OSU Infant Feeding Policy

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OSU Infant Feeding Policy

• Nursing Orientations

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Infant Feeding Policy Committee
Laura Plachta Chair Leandro Cordero Susan Purdy
, Jeanne Setty Noemi Moorehead Mary Walton Kath
leen Lux
Cindy Brigle Jackie Rollins
Joan Dury Mary Pruss Marianne Rehkop Katy Wills
Becky Selegue Nancy Tettenhorst Joanne Fogel
Stephanie Vick
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Themes

• Consistency, quality
• Bedside support for mother and baby
• Staff Education

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Goals

• Better support for new mothers who elect to
  breastfeed their newborns
  
• Simplify guidelines for nursing care
• Improve success of lactation initiation

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Summary of New Policies

• Infant Feeding Policy
• Positioning Policy Attachment
• Pump Policy Attachment
• Newborn Hypoglycemia Policy

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Summary of New Paperwork and Documentation

• 7WD Breastfeeding Log Sheets
• Patient Information Handouts
• The First 48 Hours
• Health for Life, to include Telephone Number List
  Handout (new)

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New Resource Directory

• Community Resource Books
• include referral information (knowledgeable
  breast pump sources, lactation specialists) for
  Greater Columbus and counties throughout Ohio

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Reasons for an infant feeding policy
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1) Majority of OSU newborns are breastfed
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2) Standard of care at similar institutions,
university and community hospitals.
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3) Negative feedback from OSU patients
regarding infant feeding practices.

• varying advice, warnings, mixed messages
• results in anxiety, guilt and frustration

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4) Evidence of poor adherence to recommended
lactation practices.

• 1. Rooming-in
• 2. Chemstrips - 85
• 3. Supplemental feedings - 80
• 4. Varying bedside advice

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Patient Education, changes

• To begin EARLIER in hospital stay, commences with
  admit to dyad care. See new handout, The First
  48 Hours.

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Patient Education, changes

• At time of discharge, new paperwork will include
  Telephone Number Referral List only, located in
  Health for Life booklet.

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Patient Education

• at time admit (first shift), please complete
  information section at top of Breastfeeding Log
  for each new patient
  
• must address night-time feeding preferences
• We offer rooming-in care at OSU. This means our
  policy is to keep your baby with you at all
  times. Please call when you need assistance with
  breastfeeding or caring for your baby.

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Staff Education12/99 - 2/00

• Self instructional collection of lactation
  educational materials for your review at your
  convenience
  
• Comprehensive review at February Mandatories,
  with lactation staff
  
• will stress familiarity with policy, bedside
  skills

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Staff Education

• Video The Clinical Management of Breastfeeding
  for Health Professionals
  
• (AWHONN, 1999)
• Post-test

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Staff Education
Two new reference books 1. Breastfeeding the New
born, Clinical Strategies for Nurses
Marie Biancuzzo 2. Breastfeeding, A Visual Guide
Kathleen Auerbach
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Staff Education
Website for self-study www.cwru.edu/med/breastfe
eding
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Staff Education
February Mandatories Small group review of positi
oning, latch assessment, familiarity with new
infant feeding policy and role-play.
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OSU Infant Feeding PolicySummary of Changes

• New policies
• New patient educational materials
• Required documentation of feedings once a shift
  management of infants who are not feeding well
  
• New reference handbooks for Columbus and greater
  local area