Park• Kaiser Permanente Medical Center, Downey• Kaiser Permanente Medical Center Los Angeles• Kaiser Permanente Medical Center, Los Angeles• Kaiser Permanente Medical Center, South Bay• Kaiser Permanente Medical Center, Panorama City• Kaiser Permanente Medical Center, West Los Angeles• Kaiser Permanente Medical Center, Woodland Hills• LAC+USC Medical Center• Providence Holy Cross Medical Center• Valley Care Olive View- UCLA Medical Center
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Exclusive Breastfeeding Increased
40%
50%
60%
70%
0%
10%
20%
30%
40%
Harbor UCLA LAC+USC Olive View
2010
2011
2012
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Source: California Department of Public Health, Genetic Disease Screening Program, Newborn Screening Data
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Baby-Friendly -A Greater Piece of the Pie
Baby-Friendly Hospitals
13Not pursuing Baby-Friendly
15 5 Year Projection
Pursuing Baby-Friendly
Designation29
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76%Of our births will be at Baby-Friendly hospitals
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Impact of Baby-Friendly Hospital Policies
• Higher breastfeeding rates
• Even among populations that p pdo not traditionally breastfeed
Exclusively Breastfed 1st day Exclusively Breastfed 1+ Week
Exclusively Breastfed 1+ Month
Perc
ent
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Hospital Practices Impact Breastfeeding
• Increased initiation
• Longer any breastfeeding duration
• Longer exclusive breastfeeding duration
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Breastfeeding levels the playing field
Breastfeeding is a natural "safety net" against the worst effects of poverty ...it is almost as if breastfeeding takes the infant out of poverty for those first few months in order to give the child a fairer start in life and compensate for the
injustice of the world into which it was borninjustice of the world into which it was born.