Maya Vasquez, RN, IBCLC - California Breastfeeding Coalition
Maya Vasquez, RN, IBCLC - California Breastfeeding Coalition
Maya Vasquez, RN, IBCLC - California Breastfeeding Coalition
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Protecting Patients fromUnnecessary Supplementation& Formula Marketing<strong>Maya</strong> J. <strong>Vasquez</strong>, <strong>RN</strong>, <strong>IBCLC</strong>San Francisco General Hospital<strong>California</strong> <strong>Breastfeeding</strong> SummitJanuary 26, 2012
Objectives• Understand risks of formula• Review evidence for policiessupporting exclusivebreastfeeding• Learn strategies used by oneBaby Friendly hospital toimplement those policies
Why not a little supplementation?
Risks of formula• Importance probiotic colonization• Sensitization to cow milk allergens• Effects on milk supply• Effects on maternal confidence• Effects on latch
Individual preferenceversus public policyWhat is the role &responsibility of the healthcare provider?
201020071991198119791977Development of breastfeeding policy
Literature review:RECEIVING FORMULA IN THE HOSPITAL ISNEGATIVELY ASSOCIATED WITH ANYBREASTFEEDING AT 6 MONTHS.FORSTER, MCLACHLAN & LUMLEY, 2006CHILDREN BO<strong>RN</strong> IN A BABY FRIENDLYFACILITY ARE MORE LIKELY TO BEBREASTFED FOR A LONGER TIME.MERTEN, DRATVA, & ACKERMANN-LIEBRICH, 2005PROBIT TRIAL: BABY FRIENDLYINTERVENTIONS INCREASED INITIATION ANDDURATION OF BREASTFEEDING.KRAMER, ET. AL. 2001
San Francisco General Hospital:• A city run, public hospital• Approximately 1250 births per year• 99% of our patients are low income• Approximately 60% of our patients are primarilySpanish speaking. Another 15% are Cantoneseor other language speakers.• Our challenges are similar to those of any innercity hospitals:–Drug abuse–Psychiatric issues–Homelessness–Low educational levels–Legal status• Training hospital for UCSF
What are the issuesfor our patients?
Formula marketing
Formula marketing
Formula marketing
Determining fair marketvalue of formula• Price formula at local discountstores• Determine bulk discount given forother hospital supplies• Pay for formula with same discount
Use CDC and JCto influence policy makers
Policy development at SFGH
Banning the bag at SFGH
Staff education at SFGH
Patient education at SFGH
Ongoing data collection
Thank you!To the families andstaff at SFGH, to theSFGH Baby FriendlyTask Force, and toall of you who workso hard every day tomake a differencefor futuregenerations.
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