Oklahoma’s Breastfeeding Activities and Hotline: Positive Steps to Reducing Infant Mortality
Rebecca Mannel, BS, IBCLC, FILCA Lactation Center Coordinator & Baby-Friendly™ Oklahoma Project Lead University of Oklahoma (OU) Health Sciences Center
Department of Obstetrics & Gynecology (OB/GYN) Nancy Bacon, MS, RD/LD, CDE
MCH Nutrition Consultant Oklahoma State Department of Health (OSDH)
Objectives
• Review Oklahoma’s breastfeeding activities • Describe development and implementation
of the Oklahoma Breastfeeding Hotline • Describe new Baby-Friendly™ Oklahoma
project
Oklahoma ranks:
• 39thfor infant mortality
• 43rdfor diabetes
• 45thin obesity
• 46thin preterm births
• 46thin teen birth rates
• 47thin smoking
• 43rdin overall health ranking
•America’s Health Rankings, 2012
Oklahoma Health
Oklahoma Breastfeeding Rates
2009 (CDC) National Oklahoma Ranking
Ever breastfed (BF) 77% 71% 38th Any breastfeeding at 6 months 47% 33% 43rd Exclusive BF at 6 months 16% 10% 45th
Excess Health Risks Associated with
Not Breastfeeding
• Excess Health Risks Associated with Not Breastfeeding
Outcome: Full Term Infant Excess Risk
SIDS 56%
Death in first year 27%
Childhood Obesity 32%
Type 2 Diabetes Mellitus 64%
Oklahoma’s Breastfeeding Legislation
• 2004: Breastfeeding in public; jury duty • 2005: Resolution to support working
breastfeeding mothers
Purpose:
• Increase the % of mothers who breastfeed their infants at 6 months of age.
Activities:
• Outline specific breastfeeding activities that will improve maternal & infant outcomes.
• Coordinate with the Special Supplemental Nutrition Program for Women, Infants, & Children (WIC) to plan and promote the annual WIC Breastfeeding
Conference.
• Provide consistent breastfeeding messages.
Breastfeeding Workgroup
• Maintain the Breastfeeding Website http://bis.health.ok.gov
• Support the Oklahoma Breastfeeding Hotline –1-877-271-MILK (6455)
• Support the Oklahoma Hospital Breastfeeding Education Project
• Increase the number of Baby-Friendly™ hospitals in Oklahoma
Breastfeeding Workgroup
Providing Optimal Care for
Breastfeeding Initiation
Curriculum for
Curriculum for Hospital Hospital and Community and Community--based based
Health Care Providers Health Care Providers Continuing Education Continuing Education
Program Program
Oklahoma Breastfeeding Hotline
Jointly supported by:• Maternal and Child Health Title V Block Grant
• OU Medical Center
• OU Health Sciences Center OB/GYN Department
Pre-Conception
• OU Medical Center Lactation Centerprovided 24/7 telephone support for breastfeeding families delivering at OU
–405-271-MILK
–Had received calls from across Oklahoma and even other states
–International Board Certified Lactation Consultant (IBCLC) staff stressed to provide inpatient care and telephone support
Conception
• Interested parties:–OSDH Maternal and Child Health
–OSDH/WIC
–Oklahoma Health Care Authority
(OHCA - the state’s Medicaid Agency)
–OU Medical Center (OUMC)
–OU Health Sciences Center (OUHSC)
Birth Plan
• IBCLC phone services available 24/7• Available to any breastfeeding mother or family member
• Available to any healthcare provider
• Referral source for and to WIC Breastfeeding Peer Counselors, La Leche League (LLL) leaders, other mother-to-mother support groups
• Referral source for closest available outpatient lactation services
Labor
• Initial funding:–OSDH/MCH = $12,000
–OSDH/WIC = $25,000
• Other funding requested
• Signed contract received by OUHSC OB/GYN Department 9-08
Labor
• Resource books purchased for IBCLC use when on
call
• Toll-Free Number reserved 9-24-08
