Nav: Home

CHOP nurse-researcher presents the Spatz 10-Step System as national model for breastfeeding

July 31, 2018

Mothers of critically ill infants may not receive necessary breastfeeding support, because their babies may be taken directly to a newborn intensive care unit or to surgery. Dr. Diane Spatz, Nurse Researcher & Director of the Lactation Program at Children's Hospital of Philadelphia (CHOP), presents an alternative model for health care providers that focuses on serving the needs of vulnerable infants who are hospitalized and separated from their mothers.

Many of these newborns are born preterm or with birth defects or other critical conditions. Spatz drew on her own extensive clinical experience and on research findings from the National Institutes of Health to create the Spatz 10-Step and Breastfeeding Resource Nurse Model to Improve Human Milk and Breastfeeding Outcomes which can guide all health professionals. The research was recently published in the April/June 2018 edition of the Journal of Perinatal and Neonatal Nursing, for which Dr. Spatz also served as guest editor.

The 10-Step Model consists of informed decision, establishment and maintenance of milk supply, human milk management, oral care and feeding of human milk, skin-to-skin care, non-nutritive sucking, transition to breast, measuring milk transfer, preparation for discharge and appropriate follow-up. The 10-step model has been implemented for more than 10 years at CHOP, as well as in other neonatal intensive care units across the U.S. and around the world.

"Because nurses are the largest health profession globally and in the U.S., nurses should play a critical role in providing evidence-based lactation care and support," said Spatz. "At CHOP, we developed a specialized educational and training program so that nurses across the institution could implement the 10-step model effectively."

The Baby-Friendly Hospital Initiative (BFHI) was established in 1991 as a worldwide program to incentive maternity facilities to adhere to the Ten Steps to Successful Breastfeeding and comply with the International Code of Marketing of Breast Milk Substitutes. The U.S. has only recently seen an increase in hospitals seeking BFHI designation, and globally the number of BFHI facilities is less than 10 percent. BFHI focuses primarily on heathy mother-infant pairs.

"Our research demonstrates that nurses at CHOP are empowered through the Breastfeeding Nurse Program and they strive to advocate for breastfeeding families and support their peers in delivering optimal, evidence-based lactation care and support as part of their daily practice," Spatz added.
-end-
Diane L. Spatz "Beyond BFHI: The Spatz 10-Step and Breastfeeding Resource Nurse Model to Improve Human Milk and Breastfeeding Outcomes. Journal of Perinatal and Neonatal Nursing, April/June 2018. Doi:10.1097/JPN.0000000000000339

Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Today, CHOP is a 546-bed hospital as well as a 50-location Care Network. Through its commitment to providing exceptional, family-centered care, training new generations of pediatric healthcare leaders, and pioneering major research advances, Children's Hospital is home to many breakthroughs that have benefited children worldwide. Its pediatric research program is among the largest in the country. Its commitment to community service and influence on public policy have earned CHOP recognition as a leading advocate for children. As a nonprofit charitable organization, Children's Hospital relies on donor support to advance its mission - making a difference in the lives of children everywhere. For more information, visit http://www.chop.edu.

Children's Hospital of Philadelphia

Related Health Articles:

Public health guidelines aim to lower health risks of cannabis use
Canada's Lower-Risk Cannabis Use Guidelines, released today with the endorsement of key medical and public health organizations, provide 10 science-based recommendations to enable cannabis users to reduce their health risks.
Generous health insurance plans encourage overtreatment, but may not improve health
Offering comprehensive health insurance plans with low deductibles and co-pay in exchange for higher annual premiums seems like a good value for the risk averse, and a profitable product for insurance companies.
The Lancet Planetary Health: Food, climate, greenhouse gas emissions and health
Increasing temperatures, water scarcity, availability of agricultural land, biodiversity loss and climate change threaten to reverse health gains seen over the last century.
With health insurance at risk, community health centers face cut-backs
Repeal of key provisions of the Affordable Care Act, combined with a failure to renew critical funding streams, would result in catastrophic funding losses for community health centers-forcing these safety net providers to cut back on services, lay off staff or shut down clinical sites, according to a report published today.
Study clusters health behavior groups to broaden public health interventions
A new study led by a University of Kansas researcher has used national health statistics and identified how to cluster seven health behavior groups based on smoking status, alcohol use, physical activity, physician visits and flu vaccination are associated with mortality.
Tailored preventive oral health intervention improves dental health among elderly
A tailored preventive oral health intervention significantly improved the cleanliness of teeth and dentures among elderly home care clients.
Study finds that people are attracted to outward signs of health, not actual health
Findings published in the journal Behavioral Ecology reveal that skin with yellow and red pigments is perceived as more attractive in Caucasian males, but this skin coloring does not necessarily signal actual good health.
In the January Health Affairs: Brazil's primary health care expansion
The January issue of Health Affairs includes a study that explores a much-discussed issue in global health: the role of governance in improving health, which is widely recognized as necessary but is difficult to tie to actual outcomes.
University of Rochester and West Health Collaborate on d.health Summit 2017
In collaboration with West Health, the University of Rochester is hosting the third annual d.health Summit, a forum for health care and technology leaders, entrepreneurs, senior care advocates and policymakers to exchange ideas, create new partnerships, and foster disruptive technological and process innovations to improve the lives of the nation's aging population.
Study links health literacy to higher levels of health insurance coverage
The federal Affordable Care Act is intended to make it easier for individuals to buy health insurance, but are the uninsured equipped to navigate the choices faced in the insurance marketplace?

Related Health Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Digital Manipulation
Technology has reshaped our lives in amazing ways. But at what cost? This hour, TED speakers reveal how what we see, read, believe — even how we vote — can be manipulated by the technology we use. Guests include journalist Carole Cadwalladr, consumer advocate Finn Myrstad, writer and marketing professor Scott Galloway, behavioral designer Nir Eyal, and computer graphics researcher Doug Roble.
Now Playing: Science for the People

#529 Do You Really Want to Find Out Who's Your Daddy?
At least some of you by now have probably spit into a tube and mailed it off to find out who your closest relatives are, where you might be from, and what terrible diseases might await you. But what exactly did you find out? And what did you give away? In this live panel at Awesome Con we bring in science writer Tina Saey to talk about all her DNA testing, and bioethicist Debra Mathews, to determine whether Tina should have done it at all. Related links: What FamilyTreeDNA sharing genetic data with police means for you Crime solvers embraced...