Great article just published in
Pediatrics. Great work by the IBCLCs
concerned. Great PR for our profession. :-)
<http://pediatrics.aappublications.org/content/early/2013/03/27/peds.2012-1310.abstract>http://pediatrics.aappublications.org/content/early/2013/03/27/peds.2012-1310.abstract
Evaluation of an Office Protocol to Increase Exclusivity of Breastfeeding
Sharon K. Corriveau, DNP, RN, CFNP, IBCLCa, Emily
E. Drake, PhD, RNb, Ann L. Kellams, MD, IBCLCc, and Virginia G. Rovnyak, PhDb
Pediatrics, Published online April 1, 2013 (doi: 10.1542/peds.2012-1310)
+
Author Affiliations
aLoudoun Pediatric Associates, Leesburg, Virginia;
bSchool of Nursing, University of Virginia, Charlottesville, Virginia; and
cNewborn Nursery, University of Virginia, Charlottesville, Virginia
Abstract
OBJECTIVE: The purpose of this study was to
determine whether implementing a program based on
a clinical protocol affects breastfeeding rates
within a pediatric primary care setting.
Increasing breastfeeding rates is an important
public health initiative identified by multiple agencies.
METHODS: The Academy of Breastfeeding Medicine
(ABM) clinical protocol (“The
Breastfeeding-Friendly Physician’s Office, Part
1: Optimizing Care for Infants and Children”) was
used as a template for the provision of
breastfeeding services within a pediatric primary
care clinic. There were 757 mother–infant pairs
included in the study. A retrospective
before-and-after study design was used. Data
collection points included the hospital stay, the
newborn visit, and the 2-, 4-, and 6-month health
maintenance visits. The 2 groups were compared to
estimate the protocol’s effectiveness as a method
of increasing breastfeeding rates.
RESULTS: The results of this evaluation were
positive for exclusive breastfeeding, with group
comparisons showing a statistically significant
increase in exclusive breastfeeding rates at all 5 time points.
CONCLUSIONS: Our diverse patient population
within a pediatric practice had increased
initiation rates and exclusive breastfeeding
rates after implementation of the ABM’s
breastfeeding-friendly protocol. Families who
receive care in a pediatric primary care setting
that has implemented the ABM clinical protocol
may have increased rates of exclusive breastfeeding.
Pamela Morrison IBCLC
Rustington, England
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