• Toll-Free Number purchased and “activated”
10-24-08
• Number transferred to OUHSC vendor
Birth
• Hotline answered during business hours by IBCLCs on duty at OUMC/OUHSC
• Administrative costs absorbed temporarily • Initial marketing costs handled by WIC • Additional Marketing:
- Conference presentations/displays - Prenatal classes
- Websites and news releases
- Oklahoma Resource Directory and Hotline Flyer - Television & radio spots
Early Postpartum
• During business hours M-F, hotline answered or paged IBCLC directly
• After hours and weekends, callers could leave a message or page IBCLC directly • Non-urgent messages returned the next
morning during business hours
Covering Costs of Care
• As volume increased:–Need to pay for cost of IBCLC who is NOT seeing patients
–Need to cover administrative costs
–Need training/updates for IBCLC staff
–Need electronic documentation
Covering Costs
• Maternal and Child Health exploredadditional funding sources for hotline • Explored options for electronic
documentation to save costs
• Minimized administrative overhead
Continued Growth and Development
• Hotline Coordinator oversees:
–Scheduling
–Online database
–Timesheets
–Quarterly/annual reports
• OB Department Lactation Manager oversees:
–Contract
–Personnel management
–Reporting requirements
Current Status
• Core team of IBCLCs who each take 24 hour call days
–Use their personal mobile phones
• Calls answered by return call from IBCLC
–Non-urgent calls returned during business hours
–Urgent calls returned within 1 hour
Documentation Required
• Each phone call:–Date of call
–Age of mother and baby
–Ethnicity of caller
–Reason for call, time of call
–Referrals made
• Quarterly and annual reports to submit
–Include data on calls
–Most common concerns of callers
Statistics/Data
• 2011-2012: 3,100 total calls–45% urgent
–55% non-urgent
• Time of day of calls (July-Sept. 2012)
–60%: business hours ( 8am – 4pm)
–36%: evening hours ( 4pm – 12am)
– 4%: middle of night (12am – 8am)
Statistics/Data
• Maternal status –64%: Primiparous –36%: Multiparous • Maternal ethnicity –61%: Caucasian – 7%: Latina – 6%: Black– 3%: American Indian or Asian –23%: Other/declined
Births By Ethnicity
(Kaiser Family State Health Facts 2010)
OK (%) US (%) White 64.0 54.1 Black 9.0 14.7 American Indian 11.3 1.0 Asian 2.4 5.9 Hispanic 13.0 23.6
Statistics/Data
• Contact rate–77% spoke with caller
–21% left message
– 2% no contact
• Age of baby when calling
–57% are birth-5 weeks
–39% are 6 weeks – 12 months
– 4% are >12 months ☺
Statistics/Data
• Most common reasons for calling–19%: Milk production
–16%: Infant issues
–14%: Medications
–9-10% each: Breast, pump, latch issues
• Most common referrals
–41%: Outpatient lactation services
–35%: Health care provider
Challenges/Opportunities
• Blocked calls• Staff training/orientation • Text messages/email • Video/Skype calls? • Caller satisfaction survey
• Outreach among minority populations
Oklahoma Hospital Breastfeeding
Education Project
• 42 birthing hospitals participating • Offer Making Breastfeeding Easier classes
–Statewide, 7.5 contact hours
• Sponsor Breastfeeding Continuing
Education Program (BCEP) –5-50 books/hospital
Goals:
• Improve exclusive breastfeeding rates at hospital discharge
• Improve duration rates
• Reduce Oklahoma infant mortality and child/adult obesity rates
• Two main components:
–Ten Steps to Successful Breastfeeding –No marketing of breastmilk substitutes in
the hospital
Baby-Friendly™ hospitals do not accept or distribute free or low-cost supplies of breastmilk substitutes, nipples or pacifiers.
