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Golden Start Breastfeeding Initiative

Golden Start Breastfeeding Initiative. Leslie Anderson RN, PHN Laura Pearson RN, PHN. Overview. Public Health Agencies in 9 counties and 10 Hospitals in our region have partnered together to form the Golden Start Initiative

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Golden Start Breastfeeding Initiative

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  1. Golden Start Breastfeeding Initiative Leslie Anderson RN, PHN Laura Pearson RN, PHN

  2. Overview • Public Health Agencies in 9 counties and 10 Hospitals in our region have partnered together to form the Golden Start Initiative • Becker, Clay Douglas, Grant, Otter Tail, Pope, Stevens, Traverse, and Wilkin

  3. Grant Region

  4. Education • This project focuses on educating healthcare staff, in order to provide families with current, correct, evidence-based information regarding feeding their babies • Evergreen Perinatal • Two 3-day courses • Over 120 nurses trained • One 5- day Train-the-trainer • Ability to reach 42,000 women of childbearing age • Clinic education

  5. Policies • This project focuses on developing or enhancing lactation friendly policies in the clinic, hospital, and public health arenas by encouraging our partners to work towards achieving the “Ten Steps” of the Baby Friendly Hospital Initiative and the Breastfeeding Friendly Public Health Department project

  6. Businesses and Daycares • This project focuses on connecting with local businesses in order to assist them in complying with state and federal statutes regarding lactating employees • Business Case for Breastfeeding • All partner counties have PHNs trained • Will connect with businesses and daycares in region

  7. History of Golden Start • The Golden Start Intervention, which was fashioned after a NICU study done by Paula Meier @ Rush University, encourages & supports mothers to commit to at least 4 weeks of mother’s milk for their infants

  8. 10 Steps to Successful Breastfeeding • Step 1. Maintain a written breastfeeding policy that is routinely communicated to all health care staff. • Step 2. Train all health care staff in skills necessary to implement this policy. • Step 3. Inform all pregnant women about the benefits and management of breastfeeding. • Step 4. Help mothers initiate breastfeeding within one hour of birth • Step 5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants

  9. 10 Steps - continued • Step 6. Give infants no food or drink other than breastmilk unless medically indicated • Step 7. Practice rooming-in – allow mothers and infants to remain together twenty-four hours a day • Step 8. Encourage breastfeeding on demand • Step 9. Give no pacifiers or artificial nipples to breastfeeding infants • Step 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic

  10. The Golden Start Rush University Study + 10 Steps to Successful Breastfeeding = Golden Start Initiative

  11. Influences on Healthcare Setting • Hospitals • Baby Friendly Assessment • www.babyfriendlyusa.org • Public Health Departments • Breastfeeding Friendly Assessment • Wisconsin Division of Health • www.dhs.wisconsin.gov/health/Nutrition/Breastfeeding/departments.pdf • Assessment posted on MBC website

  12. More Steps Count • Maternity care practices: implications for breastfeeding • DiGirolamo AM, Grummer-Strawn LM, Fein S. Center for Disease Control • Conclusion: “Increased Baby-Friendly Hospital Initiative practices improve the chances of breastfeeding beyond 6 months.”

  13. Baby/Breastfeeding Friendly • Most important steps • Step 3. Inform all pregnant women about the benefits and management of breastfeeding. • Step 4. Help mothers initiate breastfeeding within one hour of birth • Step 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic

  14. Golden Start Intervention • Prenatal intervention at first WIC appointment • Golden Start Brochure given and discussed • Prenatal intervention at third trimester WIC appointment • Colostrum Brochure given and discussed • Follow-up Phone Calls • Immediate post-partum • 10 days after first call

  15. Golden Start Intervention • Originated in Otter Tail County WIC population • Shared at PH Directors meeting • Other counties wanted to replicate • Grant application written to include 9 counties

  16. Brochures • Golden Start Brochure • Colostrum Brochure • www.noodlesoup.com • Distribution Times • WIC appointments • Clinic visits • Hospitals – post-partum teaching • Post-partum PH contact

  17. Golden Start Focus • Support • Follow-up • Connection with resources in the community • Customized brochures for each county with contact phone numbers

  18. Evaluation • Focus Groups • Clinic Surveys • Baby Friendly Hospital Initiative Assessments • Breastfeeding Friendly Public Health Department Assessments • Pre-training surveys

  19. Connection/Networking • MN Breastfeeding Coalition • SHIP Conference & QI Collaborative • Believers in Breastfeeding—Douglas County • Becker County Breastfeeding Coalition • Fargo/Moorhead Breastfeeding Coalition

  20. Golden Start Initiative • Laura Pearson, RN, PHN • Leslie Anderson, RN, PHN Project Coordinators 218-736-8625 712 Cascade St. S. Fergus Falls MN 56537 goldinit@lrhc.org

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