Download or read book Significance of Breastfeeding Education, In-hospital Support, and Maternal Self-efficacy on Initiating and Sustaining Exclusive Breastfeeding written by Pik Yuk Kam and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exclusive breastfeeding (EBF) for the baby's first six months after birth, and continue breastfeed (BF) up to two years and beyond, has been an ultimate goal of World Health Organization (WHO), Department of Health and Human Services (DHHS), American Academy of Pediatrics (AAP), and American College of Obstetricians and Gynecologists (ACOG) (Willumsen, 2013). BF has been recognized as having numerous health benefits for mothers and babies as well as cost-saving to families, and environmental friendly to the world. The aim of this study is to examine the effects of provision of BF education and EBF policies to health care professionals and mothers; intensive BF support to mothers, and the increase of staffing ratios on the improvement of EBF rate in the in-patient hospital setting. The significant drop of EBF rate (from 80-90% down to 60-70%) in the past few months at the author's baby-friendly hospital (BFH) drew the departmental managers' intention to initiate a pilot study to improve and maintain the EBF rate to required level (75%). Based on the research studies, low EBF rates could be increased by using intensified BF education and support from lactation consultants and nursing staff; strategies such as appropriate staffing ratios, collaboration of family members and support groups. Mothers who have health problems and unexpected birth experiences should receive extra BF support from health professionals and family members. To obtain the informal approval from key stakeholders is critical for the development of the implementation plan. Meetings are needed to address the issues; the evidence to support the proposed solutions and the urgency to change. After approval, a BF committee for the project will be formed and meeting will be carried out at a regular basis. The study takes a four-week period emphasizing on Breastfeeding Bundle (BFB) (Include: skin-to-skin care after delivery, initiate BF within the first hour, rooming-in, and no pacifier or supplement other than breast milk except medically indicated). Data collection for the evaluation process is chart review. The standard data measuring table will be used to assess the rate. BF committee members will review charts of discharged mothers and babies. Percentage of practicing skin-to-skin care, initiation of BF, BF education, and satisfaction will be calculated. Using the data collected at discharge from postpartum unit to identify the perinatal BF rates and the type of feeding. Previous studies concluded low EBF rates could be increased by intensified BF education and support; appropriate staffing ratios, and collaboration of family members and support groups. To disseminate the results, key committee members need to schedule meetings with the stakeholders to report the project outcome, to receive their input, and to ensure this EBP can be continued to sustain in the long run after implementation. Strategies for effective dissemination of results are presenting by PowerPoint, sending e-mails, posters, or flyers, et cetera.