Baby-Friendly™ Hospital = Optimal Breastfeeding Care
Baby-Friendly™ Environments
Reduce Disparities
• All babies should have skin to skin contact• All babies should stay with moms
• All moms deserve educated staff
• All moms deserve commercial-free hospital care
Hospitals Encourage Breastfeeding by
Not Giving Formula Bags
AREA Number of Birthing Hospitals Bag-Free by 2012
Oklahoma City Metro Area 11 Tulsa Metro Area 3 Other Areas of State 9
These 23 hospitals deliver more than half of the babies born in Oklahoma!
Baby-Friendly™ Oklahoma
• Received line item funding in July 2012 • Recruiting 10 pilot hospitals, Sept. 2012 • Host Baby-Friendly™ Oklahoma Summit
–All birthing hospitals invited to send team
–March 1, 2013
• Continue to recruit 10 hospitals/year • Shepherd through Baby-Friendly™ process • Stipends and portion of Baby-Friendly™ USA
fees paid
Baby-Friendly™ Oklahoma
Partners
Year One - Recruit first group of 10 hospitals Hospitals will:
– Sign a commitment letter to implement 4 of the 10 Steps in 1styear
– Participate in kickoff conference call/webinar
– Complete Baby-Friendly™ USA Discovery phase (1st2 months)
•Register, CEO support letter, self-assessment
– Begin Baby-Friendly™ USA Development phase
•Policy, staff training, patient education
Baby-Friendly™ Oklahoma provides: – Website Resources
– Model Policy
– Baby-Friendly™ Curriculum (15 nursing contact hours)
– Regional Train the trainer skills labs (verify competency)
– Regularly scheduled conference calls for hospital teams
Baby-Friendly™ Oklahoma
• Partnering with Oklahoma Blood Institute (OBI)
–Statewide OBI locations
–Existing courier system for pickup and delivery
–Quality donor screening
–Parallel statewide missions!
Additional Statewide Breastfeeding Activities
For more information:
www.okmilkbank.org
http://www.facebook.com/okmilkbank
Future donor
Special thank you to Mothers’ Milk Bank of North
Texas for all their support!
Questions?
Rebecca Mannel, BS, IBCLC, FILCA,
Lactation Center Coordinator
Baby-Friendly™ Oklahoma Project Lead Ph: (405) 271-4350
Email: [email protected]
Nancy Bacon, MS, RD/LD, CDE
MCH Nutrition Consultant Ph: (405) 271-4480
Not breastfeeding increases health risks.
The medical evidence shows that breastfeeding lowers the baby’s risk of infections, diarrhea, SIDS, obesity, diabetes, asthma, and childhood leukemia, and lowers the mother’s risk of breast and ovarian cancers and diabetes.1 A 2009 study of nearly 140,000 women found that women who breastfed for at least one year were 10-15% less likely to have high blood pressure, diabetes, high cholesterol, and cardiovascular disease compared to mothers who never breastfed. Benefits were seen in women who breastfed for a minimum duration of 6 months, but the longer a woman breastfed, the better.2
Cardiovascular disease is the No. 1 cause of death for women in the U.S.
Doctors recommend 1-2 years of breastfeeding, but mothers need more support.
All major medical authorities recommend that babies get no other food or drink other than human milk for their first 6 months and continue to breastfeed for at least the first 1-2 years of life.3456 Authorities include the AAP, ACOG, AAFP, WHO, CDC, DHHS, and USDA. However, only 12% of U.S. mothers are exclusively breastfeeding at 6 months, and only 21% are still breastfeeding at 1 year.7 The CDC and FDA recently found that 60% of women do not even meet their own breastfeeding goals.
The U.S. loses billions when breastfeeding fails.
LOST: At least $13 billion/year in the U.S.8 for premature deaths and other costs of diseases and conditions caused when infants are not breastfed. Runaway health care costs are due, in part, to the many diseases and conditions that are preventable or reduced in severity by breastfeeding. Approximately 10% of the Healthy People 2010 health objectives for the nation would be met or improved if breastfeeding were adequately supported.
