Second-Time Moms Appreciate Hospital Changes to Support Breastfeeding

Posted February 23, 2016 by Rachel Kremen

New Mother With Baby and DoctorWhen Nicole Acosta delivered her first child in May 2013, she knew she wanted to breastfeed.

“My mom had nursed me and all my siblings, and she always conveyed how beneficial breastfeeding is, so I had a ton of support from my family,” says Acosta.

But she didn’t get as much support as she’d expected at her hospital, Good Samaritan Medical Center in West Islip, NY. Despite an uncomplicated delivery, no one suggested immediate skin-to-skin contact—a practice known to increase the likelihood of breastfeeding success.

Acosta asked for a lactation consultant once she was on the maternity floor, but didn’t get to see one until six hours after she delivered her son. That was the first time Acosta remembers someone encouraging breastfeeding.

Fortunately, she had some success and made sure to tell the night nurse to bring her baby from the nursery once he woke to be fed—even it was in the middle of the night. But that didn’t happen.

“The next day I realized I was never woken up and I found on the feeding log that the nurses had given him formula,” says Acosta. “I was definitely disappointed!”

By the time she had her second son in June 2015, things had certainly changed at the hospital. Good Samaritan Hospital Medical Center joined the NICHQ-led New York State Breastfeeding Quality Improvement in Hospitals (NYS BQIH) Collaborative, which aims to increase exclusive breastfeeding rates by implementing evidence-based maternity care practices, such as skin-to-skin contact immediately after birth. The hospital was able to raise its skin-to-skin contact rate following vaginal births to 92 percent. That’s up from 50 percent just before the breastfeeding initiative started in October 2014.

The initiative also minimized the role of the nursery, by having each newborn stay in the same room with the mother whenever possible. It’s a practice Acosta says made breastfeeding much easier for her second baby. Acosta could see for herself when the baby was awake and ready to eat.

Jennifer Belechto, another mother-of-two, loved the rooming-in facilities she had when her second child was born.

“You never lose your baby,” she said. There’s even room for additional family members, too. “My husband was able to spend one night with me and my mom spent a night with me.”

Rita Ferretti, BS, RN, C-NIC, IBCLC, a lactation consultant at Good Samaritan, says it’s not uncommon for even second time moms to feel uncomfortable being solely responsible for the care of their baby after the delivery. It’s especially true, she says, of mother’s who are recovering from a Cesarean delivery.

“We validate the mother’s feelings and inform her that she is not on her own,” says Ferretti. “We let the mother know that the nurses are close by and checking on her and her baby frequently. We remind mom about how to call for help with her call bell for when she needs assistance.”

In addition to the changes made to immediately after delivery at the hospital, Acosta and Belechto also appreciate the help they got at the hospital’s weekly support group, The Breastfeeding Café. The drop-in group offers a chance for mothers to share their breastfeeding experiences, with a lactation consultant on-hand to answer any tricky questions.

Belechto said on-going support from a lactation consultant was essential to her breastfeeding success during both pregnancies. “One person can completely change your journey,” she says.



Learn more about NICHQ’s breastfeeding work and how you can partner with NICHQ to help your hospital to improve maternity care practices.


Share:

Add your comment

 
 

 

Archive

Tagcloud

qi collaboration engagement partnerships larc im coiin nichq nashp breastfeeding new york wic quality improvement onboarding new york state hospitals mom mother partners epilepsy data AAP early childhood eccs coiin pdsas texas community support learning session infant mortality children's health new technology engineering transgender collaborative learning planning PDSA planning paralysis underplanning analysis paralysis vision eye health smoking smoke-free housing second-hand smoke toolkit e-module infant health dental care oral health underserved populations health inequity public health Maternal and Child Health Journal tips leadership engagement Sickle cell disease indiana SCD medicaid perinatal regionalization safe sleep sudden infant death syndrome national birth defects prevention month birth defects pregnancy planning one key question prepregnancy health preconception health public breastfeeding support family engagement families patients experts insights CHOPT childhood obesity innovation food desert telemedicine TBLC breastfeeding supporting preterm birth prematurity racial disparities audiology ehdi follow-up illinois talana hughes vulnerable populations sports asthma soccer basketball obesity football SIDS Pokemon Go gamification smartphones interconception care birth spacing issue brief contraceptive use postpartum care CoIN HRSA early childhood trauma NHSA community health consumer advocacy womens health interconception health teenage health PATCH wisconsin missouri risk appropriate care community health workers SCD< infographic infant mortality awareness month inspirations childrens health national breastfeeding month maternal health patient engagement hearing loss hearing treatment pediatric vision vision screening eyesight pre-term birth early-term birth SCD clinic los angeles LOCATe CDC levels of care neonatal care maternal care smoking cessation project safe sleep practices neonatal abstinence syndrome NAS opioids maternal and child health MCH Family voices quality care mental health hydroxyurea SCDTDP men dads testing change data sharing state government city government apps sleep AJPM preconception care senior leadership breastfeeding support video series health equity health disparities access BQIH exclusive breastfeeding long-acting reversible contraception unplanned pregnancies social determinants of health health innovations Best Babies Zone CoIIN baby boxes Rhode Island progesterone rooming-in Baby-Friendly parent partner patient and family engagement healthy weight healthy lifestyles primary care telementoring ECHO video conferencing socioemotional health childhood development pediatric Tennessee interview National Coordinating and Evaluation Center medical-legal partnerships mobile app disparities perinatal care overweight obese healthy weight clinic wellness pilot sites data collection education resources paternal engagement risk-appropriate care preterm infants high-risk babies Ten Steps public relations social movement reversible contraceptives medical home pediatric medical home patient transformation facilitator PTF skin-to-skin rooming in prenatal smoking information visualization charts SUID postpartum new mother webinar AMCHP QI Tips ongoing improvement fourth trimester partnership quality and safety coaching PDSA Cycle leadership support year end holiday message reflections gratitute Medicaid data doctor relationship PQC perinatal quality collaboratives vision care vision health evidence-based guidelines ASH health and wellness healthy living healthy eating home visitors home visiting programs March of Dimes APHA results evaluation supplementation formula reduction video infant loss social media advocacy leadership Berns Best Fed Beginnings Ten Steps to Successful Breastfeeding sustainability stress prenatal care data capacity epidemiologists surveillance data PFAC community partners preconception and interconception care motivational interviewing Native Americans ADHD NICHQ Vanderbilt Assessment Scale ADHD Toolkit system design care coordination skin to skin newborn screening ASTHO reduce smoking aim statement safe birth Texas Ten Step skin-to-skin contact 10 Steps staff training small tests acute care mother-baby couplet collective impact population health preconception Newborn Screening Program substance abuse breast milk formula milk bank crisis Huffington Post fundraising campaign first responders NYC improvement healthcare health system sickle cell diease treatment protocol family health partner maternity care Collaborative Improvement and Innovation Network Health Outcomes Cross-Sector Collaboration Knowledge Sharing Child Health