Work plan 2.3

Work plan 2.3

Maternal and Infant Feeding

Objective(s)

Reduce formula supplementation in breastfed babies within Raigmore Maternity Unit and increase the numbers of infants under 1 and breastfeeding women receiving vitamin D supplementation.

Delivery Team

  • Karen Mackay (Lead)
  • Arlene Rollo
  • Camilla MacIntosh
  • Nicola McIntosh
  • Jodie Meggison

Activities

  • Support reduction of formula supplementation within maternity unit with breastfeeding co-ordinator posts who will provide support, training and audit.
  • Increase the numbers of breastfeeding women and breastfed infants/infants receiving less than 500mls formula per day under 1 years who supplement with vitamin D.
  • Support the uptake of vitamin D supplementation in breastfeeding women, breastfed infants and formula feeding infants who receive less than 500mls of formula per day under the age of 1.

Governance

  • Maternity and Neonatal Programme Board.

Performance Measures/Outcomes

  • Numbers of women breastfeeding daily who supplement with formula.
  • Run charts with percentage of supplementation in breastfed neonates monthly.
  • Monitor trends in supplementation rates.
  • Audit orders in comparison with projected numbers receiving from ProHealth.
  • Numbers of vitamins ordered and distributed per midwifery and health visiting team.

Objective(s)

All women who wish to colostrum harvest from 36 weeks are supported to do so.

Delivery Team

  • Karen Mackay (Lead)
  • Nicola McIntosh
  • Jodie Meggison

Activities

  • Colostrum harvesting policy in place.
  • Increase the awareness of colostrum harvesting to women and also link with specialist for type 2 diabetes and gestational diabetes.
  • Monitor and audit colostrum harvesting in NHSH.

Governance

  • Maternity and Neonatal Programme Board.

Performance Measures/Outcomes

  • Qualitative evaluation of feedback from service users ref colostrum harvesting.

Objective(s)

To ensure eligible families receive support to take up the Best Start Grants at Pregnancy and birth; Early Learning and school age.

Delivery Team

  • Karen Mackay

Activities

  • Further develop monitoring system for Best Start Grants.
  • Raise awareness of and promote uptake of Best Start Grants through embedding it in service provision and providing information in various Health Improvement training, including breastfeeding training.

Governance

  • Maternal and Infant Nutrition Strategic Group.
  • No direct route in reporting to Highland Council as yet.

Performance Measures/Outcomes

  • Numbers of healthy start vitamins ordered/numbers of women receiving healthy start vitamins in pregnancy.
  • Numbers of eligible families claiming Best Start Grants.
  • Annual run charts to indicate those who are claiming Best Start Grants.
  • Planned qualitative work to look at what families use vouchers to purchase.