Policy Gap: Inadequate federal leadership and coordination.
Research studies have shown that hospital practices, workplace policies, and state legislation powerfully influence the success of breastfeeding mothers,9 but there is no central government leadership to encourage the implementation of improved practices. As a result, breastfeeding is more difficult than it should be. U.S. government publications have repeatedly called for better policy support for breastfeeding as a cost-effective disease prevention measure.10
NEEDED: Fund breastfeeding support in implementation of health care reform.
Include breastfeeding education and support in the activities of new interagency working
groups created by the PPACA.
Interagency Working Group on Health Care Quality
National Prevention, Health Promotion and Public Health Council HHS Coordinating Committee on Women’s Health
Include breastfeeding support in all preventive services.
As Senator Kennedy said, “The best way to treat a disease is to prevent it from ever striking.”11 Breastfeeding support services should be included as a key component in all preventive services, including Medicaid coverage for professional health care providers, services provided by community healthExcess Health Risks Associated
with Not Breastfeeding
Outcome: full-term infants Excess risk
Acute ear infection13 100% Diarrhea and vomiting13 178% Hospitalization for lower
resp. disease in first year13
257% Childhood obesity13 32% Type 2 diabetes mellitus13 64%
SIDS13 56% Death in the first year14 27%
Outcome: mothers Excess risk
Breast cancer13 4% Ovarian cancer13 27%
illnesses in infants. More than $13 billion per year could be saved by strengthening
government leadership and policy infrastructure to support breastfeeding.
References and Notes
1
Ip S, Chung M, Raman G, Chew P, Magula N, DeVine D, Trikalinos T, Lau J. Breastfeeding and Maternal and Infant Health
Outcomes in Developed Countries. Rockville, MD: Agency for Healthcare Research and Quality; 2007. Evidence Report/Technology
Assessment No. 153. 2
Schwarz EB, Ray RM, Stuebe AM, Allison MA, Ness RB, Freiberg MS, Cauley JA. Duration of lactation and risk factors for maternal cardiovascular disease. Obstet Gynecol. 2009;113(5):974-982.
3
American College of Obstetricians and Gynecologists Committee on Health Care for Underserved Women and Committee on Obstetric Practice. Special report from ACOG: breastfeeding: maternal and infant aspects. ACOG Clin Rev. 2007;12(1)(suppl):1S-16S.
4
American Academy of Family Physicians. Family Physicians Supporting Breastfeeding (position paper). http://www.aafp.org/online/en/home/policy/policies/b/breastfeedingpositionpaper.html. Accessed May 31, 2009. 5
American Academy of Pediatrics Section on Breastfeeding. Breastfeeding and the use of human milk (policy statement). Pediatrics. 2005;115(2):496-506.
6
World Health Organization/UNICEF. Global Strategy for Infant and Young Child Feeding. Geneva, Switzerland: World Health Organization; 2003.
7
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Breastfeeding: Data and Statistics: National Immunization Survey (NIS). http://www.cdc.gov/breastfeeding/data/NIS_data/index.htm. Accessed May 31, 2009. 8
Bartick M, Reinhold A. The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics. 2010;125(5):e1048-e1056.
9
Shealy K, Li R, Benton-Davis S, Grummer-Strawn LM. The CDC Guide to Breastfeeding Interventions. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2005.
10
U.S. Department of Health and Human Services. HHS Blueprint for Action on Breastfeeding. Washington, D.C.: U.S. Department of Health and Human Services, Office on Women's Health; 2000.
11
Kennedy EM. Health bill would fix what's broken. Op ed. Boston Globe. May 28, 2009:A15. 12
Breastfeeding-related maternity practices at hospitals and birth centers--United States 2007. MMWR Morb Mortal Wkly Rep. 2008;57(23):621-625.
13
U.S. Department of Health and Human Services. The Surgeon General’s Call to Action to Support Breastfeeding. Washington, DC: U.S. Department of Health and Human Services, Office of the Surgeon General; 2011.
