Breastfeeding was easy for Valerie Minarchick when her first daughter was born.
Grace, now 20 months, latched right away, then let her mom know when she was hungry and breastfed on demand. No problem.
But, her little sister, Riley, made an early debut recently. Born on June 29 at just 35 weeks, Riley, like many preemies, has struggled in her first days with feeding and gaining weight.
“She just came out of the blue,” said Minarchick, 33. “In some ways, I feel like a first-time mom again.”
Thankfully, the lactation support team at UCHealth University of Colorado Hospital has stepped in to help. Nurses provided Minarchick with donated human breast milk for Riley until Minarchick could produce enough milk herself. And, lactation pros have provided extensive support to ensure that Riley grows and Minarchick succeeds with breastfeeding under more challenging circumstances her second time.
“Our lactation consultant has been just been fantastic in helping me develop a plan. It’s reassuring that Riley will still be able to breastfeed exclusively,” Minarchick said.
A research scientist, Minarchick has studied the benefits of breastfeeding and knew she wanted to give her babies her milk.
‘Love the immunities and the bonding’
“I really like the immunities. Grace has barely been sick. She’s very healthy and I attribute that to breastfeeding,” Minarchick said. “I also really like the skin-to-skin cuddle time. I love being close to my babies.”
Three UCHealth hospitals recently earned the prestigious Baby-Friendly certification: UCHealth University of Colorado Hospital in May and both UCHealth Memorial Hospital Central and UCHealth Memorial Hospital North in Colorado Springs in June. These three hospitals join the first two that led the way. UCHealth Poudre Valley Hospital was one of the first Colorado hospitals to receive the Baby-Friendly designation back in 2009. UCHealth Medical Center of the Rockies became Baby Friendly in 2011.
“Caring for patients and families is one of our greatest privileges here at UCHealth,” said Kathy Howell, Chief Nursing Executive for UCHealth and Chief Nursing Officer for University of Colorado Hospital. “Every maternal newborn nurse is empowered with lactation training education for round-the-clock patient care.”
The World Health Organization and the United Nations Children’s Fund (UNICEF) launched the Baby-Friendly movement back in 1991 to promote global health by increasing education and support for breastfeeding. In years past, infant formula manufacturers handed out gift bags of free formula in hospitals that often disrupted breastfeeding in their earliest days.
Supporting breastfeeding during the ‘golden hour’ and beyond
More than 20,000 maternity facilities in 150 countries now have the Baby-Friendly designation, including 16 in Colorado. Achieving the status is challenging and hospitals must pledge to support the “Ten Steps to Successful Breastfeeding,” including:
- Helping mothers breastfeed within the first hour after birth, known as the “golden hour.”
- Keeping mothers and newborns together in the same room.
- Showing mothers how to breastfeed and fostering support groups.
- Giving infants no food or drink other than breast milk, unless medically indicated.
- Promoting breastfeeding on demand and giving no pacifiers that could disrupt breastfeeding.
At UCHealth Memorial Hospital Central, Richiel Dasalla had her son, Aden, on July 5. He was born via a C-section. In years past, mothers who had C-sections sometimes didn’t get the chance to start breastfeeding right away. Dasalla credits her early success with breastfeeding to the immediate “skin-to-skin” contact she got to have with Aden.
“I wasn’t afforded that with my first child. I didn’t see him for four hours,” Dasalla said, adding she believes that birth experience in another state was a big factor on why she gave up on breastfeeding and opted for bottle-feeding.
“I was frustrated, and we were both so exhausted,” she recalled. “Aden latches on quickly. He feeds and seems content. If he’s happy, I’m happy.”
Magical moments for moms and babies
Kezia Hagiwara is a nurse and lactation consultant at UCHealth Memorial Hospital North, who worked hard to help UCHealth’s two Colorado Springs hospitals achieve Baby-Friendly status. She said it’s been a privilege to watch magical moments with new mothers.
For instance, right after nurses at Memorial started giving every mom – including those who had delivered via C-sections – the chance to have skin-to-skin contact immediately after birth, a nurse placed a newborn into her mother’s arms.
“She looked at her new baby, then at the nurse, and with tears in her eyes, said, ‘Thank you. I never got this opportunity with my other babies,’” Hagiwara said.
“I am thankful that we not only changed that patient’s life by adhering to the Baby-Friendly recommendations, but we now are changing all of our patient’s lives and birth experiences for the better.”
Hagiwara said she experiences joy with the moms she works with every day. A mother recently had trouble getting her newborn to latch. She and Hagiwara worked together and the baby finally latched after 36 hours of trying, bringing everyone to tears.
Breastfeeding classes, tailored help and follow-up care at home
At UCHealth facilities, families can learn about the benefits of breastfeeding long before their babies are born through pre-natal visits and breastfeeding classes. Once the baby arrives, mothers work with lactation consultants to create a tailored feeding plan. Nurses promote skin-to-skin contact to establish bonds and successful breastfeeding.
The help doesn’t stop when the mother and baby leave the hospital. They receive a network of resources, including access to support groups, breast pump rentals, outpatient lactation consultants, phone help and in-person appointments.
The UCHealth system is also working to establish virtual visits for breastfeeding support, an effort that the Baby-Friendly evaluators noted and applauded.
Early birth a blessing
For Minarchick, the second-time mom, Riley’s early birth turned out to be a blessing. As Riley was born, her nurses and doctors discovered that the umbilical cord had been wrapped three times around Riley’s neck. Fortunately, the cord was long enough that Riley did not have any breathing problems. But, it’s possible that the cord around her neck could have caused serious problems had she made it to 40 weeks.
“She knew she had to get out,” said Minarchick.
Riley’s birth weight was excellent for a preemie: 6 pounds. But, like many babies born early, she was more interested in sleeping than eating.
As with all premature babies, the lactation pros stepped in right away. Minarchick’s lactation consultant, Sara Aldecoa, immediately helped Minarchick start pumping her milk so she could build up a supply. Then she strategized about options for Riley and Minarchick opted for the donor milk. Aldecoa also helped Minarchick put Riley to the breast regularly and taught her tricks to keep her as alert as possible. Then, to help Riley get back to her birth weight and build energy, Aldecoa showed Minarchick and her husband, Nate, how to give Riley breast milk from a bottle without making it flow so fast that Riley wouldn’t want to do the work of breastfeeding later.
While the process of getting Riley going has been exhausting, Minarchick said the help she received was essential.
“It’s great. If I have any questions, they’re right here, ready to sit down and talk with me and develop a plan that works best for Riley and me.”
Aldecoa is thrilled to now work at a Baby-Friendly hospital.
“It really puts an emphasis on education, so moms can make the best decisions,” she said.