Patient Safety for Mom & Baby · 1 Patient Safety for Mom & Baby Breastfeeding and the WIC Program...

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Patient Safety for Mom & Baby Breastfeeding and the WIC Program

July 31, 2014

Agenda

• Welcome • Webinar is being recorded • Do not use the hold feature on your phone • To raise a question, please use the chat box or

wait until the end of the call • Presentation on Breastfeeding and the WIC

Program • Questions

Breastfeeding and the WIC Program

Marlene Goodlett, MS, RD, LD, CLC State Breastfeeding Promotion Coordinator,

Department of Public Health Nutrition Services Branch

WIC Program

• WIC is Celebrating 40 years of Strengthening Families

• 4 pinnacles of WIC – Nutrition Education – Healthy Food – Healthcare Referrals – Breastfeeding Support

History of WIC Breastfeeding Support in Kentucky

• 1992: The WIC Program introduced an enhanced food package for exclusive breastfeeding mothers to further promote breastfeeding.

• 1997: The WIC Program implemented the Loving Support Makes Breastfeeding Work campaign. – Increase breastfeeding rates among WIC mothers. – Improved public support for breastfeeding.

• 2004: Kentucky launched the Breastfeeding Peer Counselor program. – Peer to Peer support for WIC mothers.

WIC Breastfeeding Peer Counselor Program

• Piloted in 2005 in 4 areas of the state. • Former or current WIC participants with

breastfeeding experience provides: – Mother to mother breastfeeding support – Basic breastfeeding education to WIC mothers

who are pregnant and breastfeeding. • This program has limited federal funds. • The program has continued to expand to now

cover 50% of the state.

Wayne

Mercer

Henry

Woo

dford

Grant

OldhamHarrison

ShelbyScott

Bourbon

FayetteClark

Jefferson

Nelson

Spencer

Robertson

Mason

Fleming

Lewis

Carter

Bath Rowan

Greenup

Elliott

Menifee Morgan

Martin

Breathitt Pike

Powell

FloydWolfe

Lee

Owsley

Leslie

PerryKnott

LetcherClay

Estill

Laurel

Madison

HarlanBell

Knox

Whitley

Pulaski

LincolnMarionLarue

Monroe

Casey

Boyle

Allen

HardinBreckinridge

Grayson

Todd

Hopkins

Meade Bullitt

Fulton

Graves

Calloway

Ballard

Carlisle

Hickman

ChristianTrigg

Ohio

DaviessUnion

Henderson

Webster

Hart

BarrenLogan

Butler

WarrenAdair

Taylor

Lawrence

Owen

WIC Breastfeeding Peer Counselor Locations

May 2014


• 2009: Based on Institute of Medicine recommendations, a new food package with foods consistent with the Dietary Guidelines for Americans was developed. – Exclusively breastfeeding mothers receive more

healthy foods with the enhanced WIC food package.

• Extra milk, eggs, fish and fresh fruits and vegetables.

WIC Food Packages Postpartum (Not Breastfeeding)

Mother Baby

WIC Food Packages Partially Breastfeeding Mother Baby

WIC Food Packages Exclusively Breastfeeding Mother Baby


• 2002: Kentucky was 1 of 9 states receiving a breastfeeding grant. – Shape the Future Breastfeed

• Developed Steering Team of private and public partners. • Focused on building strong community partnerships to

encourage mothers in Appalachian areas of Kentucky to get breastfeeding support from family, friends and community.

• Trained health department and Expanded Food and Nutrition Program (FNEP) workers.

• Created Shape the Future Logo


• Shape the Future Grant – Developed and distributed education materials to

hospitals, pharmacies, doctors offices, libraries and schools.

– Created 5 breastfeeding posters. – Developed policies for expansion of single and

multi-user breast pumps for mothers going to work or school.