14
Chen A, Rogan WJ. Breastfeeding and the risk of postneonatal death in the United States. Pediatrics. 2004;113(5):e435-e439.
6/1/2009 BoD 7/15/2011 SGCTA
O K L A H O M A F A C T S
V
O
LU
ME 2
Duration and Exclusivity of Breastfeeding in Oklahoma
Breastfeeding, specifically exclusive breastfeeding, is known to provide imme-diate benefits to infants and mothers and long-term protection from chronic health problems that lead to morbidity and mor-tality. Infants with a family history of dia-betes, who have been breastfed exclu-sively for at least four months, have a decreased risk of developing Type 1 Diabetes, and a decreased risk of devel-oping asthma and eczema. The Ameri-can Academy of Pediatrics (AAP) and the World Health Organization (WHO) recommend exclusive breastfeeding for approximately the first six months of life.1 Oklahoma Pregnancy Risk Assessment Monitoring System (PRAMS) data in this Brief will focus only on mothers who initi-ated breastfeeding. Because new moth-ers are surveyed between 2-6 months postpartum, the longest duration that can be reasonably measured is nine weeks. Figure 1 highlights the initiation and du-ration (at eight or more weeks) rates from 2004-2010. Although largely stable there does appear to be a slight upward trend in both initiation and duration at
76.1% of new mothers
initi-ated breastfeeding in
2009-2010.
More than half of breastfed
infants in 2009-2010 were
breastfed less than eight
weeks (55.0%).
72.0% of mothers who
breastfed for less than eight
weeks utilized Medicaid/
SoonerCare for prenatal or
delivery care.
Almost 1/3 of breastfeeding
mothers stopped exclusively
breastfeeding their infants in
the first week.
Half of infants in Oklahoma
were exclusively breastfed
less than 3.8 weeks.
32.8% of infants were
exclu-sively breastfed for 9 or
more weeks.
The three most commonly
given reasons for stopping
breastfeeding (and mothers
could select more than one)
were:
Not enough milk (51.0%)
eight or more weeks after 2007.
Changes in the survey occurred between 2008 and 2009, including minor changes to the initiation of breastfeeding question. Therefore, the remaining analysis will discuss only the 2009-2010 period, for continuity.
Data show 76.1% of new mothers initi-ated breastfeeding in 2009-2010. The Healthy People 2020 goal for breastfeed-ing initiation is 81.9%. Initiation and du-ration rates (to eight weeks or more) are available by maternal race in Figure 2. None of the identified groups met the Healthy People 2020 initiation goal. Although initiation rates from 2009-2010 were high, the majority of infants who were breastfed were not breastfed to at least eight weeks (55.0%). Among those mothers who breastfed less than eight weeks:
61.2% were 20-29 years old 25.3% had less than a high school education
12.8% were American Indian 29.4% were obese (Body Mass
In-Augus
74.5 73.3 75.7 74.2 79.0 77.6 74.6 40 50 60 70 80 90 e rcen tFigure 1: Trends in Breastfeeding Initiation and Duration
of Eight Weeks or More, Oklahoma
PRAMS 2004-2010
A C K N O W L E D G E M E N T S
Special Assistance for this piece was provided by Nancy Bacon, MS, RD/LD; Binitha Kunnel, MS; Alicia Lincoln, MSW, MSPH; and Rebecca Mannel, BS, IBCLC (OU Health Science Center). Funding for PRAMS is provided by the Centers for Disease Control and Preven-tion (CDC) and the Maternal and Child Health Bureau, Department of Health and Human Services, Maternal and Child Health Services (MCH) Title V Block Grant..
