Golden Start Breastfeeding Initiative

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Golden Start Breastfeeding Initiative
Leslie Anderson RN, PHN Laura Pearson RN, PHN
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Overview

• Public Health Agencies in 9 counties and 10
  Hospitals in our region have partnered together
  to form the Golden Start Initiative
• Becker, Clay Douglas, Grant, Otter Tail, Pope,
  Stevens, Traverse, and Wilkin

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Grant Region
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Education

• This project focuses on educating healthcare
  staff, in order to provide families with current,
  correct, evidence-based information regarding
  feeding their babies
• Evergreen Perinatal
• Two 3-day courses
• Over 120 nurses trained
• One 5- day Train-the-trainer
• Ability to reach 42,000 women of childbearing age
• Clinic education

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Policies

• This project focuses on developing or enhancing
  lactation friendly policies in the clinic,
  hospital, and public health arenas by encouraging
  our partners to work towards achieving the Ten
  Steps of the Baby Friendly Hospital Initiative
  and the Breastfeeding Friendly Public Health
  Department project

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Businesses and Daycares

• This project focuses on connecting with local
  businesses in order to assist them in complying
  with state and federal statutes regarding
  lactating employees
• Business Case for Breastfeeding
• All partner counties have PHNs trained
• Will connect with businesses and daycares in
  region

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History of Golden Start

• The Golden Start Intervention, which was
  fashioned after a NICU study done by Paula Meier
  _at_ Rush University, encourages supports mothers
  to commit to at least 4 weeks of mothers milk
  for their infants

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10 Steps to Successful Breastfeeding

• Step 1. Maintain a written breastfeeding policy
  that is routinely communicated to all health care
  staff.
• Step 2. Train all health care staff in skills
  necessary to implement this policy.
• Step 3. Inform all pregnant women about the
  benefits and management of breastfeeding.
• Step 4. Help mothers initiate breastfeeding
  within one hour of birth
• Step 5. Show mothers how to breastfeed and how to
  maintain lactation, even if they are separated
  from their infants

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10 Steps - continued

• Step 6. Give infants no food or drink other than
  breastmilk unless medically indicated
• Step 7. Practice rooming-in allow mothers and
  infants to remain together twenty-four hours a
  day
• Step 8. Encourage breastfeeding on demand
• Step 9. Give no pacifiers or artificial nipples
  to breastfeeding infants
• Step 10. Foster the establishment of
  breastfeeding support groups and refer mothers to
  them on discharge from the hospital or clinic

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The Golden Start

• Rush University Study
• 10 Steps to Successful Breastfeeding
• Golden Start Initiative

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Influences on Healthcare Setting

• Hospitals
• Baby Friendly Assessment
• www.babyfriendlyusa.org
• Public Health Departments
• Breastfeeding Friendly Assessment
• Wisconsin Division of Health
• www.dhs.wisconsin.gov/health/Nutrition/Breastfeedi
  ng/departments.pdf
• Assessment posted on MBC website

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More Steps Count

• Maternity care practices implications for
  breastfeeding
• DiGirolamo AM, Grummer-Strawn LM, Fein S. Center
  for Disease Control
• Conclusion Increased Baby-Friendly Hospital
  Initiative practices improve the chances of
  breastfeeding beyond 6 months.

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Baby/Breastfeeding Friendly

• Most important steps
• Step 3. Inform all pregnant women about the
  benefits and management of breastfeeding.
• Step 4. Help mothers initiate breastfeeding
  within one hour of birth
• Step 10. Foster the establishment of
  breastfeeding support groups and refer mothers to
  them on discharge from the hospital or clinic

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Golden Start Intervention

• Prenatal intervention at first WIC appointment
• Golden Start Brochure given and discussed
• Prenatal intervention at third trimester WIC
  appointment
• Colostrum Brochure given and discussed
• Follow-up Phone Calls
• Immediate post-partum
• 10 days after first call

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Golden Start Intervention

• Originated in Otter Tail County WIC population
• Shared at PH Directors meeting
• Other counties wanted to replicate
• Grant application written to include 9 counties

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Brochures

• Golden Start Brochure
• Colostrum Brochure
• www.noodlesoup.com
• Distribution Times
• WIC appointments
• Clinic visits
• Hospitals post-partum teaching
• Post-partum PH contact

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Golden Start Focus

• Support
• Follow-up
• Connection with resources in the community
• Customized brochures for each county with contact
  phone numbers

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Evaluation

• Focus Groups
• Clinic Surveys
• Baby Friendly Hospital Initiative Assessments
• Breastfeeding Friendly Public Health Department
  Assessments
• Pre-training surveys

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Connection/Networking

• MN Breastfeeding Coalition
• SHIP Conference QI Collaborative
• Believers in BreastfeedingDouglas County
• Becker County Breastfeeding Coalition
• Fargo/Moorhead Breastfeeding Coalition

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Golden Start Initiative

• Laura Pearson, RN, PHN
• Leslie Anderson, RN, PHN
• Project Coordinators
• 218-736-8625
• 712 Cascade St. S. Fergus Falls MN 56537
• goldinit_at_lrhc.org