Patient Care

​Module 2: Patient C​are 

Goal A

Learners will understand the importance of and be able to teach the new breastfeeding parent of a healthy, term infant, the 3 key breastfeeding educational components described below.

Learner Objectives Learners will be able to
  1. Identify normal nutritional parameters for the term infant
  2. Evaluate positioning and latch-on
  3. Demonstrate hand expression
Essential Activities
  1. Show videos from Global Health Media Project including: Breastfeeding Attachment, How to express breastmilk, and Positions for Breastfeeding.
  2. Show students all of the Stanford breastfeeding videos including Successful Breastfeeding Begins Right at Birth, The Perfect Latch, and Hand Expression of Breastmilk
  3. Have learners teach at least 3 new parents about proper breastfeeding technique and benefits.

Goal B

Learners will understand how to provide peripartum breastfeeding support related to lactogenesis, labor and delivery management, position and attachment, evaluation of breastfeeding, problem solving, infants with special needs, medications and breastfeeding, and management.

Learner Objectives Learners will be able to
  1. Perform a detailed mother/infant breastfeeding history.
  2. Identify absolute contraindications to breastfeeding and factors that are NOT contraindications.
  3. Educate families and health care professionals about contraindications to breastfeeding.

Essential Activities 
  1. Have learners practice documenting a patient history and counseling parents on breastfeeding while being observed. Provide learners feedback. After the resident leaves the room, obtain feedback from the parents on the success of the resident's counseling – use all or portions of the Resident Care Evaluations: Communication Skills, Patient History and Education, ACGME Core Competencies forms to evaluate the resident.
  2. Have learners identify true contraindications to breastfeeding and the use of human milk and those that are sometimes identified as contraindications, but are not (both medicines and medical conditions). Provide learners with the CDC list of breastfeeding contraindications.
  3. Present a case to students in which a mother was inappropriately counseled not to breastfeed and the consequences that this led to in the health of the mother and the infant.tivities

Goal C

Learners will recognize and address common breastfeeding challenges and provide anticipatory guidance.

Learner Objectives Learners will be able to
  1. Identify at least 5 common challenges experienced by breastfeeding infants and mothers and possible management strategies for these challenges.

Essential Activities 
  1. Teach and then have learners practice a step by step approach to helping patients with engorged breasts on lactogenesis II, baby’s latch that is causing nipple damage, and baby who has ankyloglossia.
    Additional Activities (Optional)