PRAMS is a population-based surveil-lance system about maternal behaviors and experiences before, during, and after pregnancy. Approximately 250 mothers are selected to participate in Oklahoma each month. Mothers are sent as many as three mail question-naires seeking their participation with follow-up phone interviews for non-respondents. Information included in the birth registry is used to develop analysis weights that adjust for probability of selection and non-response. Prevalence rates were calculated and the potential risk factors were identified using the Cochran-Mantel-Haenszel Chi-Square (χ2) Test. The sample size for
2009-2010 was 5,937 with a response rate of 68.7%.
The Oklahoma State Department of Health (OSDH) is an Equal Opportunity Employer. This publication was issued by the OSDH, as authorized by Terry Cline, PhD, Commissioner. 1,800 cop-ies were printed by OSDH in August 2012 at a cost of $522. This publication is available for download at <http:// www.health.ok.gov>.
dex (BMI) of 30.0 or above)
72.0% utilized Medicaid/SoonerCare for prenatal or delivery care
29.8% had a household income of less than $10,000 per year 53.3% were unmarried
18.6% reported symptoms of post-partum depression
69.6% had WIC during their preg-nancy
63.8% lived in rural areas 7.2% did not have a well baby checkup within one week postpar-tum
14.5% did not receive counseling or advice from their prenatal care pro-vider on breastfeeding
Because AAP and WHO recommend exclusive breastfeeding for at least 6 months, PRAMS data also were re-viewed to look at duration and exclusivity to identify characteristics associated with exclusive breastfeeding.
The median duration for exclusive breastfeeding (defined as feeding the infant only breastmilk, no other liquids including water, formula, juice, etc.) was 3.8 weeks.
One-third of infants were breastfed ex-clusively for less than 7 days (33.1%, See Figure 3). However, 32.8% were exclusively breastfed for nine weeks or more (the longest duration PRAMS can measure due to sampling methods). The most common reasons given for stopping breastfeeding among all moth-ers who attempted breastfeeding were (and mothers could choose more than one):
Didn’t have enough milk (51.0%) Baby had difficulty latching (27.3%) Mother went back to work or school (17.9%)
It was too painful (14.1%) It was too time consuming (9.7%) Eighteen percent of women wrote in comments about why they stopped breastfeeding; these included the infant’s health status, other children in the household, the mother’s health status, and personal preference, among others. Reference:
1. American Academy of Pediatrics. Breastfeeding and the Use of Human 33.1 12.6 21.5 32.8 10 15 20 25 30 35 Pe rc e n t
Figure 3: Length in Weeks of Exclusive Breastfeeding Duration, Oklahoma PRAMS 2009-2010 47.6 37.3 24.5 0 10 20 30 40 50 60
White Black American Indian
Pe rc e n t Maternal Race Breastfed ≥ 8 weeks
Breastfeeding is Going Well When:*
• Your baby nurses 8 or more times in a 24-hour period (about every 2 to 3 hours)
• Your baby has at least 3 wet diapers a day during the first few days and at least 6 wet diapers a day by the end of the first week
• Your baby has 3 or more yellow, loose bowel movements a day by the end of the first week
• You can see your baby sucking and hear swallowing while nursing • Your full breasts are softer after the baby nurses
• Your baby seems satisfied after nursing
Breastfeeding Benefits for Your Baby:
• Provides the best nutrition for your baby
• Contains the best nutrients that your baby needs for the first 6 months of life** • Protects against illnesses such as ear and respiratory infections
• Decreases allergies
• Creates a special bond between you and your baby • Supports brain development
• Lowers risks of obesity and diabetes
* These guidelines are for healthy term babies. For those with special needs or specific questions, please contact your healthcare provider or call the Oklahoma Breastfeeding Hotline at 1-877-271-MILK (6455).
**The American Academy of Pediatrics recommends that all babies receive 400 IU of Vitamin D each day starting at birth. After six months of age, your baby may have a need for fluoride. To check the fluoride level in your community’s water, view My Water’s Fluoride at http://apps.cc.cdc.gov/MWF/Index.asp. Talk to your healthcare provider about the need for a vitamin D or flouride supplement.
