Literature Search: 79 Articles on Breast Milk and/or Breastfeeding Published Recently. Here are a few from a wide variety of professional journals in the last few years. Deanne Francis, RN, IBCLC, LCCE Brodribb, W, Barriers to translating evidence-based breastfeeding information into practice. Acta Paediatrica 2011; 100, 486-490. ISSN 0803-5253. Abstract: Strong evidence that using breastmilk substitutes disadvantages the infant, mother and community as a whole. There is also increasing evidence regarding the lactation process, breastfeeding inhibitors and enablers, and breastfeeding management options. However, there appears to be a gap between this evidence base and practice with breastfeeding rates being unacceptably low, especially following hospital discharge. This paper discusses barriers to the implementation of breastfeeding best practice using a framework of the research-to-practice pipeline: acceptance, applicable, available and able, acted upon, agreed to and adhered to. As blocks or restrictions to the flow of information or evidence may occur at any point along the pathway, researchers designing interventions to increase breastfeeding rates need to consider using multi-strategy interventions and target collaborative care across professions. Flacking, R, Uwe, E, Wallin, L. Positive effect of kangaroo mother care on long-term breastfeeding in very preterm infants. JOGNN 2011; Vol 40 (2), 191-197. Maia, C, Railson, B, Roncalli, A, Maranhao, H Length of stay in a neonatal intensive care unit and its association with low rates of exclusive breastfeeding in very low birth weight infants. J. Maternal-Fetal-and Neonatal Medicine 2011; 24(6), 774-777. Medeiros, A, et.al. Characterization of the transition technique from enteral tube feeding to breastfeeding in preterm newborns. J Soc Bras Fonoaudiol.2011; 23(1),57-65. Mellin, P, Poplawski, D, Gole, A. Impact of a formal breastfeeding education program. MCN. 2011;36(2), 82-90. Clinical Implications: this study shgows how an educational program and adherence to protocols can increase exclusive breastfeeding as well as improve healthcare provider knowledge, comfort level, and attitudes about breastfeeding. Our interventions also resulted in an increase in nurse observation of breastfeeding, nighttime breastfeeding and a decrease in the use of formula supplementation at night. This study suggests that positive changes can be made with an educational program and protocols. Mohrbacher, N,: The Magic Number and Long-Term Milk Production. 2011 Clinical Lactation. (2) 1. 15-18. Ogbuanu, C, et. al. Balancing work and family: effect of employment characteristics on breastfeeding.J Hum Lact2011;27(3) 225-238. http://jhl.sagepub.com/content/27/3/225 1 Pannu, PK, Giglia, RC, Binns CW, Scott, JA, Oddy,WH, The effectiveness of health promotion materials and activities on breastfeeding outcomes. Acta Paediatrica 2011;100,534-537. Results: The results showed that mothers who received an individual consultation or were involved in a discussion on breastfeeding antenatally with hospital staff were approximately 55% less likely to cease fully breastfeeding before 6 months, and 50% less likely to cease any breastfeeding before 12 months postnatally. In the postnatal period,l mothers who received instruction on positioning and attachment of the infant to the breast while in hospital were approximately 30% less likely to cease fully breastfeeding before 6 months. Pineda, R, Predictors of breastfeeding and breastmilk feeding among very low birth weight infants. Breastfeeding Medicine 2011; 6(1), 15-19. Conclusions: Infant factors, such as birth weight and gestational age, were not associated with breastfeeding behaviors. Mothers can succeed with breastfeeding the premature infant. By understanding what maternal groups are at risk for breastfeeding failure, targeted interventions in the NICU can be implemented. Queenan, J. Academy of Breastfeeding Medicine Founder’s Lecture 2010. Breastfeeding: An obstetrician’s view. Breastfeeding Medicine 2011;6(1) 7-14. DOI:101089/bfm.2010.0103 Copy of article provided. Rosenberg, K.D., Stull,J.D., Adler,M.R., Kasehagen, L.J., & Krivelli-Kovach, A. Impact of hospital policies on breastfeeding outcomes. Jnl Breastfeeding Medicine. 2008. 3(2) 110-116. Conclusions: “…Hospitals with comprehensive breastfeeding policies are likely to have better breastfeeding support services and better breastfeeding outcomes…” Sakha, K., & Behbahan, A.G. Training for perfect breastfeeding or metoclopramide: which one can promote lactation in nursing mothers. 