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Community Prevention

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Discuss how evidence-based practice is applied in your practice setting and describe the desired patient outcome achieved through this approach.
I am currently an obstetric nurse and lactation counselor in the facility where I work. I have seen how evidence-based research plays a vital role in my practice and I am a strong advocate for breast feeding and there are many studies to support the benefits of breast-feeding “in the development of a baby’s immune system and the presence of maternal antibodies protect infants against infection. Artificial feeding is also associated with increased risk of common disorders of early childhood such as ear infections, asthma, skin disorders, digestive problems, and respiratory tract infections” (ABM, 2009). The initiation of successful breast feeding depends on early teaching and preparing the mother not only physically but also psychologically before delivery takes place. I have seen how babies who are breast-fed exclusively are healthier more developed and has fewer medical problems. “Studies have also linked artificial feeding to increased risk for obesity, type 1 and 2 diabetes, childhood leukemia, sudden infant death syndrome (SIDS), and necrotizing entercolitis. Mothers benefit as well, and a history of breastfeeding has been associated with a reduced risk of type 2 diabetes and of breast and ovarian cancer”(ABM, 2009).

The patient outcome while breast-feeding is beneficial to both the mother and baby, studies show that “breastfeeding is a natural method of getting a baby to understand portion control and appetite. It also helps strengthen the immune system and bring the weight of the mother back in line with her pre-pregnancy stage by contracting the uterus back to its normal size” (Breastfeeding Medicine, 2012). Mothers who are diabetic and breastfeeding require less insulin intake and it also regulates blood sugar levels. The desired outcome is achieved with breast-feeding in that babies make few visits to the pediatrician office, are usually very healthy and less obese while the mothers have less postpartum complications.

Reference
Academy of Breastfeeding Medicine. (2009). Strong Evidence Base for Benefits of Breastfeeding. Retrieved from: http://www.bfmed.org/Media/Files/Documents/pdf/Press%20Releases/Strong%20Evidence%20Base%20for%20Benefits%20of%20Breastfeeding%20(3-19-09).pdf

Breastfeeding Medicine. (2012). Fat, Young, and Poor: Why Breastfeeding Is a Critical Weapon in the Fight Against Childhood Obesity. Volume 7. Retrieved from: http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2012.0073

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