Pam writes;
Date: Thu, 1 Jul 2004 09:06:48 -0400
From: "Pam Hirsch, RN, BSN, CLC" <[log in to unmask]>
Subject: Breastfeeding Class
I have an excellent article that comes out of Australia, the study being
done by a group of midwives, in which they looked at a technique they've
been using called HOT (hands-off technique). Instead of the the staff
doing the feeding for the mom, mothers were instructed in basic
positioning/latch using props (dolls and cloth breasts). It was found
that significantly more women were successfully breastfeeding at 6 months
as compared to mothers who were managed in the usual way - lots
of "interference" from the LC/nursing staff. I found this quite
interesting as a "hands-off" approach has been my style of practice for 25
years. And one I get quite a lot of "flak" from - from LCs and nursing
staff.
I do have a question that maybe someone can answer. In all the years I
have been teaching prenatal classes, I (and perinatal education co-
ordinators that I work with) cannot figure out how to raise class
registrations beyond 25-30%. In every setting I have worked in, it seems
that no more that 25-30% of the hospital's women take classes of any
sort. Any suggestions would be welcomed.
Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL USA
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Pam, Do you have the citation for this study? Have your methods for raising
class attendance included an appointment for every woman (through the OB
practice / clinic / hospital) for the classes, involvement of primary care
providers (i.e. "I see you haven't attended the _____ class. The next class is on
(day/time)."), adverstising through the day care centers, maternity stores, gyms
with day care rooms, OB/GYNs, CNMs, Pedi offices / clinics?
I am very interested in your answer to all these questions because this is
the focus of the project I am working on right now. We are attempting to
implement the BFHI steps in the county hospital and clinics and are working on step
three right now.
We have lower attendance rates than 25-30% so those rates sound pretty good
to us right now!! Sad but true.
Thanks in advance.
Christie Pillado, CLC
El Paso, TX
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