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Breastfeeding

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Submitted By stopthis
Words 2009
Pages 9
Diagnosis
Beaver Medical Group is the one of the leading medical associations in the Inland Empire. After interviewing multiple OB doctors, it was found that they do not have time to discuss breast-feeding with their patients during prenatal care visits. This is due to time constraints because of a multitude of patients needing to be seen by these doctors. We have representatives from Redlands Community Hospital that have spoken to the same OB doctors regarding breast-feeding education during prenatal visits. Research has been sent to the doctors regarding exclusive breast-feeding and how the results are better if the patients are educated about it during their prenatal visits.
The hospitals in the Inland Empire offer birthing classes and breast-feeding clinics. Most do not have the money to advertise these free classes. More advertising to promote these classes would be helpful.
The high schools that have classes for pregnant teens also need to address breast-feeding to a further extent. They can also educate about the resources and classes in the area that are free. Once the patients get to the hospital and deliver the baby they are usually taken care of by lactation educators and experienced nurses and are allowed to breast-feed on demand. We simply need to continue the support outside of the hospital setting.
Outcomes or Goals
If the doctors and nurses would make it a priority to speak to their patients about breast-feeding during their prenatal visits at Beaver Medical Group, good results would emerge. The OB offices could have literature regarding breast-feeding in their office for the patients to read as they wait. The more they see and hear about it during their pregnancy, the more it is engrained in their minds.
Birthing classes need to be low cost and convenient. Advertising for these classes need to increase. High schools and continuation high school’s need to have classes for pregnant moms that address breast-feeding. Counselors at the high school need to have literature on breast-feeding available for their pregnant students.
Within the next six years, the rate of exclusive breastfeeding at six months of age should be increased to 82%. The Inland Empire will see savings of over $60,000 in medical coverage in just six months for breastfed infants. ("Baby Friendly," 2010) In one year, we would like to see 100% of pregnant high school students having breastfeeding knowledge.
Nursing Actions
Nurses can improve breast-feeding rates in the Inland Empire by educating those involved. We can educate the doctors and nurses at the OB offices, we can help teach classes through the county or in the hospitals in the area and we can continue our efforts to provide assistance with breast-feeding in the hospitals. Our local breast-feeding clinics may need volunteers since they don’t have funding. Nurses can also help raise money to aid with the breast-feeding classes, so they are not so expensive to the patients and for advertising.
Nurses may lobby for medical insurance companies and Medi-Cal to offer breast-feeding classes and prenatal classes to their clients. Nurses can develop policies for high schools to use with their pregnant students. We can go to local farmers markets and festivals to advocate breast-feeding. Social media can also be used to publicize breast-feeding and classes.
Work to Improve Health Concern
Nurses provide excellent education and training; they are well-respected members of society. They can lobby the government to back them and possibly local businesses could help by offering classes at their places of business or advertising along with their business. Nurses could secure grants for use on breast-feeding clinic’s to help keep them open and funded. They can also put together home health visits within a couple of days of discharge from the hospital to discuss breast-feeding and status.
Partnerships
Many different groups and organizations would love to support this endeavor. Church groups would be a good source for meetings or classes. Schools can rally together or individually to educate their students. Volunteer groups can be put together and trained by experienced nurses to assist with breast-feeding clinics and in the hospital setting. Partnering with OB doctors to be able to leave literature and helpline information at the offices would be ideal.
Objectives
The objective is to gain participation of doctor’s offices, schools, clubs and organizations in the training and education of the importance of breast-feeding. Collaboration among area resources for teamwork and participation is essential. If we could get all of our pregnant moms informed about breast-feeding, we would save thousands in hospital and doctor expenses. The next generation will be healthier and free from disease.

Timeline

Expected Outcomes | Party Responsible | Time Allotted | Education of OB/GYN’s to importance of breastfeeding education during prenatal visits. | Lactation Consultants and Lactation Educators. | Begin now and continue for the next 6 months until all OB/GYN offices in the Inland Empire have been seen. | Provide classes to the public for breastfeeding knowledge. Use churches, YMCA and certain private organizations as they allow. | Lactation Consultants and Lactation Educators. | Begin in 1 month and will be on-going. Will do site visits routinely to check progress. | Earn money for our clinics we have in the Inland Empire. | Nurses, LC, LE, OB/GYN’s, Midwives, etc. | Begin in 1 month and will be on-going. Will do site visits routinely to check progress. | Lobby for medical insurance companies and Medi-cal to offer breastfeeding classes to their clients. | Nurses, LC, LE, OB/GYN’s, Midwives, etc. | Begin within 6 months and re-evaluate every 6 months. | Develop policies for high schools and continuation high schools to have in place for their pregnant students. | Nurses, LC, LE, OB/GYN’s, Midwives and educators. | Begin within 6 months and re-evaluate every 6 months. | Promote breastfeeding and answer questions at local farmers markets and festivals in the area. | Nurses, LC, LE, OB/GYN’s, Midwives and educators. | Begin within 1 month and it will be on going. |

