1. Prenatal Education
a.Teaches prenatal breastfeeding class. Update syllabus as needed.
b.Provide consultations and breastfeeding information by request of doctors, perinatal educators, or patients to expectant mothers and their families.
d.Perform inpatient consultations and follow-up visits. Write an accurate, descriptive breastfeeding assessment which documents the quality of the baby's latch, the mother's comfort level, education provided, and any problems noted. Involve father and other family members in supporting the mother's desire to breastfeed. Keep an inpatient log, which will include the patient's name, room number, brief summary of visit, the amount of time spent with the patient. Enter any pertinent charges into the computer.
e.Provide education packets for new mothers, including extra material for specific concerns.
f.Assist with the initiation of electric breast pump use, if indicated including cleaning the equipment and storage of breast milk.
g.Assess and provide interventions for specific problems (difficult latch, poor sucking, etc.) share the plan of care with staff, and evaluate the mother's and baby's response.
h.Visit any patient on another hospital unit who is breast feeding and assist staff in planning appropriate and family centered care.
i.Initiate discussions with pediatricians, obstetricians and other specialists as indicated for any breastfeeding concerns.
j.Involve Hispanic Interpreters in breastfeeding education for Hispanic patient.
k.Record lactation education under interdisciplinary education in the mother's chart.
2. Outpatient Consultations
a.Outpatient consultations will be encouraged for severe breastfeeding difficulty, weight loss greater than 10% of birth weight, extreme nipple soreness or engorgement, or other persistent problems.
b.Consultations may include a complete feeding assessment, infant's weight check on electronic scale before and after breastfeeding, assessment of the mother's breasts, positioning of baby while nursing, and observation of baby's latch and strength of sucking.
3. Staff Education
a.Review current breastfeeding policies and procedures, revise if necessary in consultation with the other nursing and medical staff members
b.Breastfeeding education classes will be provided as needed for new staff members.
c.Provide information to obstetricians, pediatricians, and other staff members about breastfeeding promotion and management.