206231 Breastfeeding Collaboration Project Study

Wednesday, November 11, 2009

Karen D. Munoz, MSN, PHN, RN , Public Health Community Nursing, Health Care Agency/County of Orange, Santa Ana, CA
The purpose of the Breastfeeding Collaboration Project (BFCP) Study was to demonstrate the efficacy of breastfeeding education and behavioral counseling and support in assisting women in successfully initiating and maintaining breastfeeding. The initiation, duration and exclusivity of breastfeeding were examined in women who receive WIC services and who in their second trimester of pregnancy indicated their desire to breastfeed their infants. Data collected compared a group of women that received standard WIC breastfeeding services to a group of women who received additional specific breastfeeding education and behavioral counseling provided by public health nurses (PHN) and professional staff. The study had specific directives: 1) Provide direction for further assessment of interventions that promote breastfeeding, 2) Give direction to resource and policy development that encourage and support breastfeeding, and 3) Offer assurance to the programs involved that they are meeting a public health need in the community. Data analysis substantiated that the information obtained contributed to the objectives of the study. The singular significant finding was that PHN support and intervention resulted in increased breastfeeding duration and client satisfaction. In examining client responses from a focus group of six Spanish speaking client participants, three themes were identified: 1) Lack of breastfeeding support from hospital staff, 2) Professional intervention empowered the clients to continue breastfeeding, and 3) Support from both family and the workplace enabled greater duration of breastfeeding. BFCP was a new experience and an opportunity to discover the challenges, pitfalls and satisfaction of conducting research in a public health practice setting.

Learning Objectives:
Identify modalities for assessment of interventions that promote breastfeeding. Discuss resource and policy developemtn that encourage and support breastfeeding. Demonstrate that involvement of public health programs in breastfeeding promotion in Orange County, California, increases the numbers of women who exclusively breasdtfeed their infants to six months of age.

Keywords: Breast Feeding, Infant Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I manage a staff of 46 public health nurses, 70% are certified lactation educators and five are certified lactation consultants. The promotion of breastfeeding is a documented goal of the Public Health Community Nursing Program in Orange County, California.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.