Introduction
Breastfeeding rates remain low nationally, with 53% of mothers exclusively breastfeeding on discharge (Department of Health, 2016). Supplementing breastfeeding mothers may contribute to these figures as supplementation is associated with a shortened duration of breastfeeding (Chantry et al, 2014). NICE (2006) states that breastfeeding mothers should not receive formula unless medically indicated. The topic discussed within the outline of this audit is whether a medical indication is documented for the supplementation of breastfeeding mothers. Clinical audit is an essential step in improving healthcare services. It can be defined as ‘the systematic critical analysis of the quality of medical care including the procedures
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This audit could be categorised as a directorate priority as it is ‘based on best practice guidelines, local policies, issues identified by professional bodies or other relevant topics arising from issues receiving regional or national attention’ (HSE, 2013, P18). Stage 3 – Collection & Measurement of Data
Focus in any stage of the audit is of importance, and must be considered at every stage. For this reason, Buttery’s (1998) suggest the use of verbs such as improve, increase, enhance and change in relation to guiding the audit planning process. A variety of skills are required in the clinical audit process including, but not limited to leadership skills, organisation skills, communication and interpersonal skills, and project management skills (HSE, 2013). The focus of this audit is whether supplementation of breastfeeding mothers has occurred and if a medical indication has been stated, as suggested by NICE (2006) guideline. Supplementation can be defined as the use of infant formula by mothers who are breastfeeding. Service user documentation in the local region are now recorded electronically, thus allowing ease of collection of data. Various computer programmes can be implemented in the collection of this data. However, the figures should be re-examined to ensure accuracy of results, and decrease the margin for error (HSE, 2013). Data will be collected retrospectively over a six-week timeframe, as this will be a
The audience intended for this paper are mothers that have a desire to breastfeed, employers, clinicians, breastfeeding advocacy groups and federal and state legislators involved in policy change.
It then explains how health departments are trying to work with hospitals to increase breastfeeding instead of using infant-formula for newborn babies.
Formula bottle-feeding has its advantages too. Your baby may eat a few times a day, since Formula doesn't digest as easily and quickly as breast milk does, so you won’t be as hungry throughout the day. Plus there’s enough vitamin D. Infant formula provides all the vitamin D a baby needs. Breastfed babies may need vitamin D supplements. Nutrition needs will be met. A baby with typical dietary needs will grow and develop on infant formula.
As you get ready to welcome your baby and introduce her to this world, you are flooded with thoughts of how to take care of your little one in the best possible way. You find that motherhood is not only about loving and caring, it is also about making a few conscious decisions to help your child grow in a healthy manner. One such decision is whether to breastfeed your baby or to offer her formula nutrition.
Very few experts disagree with the fact that breastfeeding is the optimal choice for the infant. However, decreasing breastfeeding rates raise many questions as to why mothers are not choosing the best nutritional choice for their children. Despite breast milk being the obvious choice for infant feeding due to the health, psychological, and economic benefits, many mothers still decide to feed their infants formula due to lack of knowledge and support, difficulties with breastfeeding, and social embarrassment. Changes need to be made with formula companies, medical professionals, and the public opinion of breastfeeding in order to give nursing mothers the support they deserve.
“When breastfeeding is not exclusively practiced, infant formulas are generally used. The World Health Organization International Code of Marketing of Breast-Milk that parents be fully informed about the health hazards of unnecessary or improper use of infant formula”(2).
Deciding the best way to feed your new newborn is a very personal choice for a woman. Whether she chooses to breast feed or use formula, feeding time is an important time for a mother and baby to connect with one another. Health professionals consider breast feeding to be the best choice for baby. But for first time mothers, it can take a few weeks for a mother and her newborn to get the hang of breast feeding; as both of them are learning the process together and they haven't established a routine feeding schedule. New mothers, don’t get discouraged this takes time and I will give you the reasons why breast feeding is the best result for you and, your child.
