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Women’s Hospital

Nurses leverage EHR-embedded education to encourage breastfeeding

More newborns are now exclusively breastfed at Women’s Hospital in Doha, Qatar, in part due to a new program that focuses on educating new mothers. Once the new education protocols went into place in the hospital’s high-dependency unit, which cares for women with complicated pregnancies, it reported a significant increase in the number of new mothers who chose to exclusively breastfeed.

“Breastfeeding has lots of benefits both for the mother and the baby,” said Gracamma Joppachen, head nurse on the Women’s Hospital obstetric unit. “Among those are emotional brain development, and it boosts the baby’s immune system. But it also helps the mother; it reduces many diseases like ovarian and breast cancer.”

Before the new efforts, less than 60 percent of new mothers at Women’s Hospital exclusively breastfed.1 Afterwards, that rose to 92 percent.2

As part of the new initiative, Women’s Hospital provided mandatory training for nurses and midwives to help learn strategies to teach the benefits of exclusive breastfeeding. PowerChart Maternity™ embeds an education section into clinical documentation, helping nurses and midwives track the education offered to mothers. Nurses and midwives help educate new mothers by handing out pamphlets to show breastfeeding benefits. Completion of the training program rose to 100 percent following implementation.3

“There is less of a chance for nurses to forget even simple parts of the education,” said Jeanne Grande, Women’s Hospital charge nurse. 

By having this information in PowerChart Maternity, clinicians find it much easier to follow up with breastfeeding mothers after they return home.

“We can chart the mother’s experience of breastfeeding and assess them,” said Rachel Barilla, staff nurse. “Nurses can look back in the chart and better assess and educate the mother on what they need.”

Prior to implementation, Women’s Hospital leaders knew their rates of exclusively breastfed newborns fell below guidelines recommended by the Ministry of Public Health and the World Health Organization (WHO). Reports from WHO, UNICEF and other organizations in 2017 found that only 29 percent of mothers in Qatar exclusively breastfeed infants up through five months old.4

“Initially we had a hard time encouraging them,” said Grande. “You can easily grab formula at the store. Mothers think, ‘Why have all the pain from breastfeeding?’ That’s why we are educating and re-educating mothers.”

Moderate evidence from a WHO study in 2013 showed that exclusively breastfed infants have a lower mortality rate in the first few months of life than infants who are partially breastfed. WHO recommends that mothers exclusively breastfed their newborns in the first six months of life.5

Starting the program in the high-dependency unit posed unique challenges, since nurses and midwives are more concerned about the mother’s immediate health issues.

“We are taking more critically ill patients who are sedated and in pain,” said Joppachen. “It is quite a challenge to encourage those mothers to exclusively breastfeed their baby.”

The push to increase exclusive breastfeeding came from the Ministry of Public Health, as part of the Baby-friendly Hospital Initiative from WHO. Women’s Hospital leaders plan to expand the program in their efforts to receive the recognition from WHO.

For more information about Exclusive Breast Milk Feeding, visit our Model Experience page.

1 July 2014 - September 2014

2 March 2017 - March 2018

3 July 2015 - September 2016

4 UNICEF

5World Health Organization

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Client outcomes were achieved in respective settings and are not representative of benefits realized by all clients due to many variables, including solution scope, client capabilities and business and implementation models.