A Quality Improvement Program the Using Ready, Set, Baby Curriculum During the Baby Friendly Designation Process

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Jonas, Sarah E.
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Breastfeeding , Perinatal Education , Quality Improvement , Baby Friendly Hospital Initiative , "Ready, Set, Baby" , Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing
Abstract Objective: To evaluate the effects of the Ready, Set, Baby (RSB) program based on staff satisfaction and knowledge of perinatal education during the Baby Friendly Hospital Initiative (BFHI) designation process, and to evaluate program effect on maternal knowledge and confidence in initiating and maintaining a breastfeeding relationship. Design: A mixed-method quality improvement program. Setting: A rural obstetrics and gynecology office and its affiliated labor, delivery, recovery, and postpartum unit, which accommodates approximately 400 births per year. Participants: A convenience sample of 26 physicians, nurse practitioners, registered nurses, and a lactation consultant employed by the obstetrics and gynecology office and hospital, and 23 expectant mothers who were established patients at the obstetrics and gynecology office participated. Interventions/Measurements: RSB was implemented for staff and mothers with complementary education to reinforce learning. Staff satisfaction with perinatal educational processes, documentation of required education in the electronic health records, and self-reported staff knowledge regarding BFHI practices were evaluated for primary outcomes. Secondary outcomes included maternal knowledge of BFHI perinatal practices and increased confidence in initiating and maintaining a breastfeeding relationship. Results: There were significant improvements for staff satisfaction and documentation outcomes. Expectant mothers had increased knowledge of and confidence in using perinatal practices to facilitate breastfeeding. Conclusion: RSB is valuable for increasing staff satisfaction and maternal learning objectives during the Baby Friendly designation process. Keywords: breastfeeding; perinatal education; quality improvement; Baby Friendly Hospital Initiative; “Ready, Set, Baby.”