BREASTFEEDING

MAUREEN HERNANDEZ
SARAH WALKER
SAMANTHA VISSER
LEAH MCLEAN
CHELSIE THIBAULT
ARIANA NEDDERMANN

PROBLEM AND BENEFITS

Health Benefits
Otitis Media
Respiratory Tract Infections
Gastrointestinal Infections
Rates
Recommendations
Healthy People 2020 Goal (23.7%)
Current Rates (16.4%)
(American Academy of Pediatrics, 2012; Centers for Disease
Control and Prevention, 2013)

PICOT QUESTIONS
In mothers with healthy infants, how does adding a postnatal home
education program, compared to the standard care, increase
breastfeeding duration over six months?
In new mothers, how does specialized breastfeeding education, as
compared to standard education, affect the rate of exclusive
breastfeeding for the first six months of the babys life?
In hospitalized postpartum mothers, does a consult with the lactation
nurse postpartum, compared to no consult with the lactation nurse,
increase the rates of breastfeeding at six months after delivery?

PICOT QUESTIONS
In overweight or obese breastfeeding mothers with newborn
infants, how does breastfeeding education and support by a
lactation consultant and peer counselor after hospital
discharge compared to standard breastfeeding information,
extend the duration of breastfeeding over one month?
In postpartum mothers, how does telephone-based support,
compared to the current standard of care, increase breast
feeding duration over 3 months (and six months)?

RECOMMENDATIONS
Implementing a breastfeeding home education program within
the first seven days postpartum .
Incorporation of a lactation consult into the protocol of child
birthing, both vaginal and cesarean section deliveries within
six hours of delivery.
Lactation consultants should partner with volunteer peer
counselors to provide continued weekly phone calls and
monthly at home or in-hospital visits for the first six months of
breastfeeding.

RECOMMENDATIONS
Hospitals and birthing centers nationwide should initiate
telephone-based call centers to support the postpartum
mother with breastfeeding support.
Bi-monthly telephone calls to breastfeeding mothers for up to
six months.
Specialized breastfeeding education which includes and is not
limited to: a specialized team (ARNP, RN, dietitian, and social
worker) to follow the infant and mother throughout hospital
stay, follow up phone calls, post partum breastfeeding followup visits, and a 24/7 hotline that mothers can call with
questions/concerns.

MAIN OUTCOME/VARIABLE
Increased breastfeeding duration
rates.
Rates of breastfeeding after six
months postpartum.

INDICATOR FOR SUCCESS

After 6 months:
(%) increase in EXCLUSIVE breastfeeding rates.
10% increase in breastfeeding rates.

Measured by:
Questionnaire before and after the education program.
Monthly telephone and/or email questionnaires to evaluate
breastfeeding duration after discharge.

QUESTIONS?