4th Perinatal Hospital Leadership Summit
Strategies to Increase Exclusive Breastmilk Feeding in Hospitals
The 4th Perinatal Hospital Leadership Summit brought together more than 170 maternity center leaders from 50 Minnesota hospitals to hear about strategies to increase exclusive breastmilk feeding. The Summit was held May 19, 2016 at Earle Browne Heritage Center in Brooklyn Center.
Dr. Jesse Hennum, hospitalist physician from Allina Health, started off the morning. He discussed the physiology of human milk and how it has important biological properties that cannot be replicated by artificial milk. He also reviewed the impact of human milk on infant and maternal health, and how marketing of formula can undermine maternal confidence and lead to early weaning.
Dr. Jane Morton, pediatrician from Stanford University, presented evidence-based research on early hand expression in the first hour after birth to maximize milk production. She emphasized the importance of skin-to-skin contact during the first hour for both vaginal and cesarean section deliveries to allow early attachment and hand expression when mother’s early milk is plentiful. She recommended teaching hand expression to a mother in the first hour to help build the foundation for her milk supply.
In her afternoon session, Dr. Morton described a lactation support strategy for low-risk and high-risk mother-baby dyads. She outlined a mnemonic for a practical approach depending on risk factors of mother and baby: “ABC,” Attachment, Breastmilk production, and Calories for low-risk dyads and “CBA,” Calories, Breastmilk production, and Attachment for those who are high-risk (gestational diabetes, late preterm, etc.). For high-risk dyads, Dr. Morton encouraged early feeds using mother’s own colostrum fed to her baby via spoon. She stressed “keeping it simple” by teaching hand expression and spoon feeding, while involving the help of father/partner.
The Summit also included a panel presentation about how pasteurized human donor milk can help increase exclusive breastmilk feeding in hospitals. Dr. Nancy Fahim, neonatologist from the University of Minnesota, discussed how human donor milk use can prevent neonatal complications such as necrotizing enterocolitis. She outlined how health care costs are reduced for premature babies in the NICU when donor milk is used instead of formula. Nurse leaders and lactation consultants from North Memorial and Methodist Hospitals shared their experiences starting donor milk programs, from getting administration on board to establishing donor milk collection depots to the practical aspects of implementing a clinical donor milk program at their sites.
A donor milk toolkit has been developed to assist hospitals in the implementation of a donor milk program. It contains sample templates for patient education, policies, procedures, inventory management and other resources. The toolkit is a joint project of Minnesota Breastfeeding Coalition and Breast Milk for Babies and was introduced at the Summit. It is available on the Minnesota Breastfeeding Coalition website here.
Another panel discussion included presentations from four hospitals, with nurse and physician leaders sharing their experience with the successes and challenges of becoming Baby-Friendly certified and sustaining the changes. They described early resistance to the changes, but once staff saw the difference in outcomes and patient satisfaction they realized their efforts were worth the work.
Dr. Ed Ehlinger, Commissioner of the Minnesota Department of Health, shared how breastfeeding support advances health equity. Using Minnesota WIC and national data, Dr. Ehlinger showed how early supplementation practices vary by race and ethnicity and how the Baby-Friendly Ten Steps can reduce racial disparity in breastfeeding rates.
Overall the 4th Perinatal Hospital Leadership Summit was a wonderful day of storytelling, collaboration and inspiration about ways to increase breastmilk feeding in hospitals throughout the state of Minnesota!
Evidence-based Infant Feeding: What the research says
– Jesse Hennum, MD, FAAP, FACP, Allina Health
More Milk: Maximizing milk supply before hospital discharge
– Jane Morton, MD, FAAP, FABM, Stanford University
Panel I: Pasteurized Human Donor Milk: Practical tips for clinical care
– Nancy Fahim, MD, Neonatology, University of Minnesota
– Cathy Anderson, RN, BSN, North Memorial Medical Center
– Katherine Todd, RNC, DNP, Methodist Hospital
– Evelyn Lindholm, RNC, IBCLC and Jill Lindquist, RNS, IBCLC
Resources for Hospitals and Clinics: Toolkits and more
– Joanne Wesley, BA, IBCLC, MN Breastfeeding Coalition
MBC Hospital Survey
– Lisa Roberts, UM SPH MPH candidate
How Supporting Breastfeeding Advances Health Equity
– Commissioner Ed Ehlinger, MD, MSPH, Minnesota Department of Health
Panel II: Baby-Friendly Narratives: Stories about the journey
– Missy Lake, RN, IBCLC, Essentia Health, St. Joseph’s Medical Center
– Char Dekraker, RN, IBCLC, Fairview Northland Medical Center
– Yeng Yang, MD, FAAP, Maple Grove and North Memorial Hospitals
Thinking Outside the Box: Baby-Friendly bedside care for high and low-risk infants
Picasso and Breastfeeding
– Jane Morton, MD, FAAP, FABM, Stanford University
Visit https://hospitalleadershipsummit2016.eventbrite.com to register online.
Questions? Email firstname.lastname@example.org
- BFDG Health Equity in MN Ehlinger
- OB Providers and breastfeeding-MN
- The Business Case for Baby-Friendly- Building A Family-Centered Birthing Environment
- MN Why Exclusivity Matters and Impact of Just One Bottle
- BFHI Intro Dana Rae Barr, MD
- Essentia Duluth Baby Friendly 2015
- HealthEast_BFHI Hospital Summit May 2015
- Mercy Hospital Perinatal Summit Achieving Baby Friendly
- MBC Perinatal Summit Survey Results 2015
- MBC Licensure Update
- MBC Workplace Awardee Mercy Hospital Moose Lake
- Beginning Baby-Friendly Grant 2015
Maternity center representatives attending the 3rd Hospital Summit are eligible to apply for the MBC and March of Dimes Beginning Baby-Friendly request for proposals. See grant proposal for more details. Past recipients include Mercy Hospital, Moose Lake and St. Luke’s Hospital in Duluth.
