MOM Initiative Toolbox

Florida Perinatal Quality Collaborative

MOM Initiative Toolbox

This is the tool box of materials for hospital teams working on the Mother's Own Milk Initiative.

Looking for the MOM Resources to share with others (Mothers, Physicians, etc)? Visit the MOM Resources page.

Toolkit:
- "Maintaining Milk Supply" - 15 min staff education
  - Video
  - Slides
- MOM and Substance Abuse Guidance Statement
- MOM Initiative Hospital Implementation Guide (2016)
- Florida MOM Toolkit (2016)
  - Prenatal Advocacy/Education
  - Documentation of Informed Consent
  - Lactation Assessments
  - Breastfeeding Education for Staff
  - Breast Pumps and Pumping Assistance
  - Maternal Education on hand expression, etc.
  - Breastfeeding Supplies
  - Monitoring Milk Supply
  - Standardized Breastfeeding Guidelines
- MOM Key Driver Diagram
- Mid-Project Meeting: Round Robin Challenges and Solutions
- Mid-Project Presentation Slides:
  - Supporting the VLBW Infant to Advance to Oral Feeds at the Breast
  - Let's PDSA!
- Kick Off: Challenges and Solution Ideas
Slide Sets:
Please visit our Mothers Own Milk in the NICU Resources Page for a full list of Patient Education Tools, including videos, handouts, and websites for families and healthcare providers.

Access to Breast Pumps:
- WPH Short Term Breast Pump Loan Agreement and Receipt (PDF)
- Sample Medela Pump Rental Contract (PDF)
- Request Personal Use Pumps
  - Insurances Covered (2016)
  - Prescription Form
Substances:
- MotherToBaby - Fact Sheets on Medications and Pregnancy/Breastfeeding (english/spanish)
- LactMed: A New NLM Database on Drugs and Lactation
Resources:
- Patient Education Sample Slide Set (English)
- Patient Education Flip Chart (Español)
- Steps for Moms (Poster)
- UC San Diego Supporting Premature Infant Nutrition Maternal Education resources
- Mother-Perspective Breastfeeding Pathway
- Baby Steps to Home Module (NANN)
- Cooper Benefits of Breastfeeding (PDF)
- Maximizing Milk Production with Hands On Pumping (Video)
- Hand Expression of Breastmilk (Video)
- UC San Diego Supporting Premature Infant Nutrition (Videos)
- Breastfeeding Nutrition Fact Sheet
Data Collection and Display Spreadsheets for Hospital Use:
- MOM Spreadsheet for Infants 1500g or More
- MOM Spreadsheet for Infants less than 1500g
- MOM Data Spreadsheet Instructions (Please read before using the spreadsheet)
- Data Collection Form (Updated)
- Measurement Grid
- Data Collection FAQ
Sample Ideas for Educating Your Unit:
- Sample NICU Guidelines
- "MOM Monday" Email Flyers
- Crib Cards:
  - English
  - Spanish
- Nurse Breastfeeding Pathway
Sample Pumping Logs:
- Pumping Log:
  - English
  - Spanish
- Toolkit Pumping Log (Spanish)
- Staff Update Pumping Log (TGH)
Models for Promoting MOM in the NICU:
- NICU Breastfeeding Peer Counselors (Rush Mother's Milk Club)
- Breastfeeding and Lactation Program site (CHOP)
- Ten Steps for Promoting and Protecting Breastfeeding for Vulnerable Infants (Spatz)
- Pump Early, Pump Often (Spatz)
- Neo-BFHI: The Baby Friendly Hospital Initiative for Neonatal Wards:
  - 2015 Core Document
  - 2015 Self-Appraisal Tool
Substance Abuse:
- Academy of Breastfeeding Medicine: Guidelines for Breastfeeding and Substance Use
Quality Improvement on MOM in NICU:
- A Multidisciplinary Quality Improvement Approach Increases Breastmilk Availability at Discharge from the Neonatal Intensive Care Unit for the Very-Low-Birth-Weight Infant
Position Statements:
Additional Reference Resources:

College of Public Health

College of Public Health

Quick Links

Florida Perinatal Quality Collaborative

MOM Initiative Toolbox