The Massachusetts Breastfeeding Coalition has a number of outreach  projects. 
We conducted 2 breastfeeding clinics for just physicians, taught by  
physicians, with about 60 doctors and residents attending. We mailed 3 different  sets 
of postcards to all pediatric and obstetric offices in the state with a  
short quiz, answers, and a clinical pearl. We mailed our state breastfeeding  
resource guide to all pediatric offices. We have a downloadable PDA program on  
our website with clinical and medication information. Many physicians come to  
our annual breastfeeding conference as we offer CMEs. We have a 1 hour  
in-service presentation that we present to physician offices, taking  it to their 
office usually during lunch. We try to exhibit at OB and  pediatric conferences. 
Letters were sent to all hospital pediatric and obstetric  chiefs of staff 
regarding the elimination of commercial discharge bags from the  hospital.
 
It still seems like an uphill battle in spite of all that we do. That's why  
our new perinatal regulations will help improve lactation care and services in 
 the hospital, as it seems some hospitals just won't move to improve unless 
they  receive a "gentle" push. Our department of public health will be issuing  
guidelines to accompany the new regs. Outreach takes many forms!
 
Marsha Walker, RN, IBCLC
Weston, MA
 
 
 
 

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