Enhanced Breastfeeding Support Project Presented by Sarah Mckie Breastfeeding Specialist MW/IBCLC...
-
Upload
bilal-leston -
Category
Documents
-
view
217 -
download
0
Transcript of Enhanced Breastfeeding Support Project Presented by Sarah Mckie Breastfeeding Specialist MW/IBCLC...
Enhanced Breastfeeding
Support ProjectPresented by Sarah Mckie
Breastfeeding Specialist MW/[email protected]
Background
• LAA Target• DOH Target• Increase breastfeeding initiation, Primary
visit and 4-6 weeks.• Increase support women receive whilst
breastfeeding.• Develop peer support network
Where were we?
• 2005/06 – 66.2% initiation• Goal - 74% initiation of breastfeeding• 2005/06 – Primary Visit 47.3%• Goal - Primary Visit 59%• 2005/06 – 4-6 Week Visit 39.1%• Goal - 4-6 Week Visit 48%
STOCKPORT BREASTFEEDING SUPPORT 2007-08
• Training – mandatory for all staff in FT & PCT• All women who deliver in Stockport are given
the ‘blue card’ on discharge by MW or HV.• www.breastfeedingstockport.org.uk• Personal invite by MW or HV – preferably A/N.• Goodie bag scheme• Posters• Auditing attendance for each group• Self Health section in all libraries in Stockport
–books• Breast pump hire and sales scheme
Training – to date• Training conducted by
breastfeeding specialist midwife.
• Training: workshop 7.5 hours, workbook 5 hours, reflective practice 5 hours (UNICEF state staff need up to 18 hours training per year).
• Workbook developed and printed
• 2007: 164 Attended training• 2008: 238 Attended training• 2009: to date 139 attended
training• Obstetric and Paediatric
Doctors SHO/REG attend update, every 6 months.
• GP training x 1 surgery has received 1 hour update.
MANDATORY BREASTFEEDING TRAINING
0
50
100
150
200
250
300
350
1 2 3
2007-2009
ATTE
NDAN
CE
OTHER
PRIMARY CARE TRUST
FOUNDATION TRUST
Enhanced Breastfeeding Support• Big drop off from when the Midwives transfer
the care to the Health Visiting Team.• To address this we secured funding from
SMBC to:• Telephone • Breastfeeding helpline• Paid Peer Supporter 15 hours PW • Lactation Consultant 7.5 hours PW• Antenatal Breastfeeding Workshop• Postnatal Support Group (hospital based)• Peer Supporter Training
Enhanced Breastfeeding Support
BreastfeedingSpecialist Midwife
Lactation Consultant
Jane GravesPeer Supporter
Sue AdamsonMidwife
Lactation Consultant
Breastfeeding Helpline
0161 419 5502
1:1 telephonesupport
Peer supporterBFN
training
Breastfeeding supportClinic
Wednesday’s
www.breastfeedingstockport.org.uk
Telephone Support/Breastfeeding
Helpline
5567
116 Week
0161 419 4430
23 Day
Enhanced Breastfeeding Support
enhanced bf support
0
50
100
150
200
1 5 9 13 17 21 25 29 33 37 41 45
week
cont
acts
telephone contacts
ward/clinic/1:1
home visits
Peer Support – Groups/Training
• Unify the existing groups.• Peer support networking day – support,
recruit and retain current peer supporters.• Develop, support and co-ordinate existing
groups• Co-ordinate the development of new groups• Funding for the BFN breastfeeding helper
training• BFN breastfeeding helpers – support them
to work in the local community and volunteer work in the hospital.
What is Peer Support?
It is not a new concept!
The goal of peer support is to encourage and support pregnant women and those who are breastfeeding.
The peer supporter is a true peer of the breastfeeding mother and not a healthcare professional.
• Improve local breastfeeding rates• Raises the awareness of the benefits of
breastfeeding in the local community• Aims to improve the social acceptability of
breastfeeding within the local community• Provides an informal network of support for
local mothers both before and after the baby is born
• Improves access to easy to understand and evidence based breastfeeding information
• Embraces a partnership approach between the lay breastfeeding supporters, local primary healthcare professionals, and other local organisations that promote breastfeeding.
How do Peer Supporters Help?
