Lactation management workshop:
The Pan American Health Organization/World Health Organization in collaboration with the Ministry of Health Trinidad and Tobago conducted a three day lactation management workshop for 23 nurses and midwives selected from five hospitals and nursing schools 7-9 December at the Hyatt Regency Hotel.
In Trinidad and Tobago exclusive breastfeeding for at least 6 months is less than 20%, with over 40% of infants given breast milk and complementary feed. A (41) % early initiation rate for breastfeeding, pointing to the practice not being sustained at home after discharge. There is a national breastfeeding policy, which should be operational at all public institutions and is clearly not having the desired impact. Hence there is a greater need to train health care providers in the management of breastfeeding to improve the skills and knowledge and create a supporting environment for mothers to initiate and continue breast feeding immediately after birth and thereafter.
Objectives of the workshop were:
1) To train health care providers in Trinidad and Tobago on the breast feeding management intervention methods and ways for:
2) To emphasize the importance of appropriate feeding practices in the context of baby friendly hospital initiatives and infant and young child feeding policy.
} Identify practices that support and those that interfere with breastfeeding;
} Practice the ten steps to successful breastfeeding and abide by the international code of marketing of breast-milk substitutes;
} Collaborate with co-workers to highlight barriers to breastfeeding and seek ways to overcome those barriers.
} Use communication skills to talk with pregnant women, mothers and co-workers;
} Discuss with a pregnant woman the importance of breastfeeding and outline practices that support the initiation of breastfeeding;
} Facilitate skin-to-skin contact and early initiation of breastfeeding;
} Assist a mother to learn the skills of positioning and attaching her baby as well as the skill of hand expression;
} Discuss with a mother how to find support for breastfeeding after she returns home;
} Outline what needs to be discussed with a women who is not breastfeeding and know to whom to refer this woman for further assistance with feeding her baby, including relactation
The goals of the training were:
3) Implement the Baby Friendly Hospital Initiative (BFI)
a. Increase / update breastfeeding knowledge
b. Learn / reinforce clinical skills
c. Acquire / confirm attitudes
4) Develop a team approach to implement BFI
a. In hospitals and birth centers
b. In community clinics
c. In the larger / global community
5) Sustain policy and evidence-based practices