S2S/Rooming in
When mother wants to sleep, where is the safest place for baby to be?
Alone, on back in bassinet, with nothing by swaddling blankets or held by alert family member
How many bottles of formula does a formula and a breastfeeding mom who is supplementing receive at one time.
Formula may have up to four bottles at a time
Supplementing breast feeder may have up to two at a time
Why is it important to document in the Infant/separation assessment each time baby is not with mother?
To accurately document time spent away from mother.
What is the 'WHO' Code?
The International Code of Marketing Breast Milk Substitutes
Name three safe positioning techniques for S2S?
See Components of Safe Sleep
Which mom's should be assigned "How to Prep Bottles" from the Get Well Network?
All bottle feeding moms who are formula feeding
When do you document Breast and Formula on the Newborn Feeding Intention?
When a baby is mix feeding in hospital by choice
Why does CalvertHealth follow the WHO code?
To provide commericial fee, unbiased information to parents.
ie: " Doctor/Nurse gave me Similac, so it must be the best brand and just as good or better than breast milk"
Rooming in should be maintained for _____ out of 24 hours.
23
Why is it important not to miss early feeding cues?
Baby will start to fuss and become disorganized
the formula/amount section of the Newborn Feeding Record is used strictly for ____________.
formula feeders only.
Should formula be sent home with mothers?
NO
because "Distribution of discharge packs contributes to premature breastfeeding discontinuation"
Why is skin to skin important?
Regulates baby's heart rate, temperature, breathing and glucose
Early skin to skin helps initiate breastfeeding and encourages mother/baby bonding
In what order should alternate feeding method be offered to supplementing parents?
1. cup feeding
2. Syringe feeding with #5 feeding tube at breast
3. Finger feeding
4.Paced bottle feeding
Complete documentation of supplemental feeds are recorded in the _______________.
Newborn Feeding Record ( supplementation section)
The Joint Commission measures exclusive breastfeeding. What must be documented prior to discharge on day of discharge?
Newborn Pre-Discharge Assessment
Why is rooming in important?
Mothers identify feeding cues earlier, promotes breast milk production, increases confidence in parenting skills
Why do we advised against pacifier use with early breast feeding?
Decrease in milk production (less time at breast =decrease milk supply and time learning to latch
How often do you document a LATCH score?
Minimum of once a shift, or each time you witness a breastfeeding.
What is the benchmark for Joint Commission PC- 05?
(Exclusively breastmilk feeding in Hospital)
What is 54%