Currently, there are no national guidelines on appropriate staffing for hospital lactation, and a central goal in today’s health care climate is to provide optimal patient care while making the best use of available resources. This article describes a successful effort to improve patient care, lactation productivity, and employee satisfaction through a system of lactation rounds at Oklahoma University Medical Center (OUMC). Outcomes included more accurate data collection and distribution of resources for patient care, increased lactation service productivity, and increased employee satisfaction.
Gartner LM, Morton J., Lawrence RA, et al. Breastfeeding and the use of human milk. Pediatrics . 2005;115:496-506.
2.
American Academy of Family Physicians.Position paper: family physicians supporting breastfeeding. Available at: http://www.aafp.org/online/en/home/policy/policies/b/breastfeedingpositionpaper.html . Accessed August 6, 2010.
3.
American College of Obstetricians and Gynecologists.Breastfeeding: maternal and infant aspects. Clinical review: a special report from ACOG. Available at: www.acog.org/departments/underserved/clinicalReviewv12i1s.pdf. Accessed August 6, 2010.
4.
Shealy KR, Li R., Benton-Davis S., Grummer-Strawn LMThe CDC Guide to Breastfeeding Interventions. Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2005. Available at: http://www.cdc.gov/breastfeeding/pdf/breastfeeding_interventions.pdf. Accessed August 6, 2010.
5.
World Health Organization.The Global Strategy for Infant and Young Child Feeding. Geneva: World Health Organization; 2003.
6.
EU Project on Promotion of Breastfeeding in Europe.Protection, Promotion and Support of Breastfeeding in Europe: A Blueprint for Action. Luxembourg: European Commission, Directorate Public Health and Risk Assessment; 2004. Available at: http://ec.europa.eu/health/ph_projects/2002/promotion/fp_promotion_2002_frep_18_en.pdf. Accessed August 6, 2010.
7.
Labbok M., Taylor E.Achieving Exclusive Breastfeeding in the United States: Findings and Recommendations . Washington, DC: United States Breastfeeding Committee; 2008. Available at: http://www.usbreastfeeding.org/AboutUs/PublicationsPositionStatements/tabid/70/Default.aspx. Accessed August 6, 2010.
8.
Bonuck KA, Trombley M., Freeman K., McKee D.Randomized, controlled trial of a prenatal and postnatal lactation consultant intervention on duration and intensity of breastfeeding up to 12 months. Pediatrics. 2005;116:1413-1426.
9.
Thurman SE, Allen PJIntegrating lactation consultants into primary health care services: are lactation consultants affecting breastfeeding success? Pediatr Nurs . 2008;34(5):419-425.
10.
DiGirolamo AM, Grummer-Strawn LM, Fein SBEffect of maternity-care practices on breastfeeding. Pediatrics. 2008 ;122 Suppl 2: S43-S49.
11.
United States Breastfeeding Committee.Implementing the Joint Commission Perinatal Care Core Measure on Exclusive Breast Milk Feeding. Washington, DC: United States Breastfeeding Committee; 2010. Available at: http://www.usbreastfeeding.org/AboutUs/PublicationsPositionStatements/tabid/70/Default.aspx . Accessed August 6, 2010.
12.
Centers for Disease Control and Prevention.Breastfeeding-related maternity practices at hospitals and birth centers: United States, 2007. MMWR Morb Mortal Wkly Rep. 2008;57:621-625.
13.
United States Breastfeeding Committee.Core Competencies in Breastfeeding Care for All Health Professionals. Washington, DC: United States Breastfeeding Committee ; 2009. Available at: http://www.usbreastfeeding.org/AboutUs/PublicationsPositionStatements/tabid/70/Default.aspx. Accessed August 6, 2010.
14.
Association of Women’s Health, Obstetric and Neonatal Nurses.Position statement: breastfeeding. Available at: http://www.awhonn.org/awhonn/content.do?name=02_PracticeResources%2F2C1_Breastfeeding.htm. Accessed August 6, 2010.
15.
International Board of Lactation Consultant Examiners and International Lactation Consultant Association.Clinical competencies for IBCLC practice. Available at: http://www.iblce.org/upload/downloads/ClinicalCompetencies.pdf. Accessed August 6, 2010.
16.
International Board of Lactation Consultant Examiners.Scope of practice for International Board Certified Lactation Consultants (IBCLCs). Available at: http://www.iblce.org/upload/downloads/ScopeOfPractice.pdf. Accessed August 6, 2010.
17.
International Lactation Consultant Association.Standards of practice for International Board Certified Lactation Consultants . Available at: http://www.ilca.org/files/resources/Standards-of-Practice-web.pdf . Accessed August 6, 2010.
18.
Mannel R., Mannel R.S. Staffing for hospital lactation programs: recommendations from a tertiary care teaching hospital. J Hum Lact. 2006;22:409-417.
19.
Jennings B.Patient acuity. In: Hughes R, ed. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, Maryland: Agency for Healthcare Research and Quality; 2008. AHRQ Publication no. 08-0043. Available at: http://www.ahrq.gov/qual/nurseshdbk. Accessed August 6, 2010.
20.
Castrucci BC , Hoover KL, Lim S., Maus KCA comparison of breastfeeding rates in an urban birth cohort among women delivering infants at hospitals that employ and do not employ lactation consultants. J Public Health Manag Pract. 2006;12(6):578-585.
21.
Rodriguez M., Mannel R., Frye D.Failure to Latch. Rockville, Maryland: Agency for Healthcare Research and Quality; 2008. Available at: http://webmm.ahrq.gov/case.aspx?caseID=183 . Accessed August 6, 2010.
22.
World Health Organization, United Nations International Children’s Fund and Wellstart International.Baby-Friendly hospital initiative: revised, updated and expanded for integrative care. Available at: http:// www.who.int/nutrition/publications/infantfeeding/9789241594950/en/index.html. Accessed August 6, 2010.
23.
Stark AR, Lannon CMSystems changes to prevent severe hyperbilirunemia and promote breastfeeding: pilot approaches. J Perinatol.2009;Suppl 1:S53-S57.
24.
Cernadas JM , Noceda G., Barrera L., Martinez AM, Garsd A.Maternal and perinatal factors influencing the duration of exclusive breastfeeding during the first 6 months of life . J Hum Lact. 2003;19(2):136-144.
25.
Clifford TJ , Campbell MK, Speechley KN, Gorodzinsky F.Factors influencing full breastfeeding in a Southwestern Ontario community: assessments at 1 week and at 6 months postpartum . J Hum Lact. 2006; 22(3):292-304.
26.
Chung M., Ip S., Yu W., et al. Interventions in Primary Care to Promote Breastfeeding: A Systematic Review. Rockville, Maryland: Agency for Healthcare Research and Quality;2008. Available at: http://www.ncbi.nlm .nih.gov/bookshelf/br.fcgi?book=es66. Accessed August 6, 2010.
27.
Declerq E., Labbok M., Sakala C., O’Hara M.Hospital practices and women’s likelihood of fulfilling their intention to exclusively breast-feed. Am J Public Health. 2009;99(5):929-935.
28.
Stuebe A.The risks of not breastfeeding for mothers and infants. Rev Obstet Gynecol.2009;2(4):222-231.