Training Programmes
• La Leche League• The National Childbirth Trust• The Association of Breastfeeding Mothers• The Breastfeeding Network• The Thurrock Peer Supporter Programme.
BFN Breastfeeding Helper Training
• 15 week course ran by BFN facilitator (plus monthly supervision sessions for 6 months).
• Course content typically includes; principles of breastfeeding and ways of supporting mothers, debriefing on personal experiences, self awareness, listening skills, role boundaries and responsibilities, record keeping, child protection issues, confidentiality, working safely in others’ homes and support mechanisms.
• Within all the programmes there is a general recognition that peer supporters are there to listen to women, to validate their experiences, to facilitate and empower.
• Supporters tend to experience personal growth and a feeling of empowerment as a result of the training programme.
SHH, ANC, Wednesday’s
1-3pm
Monday’sBridgehall
Children’s CentreBaby Massage,
Monday’s10-12
Bredbury/WoodleyCC
Tuesday’s1030-1130
Offerton Clinic
Tuesday’s 10-1130Guywood CentreGuywood Lane
Romiley
Tuesday’s 1-3pmBrinnington Children’s
Centre
Wednesday’s 1130-130
Heaton Norris Health Centre
Tuesday’s 3-4pmShaw Heath Clinic
XBramhall Health
Centre
Wednesday’s 12-1pm
Cheadle Heath Clinic
XHazel Grove
CC
Friday’s 1-3pmReddish Vale
CC
Friday’s10-12
Adswood CC
Monday1-2pm
Cheadle and Gatley CC
Breastfeeding Support Group Attendance April 08 – To Date
Attendance to Breastfeeding Support Groups April 08-to date
020406080
100120140
1 3 5 7 9 11 13 15 17
month
cont
acts
brinnington
reddish
romiley
offerton
heaton norris
adswood
bridgehall
shaw heath
Hospital
cheadle heath
bredbury/woodley
bramhall
hazel grove
Series14
Hospital Breastfeeding Support Group/Clinic
0
5
10
15
20
25
30
1 4 7 10 13 16 19 22 25 28 31 34 37
week
num
ber
of c
onta
cts
women attended
first visit
needed 1:1
Has it made a difference?
• Primary Visit has increased from 47.3% to 55.6% (8.3% increase)
• At 4 weeks 39.1% to 47.1% (8% increase)
Breastfeeding Initiation and Maintenance 2005-2008
0
20
40
60
80
InitiationSHH
InitiationPCT
PrimaryVisit
4 -6weeks
When recorded
Brea
stfee
ding%
2005
2006
2007
2008
Since the Enhanced Support Project…• End of May 2008 Primary Visit 51.9% • End of Feb 2009 58.5%
• End of May 2008 4 weeks 44.4% • End of Feb 2009 50.3%
• End of Aug 2008 37.4% at 6 weeks, • End of Feb 2009 56% at 6 weeks (DOH).• Breastfeeding at 6 weeks has increased
by 18.6%
Inequalities Gap - Breastfeeding• In the more deprived areas the gap has
reduced from a gap of 24.1% to 15.4% at primary visit.
• That is from 34.4% 2005/06 to 46.6% 2008/09.
• In the more deprived areas the gap has reduced from a gap of 23.2% to 16.3% at 4 weeks.
• (26.7% bf 2005/06, year 2008/09 37.5%)
What now?• Did not achieve full LAA reward target.• Lactation Consultant – funding ends September 2009• Paid Peer Supporter – funding ends March 2010• 2nd phase of BFN Breastfeeding Helper has started• Monitoring the amount of contact with women out of
midwifery care (over 28 days old), Paediatric and GP contacts
• Developing more PS groups (Cheadle Hulme July 09)• 1st phase BFN Breastfeeding Helpers – support
groups, existing and new, and voluntary in hospital• Frenulotomy Service 2010• Children’s Centre Staff to be appropriately trained.• Developed a breastfeeding problem
checklist/treatment to be given to all GP’s, HV and MW teams
Evaluation of Project• Questionnaire• 8 month baby check - please signpost all
mothers who have breastfed (regardless of duration or exclusivity) to complete questionnaire
• And put in labelled envelope ( to go in the internal mail)
THANK YOU FOR YOUR HELP
AND CONTINUED SUPPORT