Evaluation
The evaluation of the plan will be evident by lower reports of ear infections and illnesses associated with not breast-feeding, less school being missed by children and less doctor visits for these particular illnesses. The pediatricians will report more exclusive breast-feeding and less sick children. Kids missing less school will result in parents missing less work.
The breast-feeding report card and the newborn screen studies for breast-feeding will show higher exclusive breast-feeding rates and therefore will be our quantitative data.
Conclusion
I started my research in the hospital with the lactation educator in the postpartum department. I could see that the patients wanted to breast-feed and had adequate support from the nurses along with a thorough assessment from the lactation educator. Many of the nurses were Lactation consultants themselves. This helped immensely. Many of the new moms knew they wanted to breast-feed; they just didn’t seem to know the importance of it. A lot of them were quick to give up in order to get a good nights rest. Many of them believed that the baby was not getting enough colostrum from mom and needed formula supplementation. After education from the nurses and the lactation educator, many of them exclusively breast-fed. Had the new mothers been educated regarding breast-feeding throughout their pregnancy, they would already have their mind set on breast-feeding.
Going out into the doctors offices, showed that a lot of the education regarding breastfeeding is not being done at this level. The patients know that breast-feeding is important, they just don’t know to what extent. The high schools and continuation schools that I visited spoke about the pregnancy, the delivery and raising the baby, but spoke very little about breast-feeding. If we could come together as a community and raise awareness about exclusive breast-feeding, not only would we save thousands of dollars in medical bills, but we would have a much healthier future.

References
Abano, L. (2014). 10 Countries With the Highest Breastfeeding Rates. Retrieved from http://www.therichest.com/rich-list/rich-countries/10-countries-with-the-highest-breastfeeding-rates/
Healthy Milk, Healthy Baby. (n.d.). Retrieved from http://www.nrdc.org/breastmilk/benefits.asp
Inland Empire. (2014). In Inland Empire. Retrieved October 1, 2014, from http://en.wikipedia.org/wiki/Inland_Empire
Myer, S. (2007). What Makes Human Milk Special? Retrieved from http://www.llli.org/nb/nbmarapr06p82.html
Pellum, NP, R. (2011). Breastfeeding Among Low Income Women. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Features/Articles/Breastfeeding-Among-Low-Income-Women.aspx
Risks of NOT Breastfeeding: For Infants. (2011). Retrieved from http://www.northeastern.edu/breastfeedingcme/_img/Risks_of_not_breastfeeding_for_infants.png
Saraiva, MPH, C., Haydu, MPH RD, S., Panchula, BSW, RN, PHN, IBCLC, J., Shields, PHN, MN, NP, L., Curtis, PhD, M., & Ramstrom, DO, MPA, K. (n.d.). BIRTH AND BEYOND CALIFORNIAHOSPITAL TRAINING & QUALITY IMPROVEMENT PROJECT. Retrieved from http://www.cdph.ca.gov/data/statistics/Documents/MO-BirthBeyondCaliforniaProjectPoster.pdf
Teen Pregnancy Statistics. (n.d.). Retrieved from http://www.teenhelp.com/teen-pregnancy/teen-pregnancy-statistics.html
Teen Pregnancy and Parenting in California. (2014). Retrieved from http://www.cde.ca.gov/ls/cg/pp/teenpregnancy.asp
The Baby Friendly Hospital Initiative. (2010). Retrieved from https://www.babyfriendlyusa.org/get-started/the-guidelines-evaluation-criteria

Community Diagnosis:

* The goal is to encourage exclusive breastfeeding until at least six months of age. * Savings of over $60,000 in medical coverage in just six months for breastfed infants. * Less school missed from illness that can be prevented with breastfeeding. * Encourage rooming in after having the baby in the hospital. This will promote bonding which should lead to more breastfeeding.
Community Diagnosis:

* The goal is to encourage exclusive breastfeeding until at least six months of age. * Savings of over $60,000 in medical coverage in just six months for breastfed infants. * Less school missed from illness that can be prevented with breastfeeding. * Encourage rooming in after having the baby in the hospital. This will promote bonding which should lead to more breastfeeding.
Findings:

* Many obstetric doctors do not have time to discuss breastfeeding during prenatal care visits.

* High school classes are not teaching pregnant teens about benefits of exclusive breastfeeding.

* Birthing classes need more funding for advertising in order to promote breastfeeding

* WIC needs to make formula harder to get for their customers.
Findings:

* Many obstetric doctors do not have time to discuss breastfeeding during prenatal care visits.

* High school classes are not teaching pregnant teens about benefits of exclusive breastfeeding.

* Birthing classes need more funding for advertising in order to promote breastfeeding

* WIC needs to make formula harder to get for their customers.
Target Population: * Teen moms in California are at 28%. They are also the least likely to breastfeed. * 3.5% of women are pregnant at any given time. * Over 20% of people in the Inland Empire live under the federal poverty limit.
Target Population: * Teen moms in California are at 28%. They are also the least likely to breastfeed. * 3.5% of women are pregnant at any given time. * Over 20% of people in the Inland Empire live under the federal poverty limit.
Health Concerns: * Infants that are not breastfed are at increased risk of otitis media, gastroenteritis, pneumonia, childhood obesity, diabetes and SIDS. * Infants that are premature are at risks of necrotizing enterocolitis. * Mothers that do not breastfeed are at greater risk of developing breast cancer, ovarian cancer, type 2 diabetes and metabolic syndrome.
Health Concerns: * Infants that are not breastfed are at increased risk of otitis media, gastroenteritis, pneumonia, childhood obesity, diabetes and SIDS. * Infants that are premature are at risks of necrotizing enterocolitis. * Mothers that do not breastfeed are at greater risk of developing breast cancer, ovarian cancer, type 2 diabetes and metabolic syndrome.
Average Salary:
$56,000
Number of Hospitals:
44
Average Salary:
$56,000
Number of Hospitals:
44
Population:
4.2 million
Area:
4850 Square miles

Population:
4.2 million
Area:
4850 Square miles

Increase
Breastfeeding
Rates
Increase
Breastfeeding
Rates
Inland Empire, CA
Inland Empire, CA

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