SOUTH CAROLINA'S APPROACH TO THE

BABY-FRIENDLY HOSPITAL INITIATIVE

South Carolina Breastfeeding Coalition Jean Rhodes

Lin Cook

Brandi Thomas

BACKGROUND Benefits of Breastfeeding

Relationship to Obesity

National and International Efforts

Baby-Friendly Hospital Initiative

Benefits of

Breastfeeding

Reduced risk of:

• Respiratory infections

• Pneumonia

• Asthma

• Ear infections

• Gastrointestinal infections

• Allergies

• Diabetes

• SIDS

• Juvenile RA

• Childhood cancers

• Crohn’s disease

• Ulcerative colitis

• Necrotizing enterocolitis

• Obesity

Benefits to

Mother

Reduced risk of:

• Breast cancer

• Ovarian caner

• Diabetes

• Obesity

Longer interconceptual

periods

Postpartum weight loss

Oxytocin hormone

release

Decreased risk of

postpartum hemorrhage

Benefits to

Society

• Family savings

$1,200 – $1,500 in

formula expenses

• Healthier infants and

children

• Less health care

costs

• Fewer health

insurance claims

• Less employee time

off re: sick children

• Higher employee

productivity

• Less pollution due to

formula container

waste

Study by Bartick M and Reinhold A. Pediatrics, 2010, The Burden of

Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis

If 90% of families in the US breastfeed exclusively for 6 months, the US

could save $13 billion/year and 911 deaths could be prevented

Breastfeeding and Obesity

Breastfeeding and Obesity

Why are Breastfeeding and Obesity Related?

• Self-regulation – stop eating

when you are full

• Insulin levels – Higher insulin

levels seen with formula intake

stimulate more deposition of fat,

increase risk of DM2 and

obesity

• Leptin – hormone that may

inhibit appetite and control

fatness may be influenced by

breastfeeding

National Advocates for Breastfeeding

Michelle

Obama

Let’s Move!

Michelle Obama’s Let’s Move Campaign

US Department

of Health and

Human Services

The Business Case for

Breastfeeding:

Steps for Creating a

Breastfeeding Friendly

Worksite

New Heath Care Law – PPAC 2010

South Carolina Breastfeeding Coalition

75% of mothers

start out

breastfeeding

Only 13 % of babies are

exclusively Breastfed at

6 months

The Surgeon

General’s Call

to Action 2011

Health Care Actions

Baby-Friendly

Hospitals In US

Baby-Friendly Hospital

Initiative

WHO and Unicef

SC Advocates

for

Breastfeeding

SC Obesity Plan

SC Advocates

for

Breastfeeding

SC Obesity Plan

SC BREASTFEEDING

COALITION TEN STEPS

PROGRAM Purpose

Levels of Achievement and Recognition

Survey

SC

Breastfeeding

Coalition Ten

Steps Program

South Carolina Breastfeeding Coalition

The SC Ten Steps Program

The SC Breastfeeding Coalition has

developed the SC Ten Steps Program to

promote and support breastfeeding and

ultimately help improve the health of

mothers and babies in South Carolina.

The goal of the SC Ten Steps Program is

to support breastfeeding policies and

practices in hospitals and birthing centers

statewide. The SC Ten Steps Program will

help hospitals and birthing centers

progress towards Baby-Friendly Hospital

designation. The program will also help

facilities meet the newly established Joint

Commission (Accreditation of Healthcare

Organizations) perinatal care core

measure for exclusive breast milk feeding.

SC Ten Steps

Program

• Bronze Level: Achieve 6

Steps

• Silver Level: Achieve 8

Steps

• Gold Level: Achieve 10

Steps

D. Barnes, MD

BFHI Ten Steps

1. Have a written breastfeeding policy that is routinely communicated to all health care staff.

2. Train all health care staff in the skills necessary to implement this policy.

3. Inform all pregnant women about the benefits and management of breastfeeding.

4. Help mothers initiate breastfeeding within one hour of birth.

5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants.

6. Give newborn infants no food or drink other than breastmilk, unless medically indicated.

7. Practice “rooming in”-- allowing mothers and infants to remain together 24 hours a day.

8. Encourage breastfeeding on demand.

9. Give no pacifiers or artificial nipples to breastfeeding infants.

10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.

Gold (10)

Silver (8)

SC Ten Steps: Levels of Achievement

Bronze (6)

Recognition

• SC Ten Steps Program certificate

• “Breastfeeding Welcome Here” decal

• Recognition on the SC Breastfeeding

Coalition website as a SC Ten Steps

Program (with hyperlink to the facility

website)

• Recognition on the Eat Smart, Move

More…SC website as a SC Ten Steps

Program (with hyperlink to the facility

website)

Bronze

Level

(Six)

Recognition

• A SC Ten Steps Program certificate.

• A “Breastfeeding Welcome Here” decal to display on entrance doors.

• Recognition on the SC Breastfeeding Coalition website as a SC Ten Steps Program (with hyperlink to the facility website)

• Recognition on the Eat Smart, Move More…SC website as a SC Ten Steps Program (with hyperlink to the facility website)

• Media coverage at the SC Breastfeeding Coalition annual award ceremony in October

Silver

Level

(8)

Recognition

• A SC Ten Steps Program certificate.

• A “Breastfeeding Welcome Here” decal to display on entrance doors

• Recognition on the SC Breastfeeding Coalition website as a SC Ten Steps Program (with hyperlink to the facility website)

• Recognition on the Eat Smart, Move More…SC website as a SC Ten Steps Program (with hyperlink to the facility website)

• Media coverage at the SC Breastfeeding Coalition annual award ceremony in October

• A SC Ten Steps Program framed plaque.

Gold Level

(10)

Ten Steps Survey

SC Breastfeeding Coalition

Spring 2011

IMPLEMENTING

BREASTFEEDING

INITIATIVES

Self Memorial

Hospital

BFHI Ten Steps

1. Have a written breastfeeding policy that is routinely communicated to all health care staff.

2. Train all health care staff in the skills necessary to implement this policy.

3. Inform all pregnant women about the benefits and management of breastfeeding.

4. Help mothers initiate breastfeeding within one hour of birth.

5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants.

6. Give newborn infants no food or drink other than breastmilk, unless medically indicated.

7. Practice “rooming in”-- allowing mothers and infants to remain together 24 hours a day.

8. Encourage breastfeeding on demand.

9. Give no pacifiers or artificial nipples to breastfeeding infants.

10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.