Oklahoma Breastfeeding Resource Center

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Breastfeeding Resources

Cochrane Review on Skin to Skin
Some comments from different hospitals to this same issue.

We use active warming measures prior to scheduled C-sections:
Institute Active Warming Measures 30 minutes prior to surgery
Warmed IV and irridation fluids
Warm blankets. socks, limit skin exposure
Forced air warming system (paws or hugger)

Our Anesthesia came about when presented with literature on the benefits of skin to skin. We also included them in the steering committe meetings. Anesthesia places the leads a little higher on the shoulder and helps tpo free up mom's arms as possible. The sterile field is not affected as the baby is placed skin to skin high on mom's chest. NICU RN assists the support person in keeping a secure hand on baby.


We do skin to skin in the OR routinely, on well mothers and babies. We have never done triplets before, but we did today! 36+6 weeks! the babies self-attached in the OR, <quite a few of them do>, but these were  triplets and all of them nursed on the table. We then go to the PACU skin to skin where all of them do nurse, if they haven't already!


We have not had a problem with cold babies after cesareans that I am aware of.  We are starting a pilot project in January beginning skin-to skin in the OR.  I will have more info after all of that data is gathered!

 We pre-warm our surgical patients in  Pre-op with a bair hugger and all IV fluids go through a fluid warmer pre-op and intra-op.  This has significantly reduced our hypothermic moms in PACU.....so I bet it has done the same with babies.

 I'm preparing for the pilot in January, we came across some techniques and terms that not all OB staff were familiar with.  Some nurses bring the unwrapped baby over to the mother and place him on her chest and then cover them both with blankets.  Depending on the distance of your mom from your baby warmer and your room temp, the baby could get cold in the transfer.  The suggestion was to wrap the baby in a "hotdog" roll for transfer and skin-to-skin time.  Basically a warmed bath blanket is folded over the baby like a hotdog bun.  It can overlap for the transfer and then open up for the baby (hotdog) to go skin-to-skin with mom so the baby is never fully exposed to the cold air.


The significance of weight loss in the first few days after birth  By Jenny Thomas, MD, MPH, IBCLC

10 Common Mistakes that IBCLCs Make With Hispanic Mothers

The Connecticut Breastfeeding Initiative (CBI)

Illinois Breastfeeding Blue Print : A Plan for Change

Texas Ten Step Star Achiever Toolkit

Oklahoma State Department of Health Breastfeeding Information and Support 

OK Lactation Consultant Resource Guide 2012

  • sponsored by Oklahoma State Departement of Health/WIC service
    • US Surgeon General Call to Action:

      Sample Policies and Forms

      Resources from Professional Organizations

      AAFPAmerican Academy of Family Practitioners

      AAPAmerican Academy of Pediatrics

      ABM Academy of Breastfeeding Medicine: Clinical Protocols

      • Clinical Protocols on the Following topics: Hypoglycemia, Going Home/Discharge, Supplementation, mastitis, Contraception, Analgesia and Anesthesia for the Breastfeeding Mother, Engorgement, etc.

      ACOG - American College of Obstetricians and Gynecologists

      Clinical Review: Breastfeeding: Maternal and Infant Aspects

      AWHONN Association of Women's Health, Obstetric, and Neonatal Nurses

      Baby-Friendly Hospital Initiative (BFHI) at Boston Medical Center is a research-tested intervention designed to implement hospital practices that support breastfeeding.

      Bottle Feeding Resources

      CDC - Guide to Breastfeeding Intervention: http://www.cdc.gov/breastfeeding/

      ILCA - International Lactation Consultants Association - www.ilca.org

      The Joint Commission

      Medications for Mother's Milkhttp://www.infantrisk.com/

      For information about safety of medications during lactation, contact the Texas Tech Infant Risk Center.

      Open to answer calls Monday-Friday 8am-5pm central time. (806)-352-2519.  

      Milk Banking Information

      • Human Milk Banking Association of North America: www.hmbana.org
      • HMBANA is a non-profit association of donor human milk banks established in 1985 to set standards for and to facilitate establishment and operation of milk banks in North America. Their website provides information on milk banking and how to contact a milk bank to donate milk or to order donor human milk. Their site is also a resource for health care providers and others seeking information on HMBANA's resources and services.
      • Currently there is not a licensed milk bank in Oklahoma. The Oklahoma Mothers' Milk Bank is under development. For more information: okmilkbank.org
      • For information about donating milk in Oklahoma, visit the North Texas Mother's Milk Bank at www.texasmilkbank.org. OU Medical Center in Oklahoma City is a depot where donor mothers can drop off milk. 
      •  Mother-to-mother milk sharing: a professional commentary on a worldwide, expanding practice

      Skin-to-Skin Resources

      Smoking and Breastfeeding

      US Breastfeeding Committeewww.usbreastfeeding.org 

      The Model Policy: Payer Coverage of Breastfeeding Counseling Services, Pumps, and Supplies was created by USBC to identify best practices for payers that appropriately meet the requirements of the Affordable Care Act and ensure adequate delivery of breastfeeding support, using the language, format, and terminology applicable for expedient, meaningful use by this audience. The Model Policy is intended to guide payers in determining insurance coverage. As such, it focuses on those health care professionals who are customarily credentialed by insurers3 to provide health care services in today’s insurance marketplace. This policy does not address community-based counseling and support options, offered by organizations and individuals in settings not currently covered by insurance.
      Model Policy Payer Coverage Breastfeeding Support 2013
      Model Payer Policy Cover Letter

      World Health Organization (WHO)

         Articles of Interest