Web Conference Improving Hospital Breastfeeding Practices m PINC

Web Conference Improving Hospital Breastfeeding Practices (m. PINC) March 9, 2017 https: //join. me/TNMCJoin. Me 1 Dial In: 1 -866 -906 -9330 Participant Code: 6970483#

Nebraska m. PINC Score 2013 2015 68 71 Rank 48 out of 52 49 out of 52 2017

Huskers Ranked th 49 out of 52 teams

Aim Provide evidence-based care in hospitals for breastfeeding mothers and babies

Reassessment Key Breastfeeding Practices Nebraska Dec 2016

How will we know that a change is an improvement?

Goals Consistent with m. PINC At all birthing facilities in Nebraska by ___November 2017______: 1. 90% of mothers are encouraged to hold healthy hull-term infants skin-to-skin for at least 30 minutes within an hour of birth for uncomplicated vaginal births and within 2 hours of uncomplicated cesarean deliveries 2. 90% of mothers with uncomplicated vaginal deliveries hold baby skin-to-skin while routine newborn procedures are done after birth 3. No routine separation for transition with healthy babies delivered vaginally or by cesarean 4. 90% of healthy full-term newborns (regardless of feeding method) remain with their mother more than 23 hours per day 5. Less than 10% of healthy full-term breastfed newborns are supplemented with non breast milk 6. No formula company discharge packs are given to mothers

• • • Increase skin-to-skin time after birth Stop routine separation for transition Increase time mother and baby are together Decrease supplementation Stop giving formula company discharge bags Opportunities

Improvement Actions • Assemble multidisciplinary team • Review gaps between recommended and actual practice • Prioritize which practice to work on first • Do a PDSA (plan, do, study, act) • Participate in future web conferences