Submission #14639

New Hampshire Ten Steps to Successful Breastfeeding
Alison Holmes MD, MPH; Bonny Whalen MD; Joyce Kelly MPH
Assistant Professors of Pediatrics and Community & Family Medicine
Geisel School of Medicine, Children's Hospital at Dartmouth
Post-partum mothers, Infant (< one year)
NH Breastfeeding Taskforce, NH Perinatal Nurse Managers, NNEPQIN, 20 birthing facilities: All NH birthing hospitals
This collaborative project aims to improve the number of NH birthing hospitals that are either certified as Baby-Friendly Hospitals (WHO designation for breastfeeding-supportive best practices); and to improve the number of individual steps that have been completed at participant hospitals over a 24-month period. BFHI certification involves the completion of 10 separate "steps" The project objectives include: 1. Education on breastfeeding best practices for birthing facilities 2. 2 state wide in-person conferences where hospitals share best practices 3. Tracking of 10 steps implementation before, during and after the collaborative timeframe 4. Tracking of exclusive breastfeeding rates per hospital before, during and after the collaborative timeframe 5. Onsite facilitated support for hospitals seeking BFHI certification 6. Listserv discussion group on 10 steps practices Some use of QI methods.—hospitals were surveyed before and after the project and given back information on their degree on 10 steps implementation. They were also given feedback on their overall and exclusive breastfeeding rates before, during and after the project. Some participant hospitals did internal, measured PDSA cycles to improve certain steps (such as limiting provision of infant formula to breastfed newborns)
Hospital setting
Planned project outcomes: 1. A higher degree of 10 steps implementation throughout NH (shown in published reports form other states to increase breastfeeding duration and exclusivity). 2. Increased numbers of BFHI-certified birthing hospitals 3. Presentations at national and international meetings (ABM, PAS) 4. A final publication in a peer-reviewed journal (currently submitted)