– Provided mini grants for breastfeeding rooms in Local Health Departments


• 2003-2008: CDC Obesity Grant – Breastfeeding support and promotion was one of

the six focus areas. – Grant recognized that breastfeeding has a health

benefit for mothers. – Strategies to improve breastfeeding incidence and

duration over 24 strategies: • Implementing BF Peer Counselor Program; • Developing and publishing BF Resource Guide; • Legislation to protect and promote breastfeeding

li i


• 2009: Received grant from HRSA – Business Case for Breastfeeding

• To increase breastfeeding support in the workplace.

– Goals were to: • Increase breastfeeding exclusivity and duration rates

among employed breastfeeding women. • Equip lactation consultants, breastfeeding advocates,

healthy start programs to conduct outreach to employers.

• Develop a state plan. id d i ff i


• Annual breastfeeding conferences offering breastfeeding continuing education. – Since 2010, the Kentucky WIC Program has

partnered with the Kentucky Academy of Nutrition and Dietetics to host a breastfeeding pre-conference to their annual conference.

Breastfeeding Strategic Plan

• 2010: First Breastfeeding Summit – National presenters set the stage for a lively

strategic planning session among 125 breastfeeding advocates.

– Facilitated breakout sessions to brainstorm six evidence based areas outlined by the CDC Guide to Breastfeeding Interventions.

• Maternity Care and Hospital Practice • Peer Support • Breastfeeding in the Workplace • Educating Mothers and Families


• Two follow-up meetings were held to further refine the breastfeeding strategies.

• 2011: Strategic Plan for Improving Breastfeeding Rates in Kentucky was launched. – Goal of Strategic Plan:

• This plan is for Kentucky breastfeeding supporters, policy makers, leaders, administrators, breastfeeding advocates, health professionals and anyone with an interest in the health and future of Kentucky citizens. It is intended to be a blueprint for effective action to


Maternity Care and Hospital Practice 1. Increase the number of hospitals that implement skin to skin

policies from 19% to 25%. 2. Establish insurance reimbursement strategies for breastfeeding

education during prenatal care. 3. Establish outpatient lactation services within hospitals and/or

local health departments. 4. Increase follow-up breastfeeding visits by pediatric care providers. 5. Increase the number of hospitals to achieve Baby Friendly Status. 6. Increase the number of IBCLCs.


Support for Breastfeeding in the Workplace 1. Increase the number of employers with

policies to support lactation programs. 2. Increase the number of health insurance

plans available that cover lactation support services, breast pump equipment and supplies for all participants.


Peer Support 1. Establish the WIC Breastfeeding Peer

Counselor Program statewide. 2. Increase referrals to WIC Breastfeeding Peer

Counselors, La Lache League, and other breastfeeding peer groups by healthcare professionals.


Educating Mothers and Families 1. Educate network of social service programs

and other public and private partners to provide a consistent breastfeeding message to prenatal women.

2. Establish a breastfeeding education and marketing campaign to target a mother’s primary support network.


Healthcare Professional Support 1. Offer evidence based content on

breastfeeding and human lactation in health professional courses of study.

2. Increase opportunities for evidence based content on breastfeeding and human lactation in continuing education.


Media and Social Marketing 1. Lactation Improvement Network of Kentucky (LINK) will develop an integrated network of online media to disseminate breastfeeding information.


• Currently undergoing mid-point revision. • Revising all strategies and adding early

childcare centers as a objective area. • Revised Strategic Plan will be available Fall

2014.

Kangaroo Care

• 2011: Kentucky WIC Program partnered with the University of Louisville Hospital to provide statewide Kangaroo Care Trainings. – Goal of Kangaroo Care Trainings:

• Train all birthing facilities on Birth Kangaroo Care; • Focus the training on full term healthy infants/mothers;

and • Increase breastfeeding rates by 6% in 2 years.

Kangaroo Care

• University of Louisville Hospital: – Implemented Kangaroo Care in their facility with

great success. – Developed a “Jumping Into Kangaroo Care”

Toolkit. • Professional education DVD (35 minutes) • Support Materials on CD-ROM • Consumer education DVD (9 minutes)

– Trained 10 hospitals in 16 county area to implement birth Kangaroo Care.