2008. (3)2. 120-123. Conclusions: “Counseling nursing mothers for proper lactation before delivery and their continued training thereafter are the main clinical pathways toward a successful and sustained breastfeeding.” Viggiani,R., & Hitt, E. Helping you and your patients take advantage of new healthcare reform provisions. http://www.medscape.org/viewarticle/747278_print NHeLP applauds new HHS guidelines for enhancing availability of women’s preventive health services. http://healthjusticenetwork.wordpress.com/2011/08/05/nhelp-applauds-new-hhsguidelines HealthCare.gov Posted Aug 1, 2011 Affordable Care Act Rules on Expanding Access to Preventive Services for Women. http://www.healthcare.gov/news/factsheets/womensprevention0801201 2 Weddig, J, Baker, S, Auld, G, Perspectives of hospital-based nurses on breastfeeding initiation best practices. JOGNN 2011;40(2), 166-178. Conclusions: A significant disparity between nurses’ intention to support breastfeeding and their knowledge suggests a need for education based on the World Health Organization Baby Friendly standards for nurses at non-BF/BFI hospitals. A significant barrier to supporting breastfeeding is lack of hospital policy and inappropriate or outdated policy. CRITICAL TEXTS FOR PHYSICIANS AND NURSES WHO SUPPORT MOTHER/BABY DYADS #1 Lawrence, R., & Lawrence, R. Breastfeeding: A Guide for the Medical Profession. 7th Edition.2011 Elsevier/Mosby. Full Text Available Online. #1 Journal: Breastfeeding Medicine. Subscribe www.liebertpub.com/bfm #2 Hale, T. Medications and Mother’s Milk. 14th Ed. 2010 Hale Publishing. #3 Walker, M. Breastfeeding Management for the Clinician. 2006 Jones and Bartlett. #4 West, D., & Marasco, L. The Breastfeeding Mother’s Guide to Making More Milk. 2009. McGraw Hill. #5 Mohrbacher, N. & Kendall-Tackett, K., Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers. 2005. New Harbinger Publications. #6 ACOG/AAP Breastfeeding Handbook for Physicians. 2006. AAP/ACOG. Subjects covered in Jnl Breastfeeding Medicine. 2010 (5) 5. Second Annual Summit on Breastfeeding: First Food: The Essential Role of Breastfeeding. AGENCY EFFORTS AND LEADERSHIP Legislation is a Powerful Tool The Road to Changing Breastfeeding Legislation The Healthiest State in the Nation: Vermont Embraces Breastfeeding Economics of Healthcare Financing: Implications for Breastfeeding At the Tipping Point: A Strength-Based Collaborative Approach Prevention: The Foundation of Public Health Early Childhood Breastfeeding: “Solving the Problem of Childhood Obesity within a Generation,” an excerpt from the White House Task Force on Childhood Obesity Report to the President, may 2010. CDC Efforts and leadership on Breastfeeding Call to Action on Breastfeeding: Public Comments Making Breastfeeding the Norm in New York City Engaging the Community in Post-Hospitalization Inner-City Breastfeeding Support Community Engagement and Dissemination of Effective Breastfeeding Programs State Coalitions: The Power of Proximity American Indians and Alaska Natives: Breastfeeding Disparities and Resources Black Mothers’ Breastfeeding Club: Community Outreach and Active Support TOXIC ENVIRONMENT Environmental Toxins: Physical, Social, and Emotional Exploring the Impact of Intimate Partner Violence on Breastfeeding Initiation: Does it Matter? IN COMPANIES LARGE AND SMALL 3 Defining a New Infant Feeding Paradigm and Refocusing Research to Increase Employer Promotion of Breastfeeding The Business Case for Breastfeeding The Impact of Maternity Leave on Breastfeeding Rates ROLES AND RESPONSIBILITIES OF THE HEALTH PROFESSIONS The Pediatrician Supports Breastfeeding Breastfeeding is a Physician’s Responsibility The State Maternal and Child Health/Title V Agencies Support Breastfeeding: Surveillance and Programs HOSPITALS PLAY A CRITICAL ROLE The Economic Ramifications of Improving Maternity Practices The Baby-Friendly Hospital Initiative (BFHI) The Ten Steps: Ten Keys to Breastfeeding Success Exclusive Breastmilk Feeding in Maternity Care Facilities: The United States Breastfeeding Committee Toolkit The Joint Commission’s Perinatal Care Measure Set Overview Breastfeeding Promotion and Support in the Colorado Region of Kaiser Permanente SELL IT! Sell It! Some Tips from a Marketer on Making the Business Case for Breastfeeding Strengthening Advocacy Messages to Improve Child Nutrition Healthcare Reform Boosts Breastfeeding CLOSING REMARKS The Summit Message: Paradigm Shift is Necessary First Food: Progress is Not Enough 4