During the month of September, we will be studying Step 10 of the Ten Steps to Successful Breastfeeding, which states, “Coordinate discharge so that parents and their infants have timely access to ongoing support and care,” (1).
“As a part of protecting, promoting, and supporting breastfeeding, discharge from facilities providing maternity and newborn services should be planned for and coordinated so that parents and their infants have access to ongoing support and appropriate care,” (2).
Anticipatory guidance is necessary to prepare the breastfeeding family for discharge to home, and excellent suggestions are provided by the Academy of Breastfeeding Medicine’s Clinical Protocol #2 which was updated and revised in 2014. (3). The clinical guidelines include:
Each of these clinical guidelines is expanded upon in the ABM Protocol #2 and is an excellent start to implement in the birthing facility. Stay safe and thank you for supporting, promoting, and protecting breastfeeding!
Kathy Parkes, MSN-Ed, RN, IBCLC, FILCA CHC
Professional Development Educator
1. WHO and UNICEF. 2018. Baby-friendly Hospital Initiative, Ten Steps to Successful Breastfeeding. Retrieved from https://www.unicef.org/nutrition/index_breastfeeding-ten-steps.html
2. World Health Organization. 2018. Implementation Guidance. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-Friendly Hospital Initiative. Retrieved from https://www.unicef.org/nutrition/index_breastfeeding-ten-steps.html
3. Evans, A., Marinelli, K.A., Taylor, J.S., and The Academy of Breastfeeding Medicine. (2014). ABM Clinical Protocol #2: Guidelines for hospital discharge of the breastfeeding term newborn and mother: “The Going Home Protocol”, Revised 2014. Breastfeeding Medicine; 9(1): 3-9. NOTE: All ABM Protocols are free to download at https://www.bfmed.org/protocols, with at least 5 languages available.
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Last Updated: September 2018