Kangaroo Care

• 9 regional trainings were held throughout Kentucky.

• Trainings were held in the following locations: – Paintsville – London – Whitesburg – Lexington – Louisville – Bowling Green – Paducah

Kangaroo Care

• Kangaroo Care Training details: – Each hospital sent a team of 2-5 people to the

“train-the-trainer” workshop. – University of Louisville provided their story of

Kangaroo Care implementation. – Hospital staff viewed training DVD and

participated in competency checklist demonstration.

– Kangaroo Care barriers were discussed. – Hospitals planned their implementation of

Kangaroo Care.

Kangaroo Care

• Results of Kangaroo Care Trainings – 42 Kentucky birthing hospitals were trained in 9

days!! – 154 hospital staff was trained on Birth Kangaroo

Care – 924 education hours were awarded – 97 Kangaroo Care toolkits were provided

Kangaroo Care

• 100% of birthing hospitals in Kentucky have been trained on Kangaroo Care.

• Hospitals provided the Kentucky WIC Program data through December 2012. – Data included:

• # of live births • # of babies placed in birth KC • # of babies breastfed in KC • # of breastfeeding babies

Kangaroo Care

• Currently 96.15% of birthing hospitals in Kentucky offer Kangaroo Care.

• Hospitals that have implemented Kangaroo Care see an increase in their breastfeeding initiation rates.

WIC Breastfeeding Support in Kentucky

• Sponsorship of advanced lactation courses. – Sponsored Certified Lactation Specialist (CLS) and

Certified Lactation Counselor (CLC) courses – Courses are offered at a reduced rate to

participants


• Breast Pumps – Hospital grade multi-user, single user electric, and

manual pumps are available for WIC participants – Hospital grade electric pumps can be provided to

high risk mothers/babies – Single user Electric Pumps-women returning to

work or school – Manual Pumps-women who have a thriving

breastfeeding infant and wish to pump occasionally


• Breast Pumps – If you have a mother that needs a pump, contact

your local health department or State WIC Agency at 502-564-3827 x 4350.


• 11 Regional Breastfeeding Coordinators – Certified Lactation Counselors (CLC), Certified

Lactation Specialist (CLS) or International Board Certified Lactation Consultants (IBCLC)

– Provide assistance with protecting, promoting and supporting breastfeeding through:

• Public information and outreach; • Attending community events; • Lecturing in primary, secondary and post-secondary

schools; Ptiiti i hlth li d

Legislation

• July 12, 2006: Act related to Breastfeeding. – KRS 211.755 – A mother may breastfeed her baby or express milk

in any location, public or private where the mother is authorized to be.

• June 26, 2007: Act relating to July Duty – KRS 29A.100 – A judge shall excuse a mother who is

breastfeeding a child or expressing breastmilk.

Breastfeeding Coalitions

• Lactation Improvement Network of Kentucky (LINK)-Statewide Breastfeeding Coalition – 5 Regional/Local Coalitions:

• Kentuckiana Lactation Improvement Coalition (KLIC) • Western Kentucky Coalition • BabyNet • Eastern Kentucky Coalition • Northern Kentucky Coalition

Upcoming WIC Breastfeeding Promotion Activities

• Kentucky is introducing the Kentucky Infants Safe and Strong [KISS] Program to recognize hospitals that are taking steps to implement evidence-based practices that will reduce the risk of Infant Mortality and move towards implementation of the Ten Steps for to Successful Breastfeeding. – More information will be coming soon.

Contact Information

Marlene Goodlett, MS, RD, LD, CLC

Breastfeeding Promotion Coordinator 502-564-3827 ext. 4348

[email protected]

mailto:[email protected]

Questions?

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Patient Safety for Mom & Baby · 1 Patient Safety for Mom & Baby Breastfeeding and the WIC Program...

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