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Subject:
From:
Linda Rosetti <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 3 Aug 1997 01:14:09 -0400
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Bonnie,
It sounds like you have a big job ahead of you, but just remember the surest
way to get to your destination is to keep walking one very small step at a
time.  We started in a similar place about 6 years ago and you wouldn't
believe how we've change.  I think your idea of a survey is a great idea you
could even work it into a QA project.  You might also want to tie in with the
national campaign Health Goals 2000 (something like this anyway)  The
surgeons general report also outlines guidelines as well.  Try to find out
your rate of breastfeeding at discharge, 6 weeks and 4 mo.  You also might
want to get some strong articles for your Peds.  A very good and recent
article: Breastfeeding Update 1: Immunology, Nutrition, and Advocasy
 Wendelin Slusser, MS MD and Nancy G. Powers, MD.  Pediatrics in Review Vo.
18 No.4 April 1997.  Then you can start on The Ten Steps to Successful
Breastfeeding outlined in this article.  Theres a part II too but I couldn't
find it.  Another on Hospital Policies:  Crucial to Breastfeeding Success,
Nacy G. Powers, Audrey J. Naylor, and Ruth A wester.  Seminars in
Perinatology, Vol. 18, No.6 (December) 1994: pp 517-524.
All our changes started after our director sent 2 nurses interested in
breastfeeding to a week long workshop at Evergreen Hospital in Kirkland, Wa.

Good Luck and start with something easy like rooming in: you'll need less
nurses, ie. increased productivity!
Linda Rosetti RN, BSN, IBCLC

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