• Early and frequent breastfeeding will allow your milk supply to increase to meet your baby’s needs • Do not give your baby water or formula unless directed by your healthcare provider
• Breastfeeding can take some work and practice to get you and your baby used to each other, so give it some time
Breastfeeding Benefits for You
• Convenient • Breastmilk is free
• Always readily available to feed your baby • Helps you lose your pregnancy weight faster • Helps your uterus return to its normal size faster • Lowers your risk of breast and ovarian cancer • May lower your risk of heart disease
Help is Available
• Your baby should be seen by a breastfeeding educated healthcare provider 2 to 5 days after discharge and again at 2 to 3 weeks of age
• Your baby’s healthcare provider and your lactation consultant can provide help and support during your breastfeeding experience
• Mothers and healthcare providers with breastfeeding questions can call the toll-free Oklahoma Breastfeeding Hotline at 1-877-271-MILK (6455)
• For help and support, please call your local WIC Clinic or 1-888-655-2942
• For more information, visit the Oklahoma State Department of Health Breastfeeding Information and Support Website: http://bis.health.ok.gov
Preparing for a Lifetime, It’s Everyone’s Responsibility
http://iio.health.ok.gov
Maternal and Child Health Service - Oklahoma State Department of Health
STOP BY, CALL OR VISIT OUR WEBSITE
•
7 days a week, 24 hours a day
•
Staffed by International Board Certified Lactation Consultants
(IBCLCs) - OU Medicine Lactation Team
•
Supported by Oklahoma State Department of Health (OSDH)
Maternal and Child Health (MCH) Service, OU Medical Center, and
OU Health Sciences Center OB/GYN Department
Callers may leave a message for a return call that day.
For urgent issues, the IBCLC on call may be paged.
Accurate, up-to-date information for common breastfeeding issues:
•
Not making enough milk
•
Baby refusing to nurse
•
Breast or nipple pain
•
Medications and breastfeeding
•
Working and breastfeeding
•
Breast pumps
•
Breastfeeding in public
•
Weaning
Referrals to:
•
Women, Infants, and Children (WIC) Programs
•
Outpatient lactation services available in Oklahoma
•
La Leche League breastfeeding support groups
•
Breast pump rental locations
•
Milk banks for mothers’ milk donations
* Please note that the hotline cannot provide a medical diagnosis. All
We are pleased to provide the
Oklahoma Breastfeeding Hotline.
The hotline is available
free of charge
to
nursing mothers, their families and partners, as
well as expecting parents and health care
providers in need of breastfeeding support and
Purpose
•
Provide Oklahoma Birthing hospitals support to work toward Baby-Friendly™
Hospital designation
•
Offer a statewide Baby-Friendly™
Hospital Summit to educate maternity care leaders and
promote steps toward the Baby-Friendly™ designation
March 1, 2013 – Baby-Friendly
™Oklahoma Summit – 1 day conference for all Oklahoma birthing
facilities
Location:
OU Health Sciences Center
Samis Education Center
1200 N. Phillips, Oklahoma City (same entrance as Children’s Hospital)
Time:
0800-1600
•
Conference free of charge•
Hospitals invited to send a leadership team (of at least 3) to learn ways to implement the Ten Steps to Successful Breastfeeding•
$250.00 travel reimbursement provided to teams attending the March 1st Summit•
Agenda to follow•
Presentations by nationally known Baby-Friendly™ experts, including the Executive Director of Baby-Friendly™ USAGoals
•
Improve exclusive breastfeeding rates at hospital discharge
•
Improve duration rates
•
Reduce Oklahoma infant mortality rates
Contact
Becky Mannel, BS, IBCLC, FILCA Anne Merewood, MPH, PhD, IBCLC
Baby-Friendly™ Oklahoma Project Lead Baby-Friendly™ Oklahoma Project Consultant OUHSC Department of OB/GYN Associate Professor of Pediatrics
405-271-4350 office Boston University School of Medicine
Oklahoma Hospital Breastfeeding Education Project