Registration is now open for the 3rd Annual Perinatal Hospital Leadership Summit on May 15, 2015. All maternity center leadership, CEOs, CNOs, Medical Directors of Pediatrics, OB and Labor & Delivery and physicians were sent invitations from MDH Commissioner Edward Ehlinger. Please ask your hospital leadership if they have received their invitation to register.
SAVE THE DATE for the 3rd annual Minnesota Perinatal Hospital Leadership Summit. Agenda and registration information coming soon!
The 2nd annual Minnesota Perinatal Hospital Leadership Summit will bring together hospital leaders from around the state to learn about best practice mother-baby health care to support breastfeeding. Hear from experts in their field about infant and maternal benefits of breastfeeding, strategies for quality improvement in mother-baby care and evidence-based practices to reduce early elective inductions. Learning from local hospitals about their efforts to implement best practice in their institutions. Connecting and networking with other Newborn and Maternity Care leaders in Minnesota while continuing to work to improve health outcomes for mothers and babies.
- A Call to Action for Best Practice Mother‐Baby Care: The Road to Health for All Minnesotans | Edward Ehlinger, MD, MSPH
- Infant Feeding in America Don’t Break a Mother’s Heart | Eleanor Schwarz, MD, MS
- Healthy Babies are Worth the Wait Reducing Elective Induction Before 39 Weeks | Phillip Rauk, MD
- The Sacred Hour – Uninterrupted Skin to Skin Immediately After Birth | Raylene Phillips, MD
- Minnesota Maternity Center Infant Feeding Practices Survey | Juliann VanLiew, MPH Candidate, University of Minnesota
- Beyond the Sacred Hour – Supporting Exclusive Breastfeeding During Management of Hypoglycemia, Jaundice and Postpartum Challenges | Raylene Phillips, MD
Innovations for Supporting Exclusive Breastfeeding: Lessons Learned
- Donor Milk for the Term Newborn, North Memorial | Evelyn Lindholm, RN & Pattie Kasper, RN, IBCLC
- Improving Exclusive Breastfeeding Rates Across a Hospital System Allina Health System | Jesse Hennum, MD, Kris Scott, RN, IBCLC, Katie Foag, MPH
Lactation Services: Reimbursement
- Lakewood- A Rural Health Clinic Story | Stephanie Rodriguez, IBCLC, Sarah Baumgartner, RN, CLC, Nicolle Uban, BSN, PhD, CNM
- About the Lactation Program at Fairview Ridges Hospital | Jane Helgeson, RN, IBCLC
Minnesota Breastfeeding Coalition Request for Proposal: Beginning Baby-Friendly
This grant is intended to assist hospitals or birth centers in Minnesota in beginning the process towards Baby-Friendly Hospital designation. Baby-Friendly RFP
Grant Period: September 30, 2014 – September 29, 2015
Proposal due: August 16, 2014
Announcement date: September 16, 2014
Award amount: Two grants will be awarded at $2,500 each
The 2nd Perinatal Hospital Leadership Summit is now open for registration.
All maternity center leadership, CEOs, CNOs, Medical Directors of Pediatrics, Family Practice and Labor & Delivery were sent invitations from MDH Commissioner Edward Ehlinger. Please ask your hospital leadership to see if they have received their invitations to register.
The focus of the first Minnesota Perinatal Hospital Leadership Summit: Linking Evidence to Practice in Support of Breastfeeding is quality improvement in maternity care practices that support breastfeeding and Joint Commission exclusive breastfeeding measures.
To conserve resources, we are providing presenters’ slides on the website unless otherwise noted. If you would like a paper copy of the speakers’ presentations, click on the links to download and print. If you have a computer with you, wireless internet will be available to access the Minnesota Breastfeeding Coalition site. Additional slides and handouts will be posted as they become available. Paper copy of Agenda and Sponsors provided at the event.
Agenda and Sponsors (pdf)
|Welcome & Minnesota Breastfeeding Coalition Update||Slides
|The State of Breastfeeding in Minnesota||Slides
|Update on the Joint Commission’s Perinatal Core (PC) Measure Set||Slides|
|Never Enough: Supporting Mothers’ Informed Decisions About Formula Supplementation||Slides|
|Panel Discussion I: Impact of Formula on Exclusive Breastfeeding (Step 6)|
|Formula Management||Slides by Hennepin County Medical Center|
|Slides by Regions Hospital|
|Measuring Breastfeeding Rates||Slides by U of M Amplatz Hospital|
|Slides by Mayo Clinic Health System Austin|
|Panel Discussion II: Quality Improvement in Mother/Baby Care|
|Rooming‐In (Step 7)||Slides by HealthEast Woodwinds Hospital and
Mayo Clinic Health System Red Wing
|Skin to Skin (Step 4)||Slides by Riverwood Hospital, Aitkin|
|Slides by Mayo Clinic Health System Red Wing|
|Provider Education (Step 2)||Slides by U of M Amplatz Hospital|
Perinatal Hospital Leadership Summit Toolkit
The Hospital Breastfeeding Toolkit is a list of resources for birthing hospitals interested in improving patient outcomes through enhanced lactation support.
Hospital Breastfeeding Toolkit
Perinatal Hospital Leadership Summit Registration Information
By invitation only for Hospital and Health System Directors, Directors of Nursing or Patient Services and Managers of Birth Centers.*
Up to two attendees from each hospital or health system may register.
To take advantage of the discounted rate, both attendees must register at the same time.