> Hi wise ones,
> We are putting together a public health grand rounds on breastfeeding and
> lactation management for late in April with a wonderful speaker (I didn't
> ask her yet if this was OK to make public, so for the time she will remain
> anonymous) - and our theme will be the establishment of more formal
> connections between the various health care partners essential to
> lactation management and continuity of care. We all know the drill - the
> mom leaves the hospital marginally breastfeeding, first ped visit is at
> day 5, or 4 or even 3, but it's already too late for the moms with any
> difficulties - nipples are already abraded, and we end up doing damage
> control rather than preventative care. I haven't seen much on this list
> discussing ways that the ties between the involved health care providers
> can be formalized, or how ties to community partners can be more fully
> integrated into the health care plan - groups like LLL, community RLCs,
> visiting nurses, etc. Does anyone have experience with developing these
> collaborative relationships? My imagined version would have a mother
> leaving the hospital very clear on who she should call for breastfeeding
> help on any given day, with follow up phone calls to her every day for the
> first 4-5 days of life, and, of course, referrals between pediatrics, OB,
> LCs, and others to integrate care. Has this kind of model ever been
> studied? Do we have any research demonstrating that it really does make a
> difference when we don't let moms fall through the cracks in the
> transition between hospital and outpatient/community-based care?
>
> Thanks for any info!
>
> Kirsten Berggren, PhD, CLC
> Vermont dept of health
> www.workandpump.com
>
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