Starting from infancy, parents have the right to make the decisions in their new child’s life, which includes breast-feeding their child. “Infant nutrition is important in development and
In this article, “The Ideal and the Real of Breast-Feeding” by Jane E. Brody, Brody brings some good points to light. The campaign to exclusively breastfeed for the first six months in today’s society is becoming increasingly prevalent by health care providers, lactation consultants, and other organizations. Brody’s notable outlook on breastfeeding stems from her own personal experiences with her twin boys. The ever increasing numbers of reasons one should breastfeed and how important it is for the health of the child to continue to grow. As the textbook, “How Children Develop” by Robert Siegler, shows it is a natural life source. Mammals use breast milk as a source of nutrition for their young. Humans have become more reliant on formula feeding.
This previous review only discussed exclusive breastfeeding. In this review the authors also included the results of the interventions resulting in predominant, partial, and no breastfeeding. The included studies were evaluated for quality according to the Child Health Epidemiology Reference Group (CHERG) adaptation of Grading of Recommendation, Assessments, Development and Education (GRADE) criteria.
Whether to breastfeed or to formula feed is one of the many decisions parents have to make when caring for a newborn baby. The decision may seem simple in which parents base there decision on comfort, convenience and finance but little do most parents know the decision being made can have damaging long term effects than that of the present. There is plenty of research that state the significance of breastfeeding that go far beyond the extent of bonding between mother and newborn. Although, that too is important. Breast milk is known to contain antibodies which can help the newborn in developing a strong immune system which influence all the body systems. Research has shown that breast-milk can help prevent long term diseases such as
As nerve wracking as an audit can be it does help a physician and their practice identify some areas that may need some additional training or education for the office staff.
The presentation by Ms. Kaupa on Infant and Childhood nutrition was fascinating to me because some day I aspire to become a pediatrician. Before this presentation I knew breast milk was essential because of the antibodies it provided for the baby. However, after the presentation I know understand infant nutrition is much more complex than needing fat and antibodies.
The rise of motherhood could be exceedingly remarkable however, it may require tough decisions. There are decisions for new parents such as feeding the baby on demand or schedule, sleeping arrangements, or whether to use a pacifier or not. The major decision a new mother have to decide is to whether breastfeed the newborn or not. There are many controversial perspectives towards this specific decision between mothers. Promoting infant health through postpartum breastfeeding may be the best option for a mother to choose.
Formula is not ideal for babies, as it has the potential to cause diarrhoea and rashes, increases the risk of infection, and has a high salt content, which can cause hypernatremia (Mathur & Dhingra, 2014). The short-term benefits of breastfeeding for the infant are extensive, and include reduced risk of anaemia, botulism, sudden infant death syndrome, diarrhoea, gastrointestinal disease, and infections (Shields, 2005). In the long-term, breastfeeding reduces the risk of childhood cancer, heart disease, multiple sclerosis, and juvenile rheumatoid arthritis (Shields, 2005). For the mother, there are also numerous benefits associated with breastfeeding, which include a decrease in post-partum bleeding, ovarian cancer, endometrial cancer, breast cancer, and osteoporosis (Shields, 2005). The mother is also more likely to return to her pre-pregnancy weight without putting any weight back on, compared to formula feeding mothers (Shields, 2005). In Australia in 2010, 96% of babies were breastfed initially, however only 15% of these met the recommendation of exclusive breastfeeding up until six months old (Australian Institute of Health and Welfare, 2015). A mother’s decision to breastfeed her child can be influenced by a number of factors, including socioeconomic status, religion, support services, and education (Shields, 2005). However, almost all mothers are able to exclusively breastfeed their babies, provided they have an adequate education and encouragement is provided by health professionals (Shields, 2005). It has been recognised that a very important factor that influences the mother’s decision of whether to breastfeed or not, is their hospital experience (Heads, 2005). Thus, implementation of the Baby Friendly Initiative within all hospitals will eliminate these