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Local Competition:

What other hospitals in are area are designated as "Baby-Friendly"?  Do the other hospitals have 24 hour lactation consultants on staff?

Business Partners:

How will this effect our current relationship with formula companies that supply our facility with formula?

Staff:

Will the staffs' personal beliefs about breast vs bottle effect their participation in reaching our goal?

Patients:

Will our patients be happy about our new style of practice?  Will them want to give up pacifiers?  Will they want 100% rooming in with no time to send the baby to nursery?

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Staff:

Do we have enough lactation consultants to serve our patient population?  Do we have lactation consultants available 24 hours a day?

Is our nursing staff educated on breastfeeding as well as signs that babies are not getting enough nourishment?

Is our staff aware of alternative ways of feeding rather than given a bottle for supplementation?

What are the best programs to educate nursing staff on breastfeeding?

Computer System:

Are we accurately tracking our breastfeeding and bottle rates so our data collection is accurate?

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Partners:

Will the obstetricians support our mission and help educate expectant mothers on the benefits and the importance of breastfeeding?

Do the pediatricians agree with the breastfeeding initiative and will they support our efforts after they mothers and babies are discharged form the hospital. ?

Patients:

Do our patients want to breastfeed their babies?  Do they know the benefits of breastfeeding?

Are our patients attending the breastfeeding classes offered by the hospital?  If not, are they getting educated elsewhere?  How educated are they on breastfeeding?

Evidenced Based Practice:

Do our policies regarding breastfeeding reflect the current guidelines of The Baby-Friendly Initiative?

Core Measures:

Is our unit familiar with the Joint Commission Perinatal Core Measure mandate on exclusive breast milk feeding?

What are acceptable medical reasons to supplement with formula?

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How much does it cost our unit to supply formula for bottle feeding babies?

How much do we spend on formula gift bags that are being given to our new mothers?

How much does it cost to supply breast pumps to our new mothers while they are in the hospital?

How much does our unit spend on the salary for each lactation consultant?

How much does our unit spend on breastfeeding support items (e.g. nipple shields, lanolin, breast pads, breast pumps)?

How much does it cost to train each nurse on the Ten Steps to Successful Breastfeeding?

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How many of our patients currently breastfeeding exclusively?

How many patients are exclusively formula feeding?

How many patients want to breastfeed but are unsuccessful?

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Our mission is to be designated as Baby-Friendly Hospital.

Our vision is to provide all new mothers the education and support they will need to successfully breastfeed their babies.