Why Is This Important?

Breastfeeding is the best source of nutrition for most infants. It can also reduce the risk for certain health conditions for both infants and mothers.[https://www.cdc.gov/breastfeeding/php/about/index.html ^1^]

Definition

The type of feedings given to an infant in the 24 hours prior to discharge from the hospital. (See Data Notes for more information.)

Data Source

How the Measure is Calculated

What Is Being Done?

In September 2022, the New Jersey Department of Health released its [https://www.state.nj.us/health/fhs/wic/documents/FINAL%20New%20Jersey%20Breastfeeding%20Strategic%20Plan%202022.pdf 2022-2027 Breastfeeding Strategic Plan]. In December, 2013, the Department adopted amended Hospital Licensing Standards that require hospitals to develop and implement written policies and procedures for identifying and supporting the needs of a breastfeeding mother and/or child at the point of entry into the facility, including the emergency department; written policies and procedures for the obstetrics unit that include competencies of obstetrics staff regarding infant feeding, distribution of printed materials about infant feeding, cultural competence of obstetrics staff, professional resources for use by obstetrics staff, formula supplementation, rooming-in, pacifier use, breastfeeding assistance, and labeling and storage of human milk and infant formula; and discharge planning. Hospitals are required to establish an interdisciplinary breastfeeding team and use evidence-based resources including "Implementing the Joint Commission Perinatal Care Core Measure on Exclusive Breastmilk Feeding" regarding perinatal patient care that address allowing newborns to remain with the mother or primary caregiver during the first hour following delivery, performing newborn assessments while the newborn remains with the mother (unless contraindicated) and offer support and assistance to mothers who wish to breastfeed during the first hour after their infants' births. Other requirements include readily available breast pumps, and provision of a breast pump to a mother within four hours of her infant's separation from her, e.g., to the NICU, or ineffective breastfeeding; education and training for staff who provide breastfeeding care and staff ability to demonstrate proficiency in core competencies prior to providing related patient care; and establishment of an interdisciplinary breastfeeding team that represents various professional healthcare disciplines and lay groups. These Standards took effect on January 21, 2014, with the goal of increasing exclusive breastfeeding rates, improving health outcomes of mothers and infants, reducing childhood obesity rates, and containing healthcare costs. The WIC Program, which serves about half of the infants born in New Jersey, provides breastfeeding education to pregnant women and support services to breastfeeding women who participate in the Program. The Division of Family Health Services is working with the New Jersey Hospital Association and other partners to support hospitals to attain the [https://www.babyfriendlyusa.org/ Baby-Friendly Hospital] designation.

Available Services

[https://www.womenshealth.gov/about-us/what-we-do/programs-and-activities/helpline#:~:text=Do%20you%20have%20a%20women's,specialist%20in%20English%20or%20Spanish. National Breastfeeding Helpline] in both English and Spanish: 1-800-994-9662 Find out which NJ hospitals are designated as Baby Friendly: [https://www.babyfriendlyusa.org/for-parents/baby-friendly-facilities-by-state/] Online breastfeeding information: *NJDOH: [https://nj.gov/health/fhs/wic/nutrition-breastfeeding/] *CDC: [https://www.cdc.gov/breastfeeding/] *Office on Women's Health: [https://www.womenshealth.gov/breastfeeding/] *Ten Steps to Successful Breastfeeding: [https://www.babyfriendlyusa.org/for-facilities/practice-guidelines/10-steps-and-international-code/] [[br]] Some hospitals have lactation programs that provide breastfeeding support after discharge, including support group meetings and telephone support.

More Resources

How Well Does Your Hospital Support Breastfeeding? [https://nj.gov/health/fhs/wic/nutrition-breastfeeding/] CDC Breastfeeding Information, including "The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies": [http://www.cdc.gov/breastfeeding/]

Footnote References

1. CDC, [https://www.cdc.gov/breastfeeding/php/about/index.html About Breastfeeding], 12/18/23.